Surgical anatomy of the spinal accessory nerve in the posterior triangle of the neck

OBJECTIVE: The major complication of neck dissection and surgery at the posterior triangle of the neck is severe disability of the shoulder or "shoulder syndrome", which results from spinal accessory nerve injury. Surgical landmarks of the nerve in this area were studied. METHODS: Fifty-si...

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Main Authors: Aramrattana A., Sittitrai P., Harnsiriwattanagit K.
Format: Article
Language:English
Published: 2014
Online Access:http://www.scopus.com/inward/record.url?eid=2-s2.0-23844532987&partnerID=40&md5=5baaa1b781629a75839166046d198e6d
http://www.ncbi.nlm.nih.gov/pubmed/16024309
http://cmuir.cmu.ac.th/handle/6653943832/1882
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Institution: Chiang Mai University
Language: English
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spelling th-cmuir.6653943832-18822014-08-30T02:00:13Z Surgical anatomy of the spinal accessory nerve in the posterior triangle of the neck Aramrattana A. Sittitrai P. Harnsiriwattanagit K. OBJECTIVE: The major complication of neck dissection and surgery at the posterior triangle of the neck is severe disability of the shoulder or "shoulder syndrome", which results from spinal accessory nerve injury. Surgical landmarks of the nerve in this area were studied. METHODS: Fifty-six fresh Thai cadavers (112 necks) were dissected to identify the anatomical relationship of the spinal accessory nerve and its commonly used landmarks. RESULTS: The spinal accessory nerve was found within 3.6 cm (mean, 1.43 cm) above Erb's point. The distance between the spinal accessory nerve entering the trapezius muscle and the clavicle was between 2.6 cm and 6.9 cm (mean, 4.5 cm). CONCLUSION: Our data were different from those described in the literature. Reconsideration of these two important landmarks can help to minimize iatrogenic injury of the spinal accessory nerve. © 2005 Elsevier. All rights reserved. 2014-08-30T02:00:13Z 2014-08-30T02:00:13Z 2005 Article 10159584 16024309 AJSUE http://www.scopus.com/inward/record.url?eid=2-s2.0-23844532987&partnerID=40&md5=5baaa1b781629a75839166046d198e6d http://www.ncbi.nlm.nih.gov/pubmed/16024309 http://cmuir.cmu.ac.th/handle/6653943832/1882 English
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
language English
description OBJECTIVE: The major complication of neck dissection and surgery at the posterior triangle of the neck is severe disability of the shoulder or "shoulder syndrome", which results from spinal accessory nerve injury. Surgical landmarks of the nerve in this area were studied. METHODS: Fifty-six fresh Thai cadavers (112 necks) were dissected to identify the anatomical relationship of the spinal accessory nerve and its commonly used landmarks. RESULTS: The spinal accessory nerve was found within 3.6 cm (mean, 1.43 cm) above Erb's point. The distance between the spinal accessory nerve entering the trapezius muscle and the clavicle was between 2.6 cm and 6.9 cm (mean, 4.5 cm). CONCLUSION: Our data were different from those described in the literature. Reconsideration of these two important landmarks can help to minimize iatrogenic injury of the spinal accessory nerve. © 2005 Elsevier. All rights reserved.
format Article
author Aramrattana A.
Sittitrai P.
Harnsiriwattanagit K.
spellingShingle Aramrattana A.
Sittitrai P.
Harnsiriwattanagit K.
Surgical anatomy of the spinal accessory nerve in the posterior triangle of the neck
author_facet Aramrattana A.
Sittitrai P.
Harnsiriwattanagit K.
author_sort Aramrattana A.
title Surgical anatomy of the spinal accessory nerve in the posterior triangle of the neck
title_short Surgical anatomy of the spinal accessory nerve in the posterior triangle of the neck
title_full Surgical anatomy of the spinal accessory nerve in the posterior triangle of the neck
title_fullStr Surgical anatomy of the spinal accessory nerve in the posterior triangle of the neck
title_full_unstemmed Surgical anatomy of the spinal accessory nerve in the posterior triangle of the neck
title_sort surgical anatomy of the spinal accessory nerve in the posterior triangle of the neck
publishDate 2014
url http://www.scopus.com/inward/record.url?eid=2-s2.0-23844532987&partnerID=40&md5=5baaa1b781629a75839166046d198e6d
http://www.ncbi.nlm.nih.gov/pubmed/16024309
http://cmuir.cmu.ac.th/handle/6653943832/1882
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