Reconstruction of spinal accessory nerve after radical neck dissection.

J. Jóri, L. Sávay, J. Czigner

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Resection of the spinal accessory nerve in cases of radical neck dissection often causes considerable damage to the function of the shoulder girdle; it leads to limitation of the motion of the upper limb and pain in the shoulder girdle. It seems a sensible compromise to reconstruct the spinal accessory nerve in one-stage operation with radical neck dissection, which can often prevent extensive atrophy of the trapezius muscle, with a resultant improvement in the chance of successful rehabilitation. The technique of the operation is described: after completion of radical neck dissection, in one-stage operation an autogenous nerve transplant from the n. auricularis magnus is sewn onto the central and peripheral stumps of the spinal accessory nerve, which are protected by a "vein-muff" and the fascia of the muscle. After such spinal accessory nerve reconstruction, subjective complaints and objective symptoms were much milder in 6 patients than in the control group, which consisted of 10 patients who underwent a similar operation but without spinal accessory nerve reconstruction.

Original languageEnglish
Pages (from-to)79-86
Number of pages8
JournalActa Chirurgica Hungarica
Volume33
Issue number1-2
Publication statusPublished - 1992

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Accessory Nerve
Neck Dissection
Shoulder Pain
Superficial Back Muscles
Fascia
Upper Extremity
Atrophy
Ear
Veins
Rehabilitation
Transplants
Muscles
Control Groups

ASJC Scopus subject areas

  • Surgery

Cite this

Reconstruction of spinal accessory nerve after radical neck dissection. / Jóri, J.; Sávay, L.; Czigner, J.

In: Acta Chirurgica Hungarica, Vol. 33, No. 1-2, 1992, p. 79-86.

Research output: Contribution to journalArticle

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