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

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: Atchara Aramrattana, Pichit Sittitrai, Kanchana Harnsiriwattanagit
Format: Journal
Published: 2018
Subjects:
Medicine
Online Access:https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=23844532987&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/62425
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Institution: Chiang Mai University
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spelling th-cmuir.6653943832-624252018-09-11T09:27:10Z Surgical anatomy of the spinal accessory nerve in the posterior triangle of the neck Atchara Aramrattana Pichit Sittitrai Kanchana Harnsiriwattanagit Medicine 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. 2018-09-11T09:27:10Z 2018-09-11T09:27:10Z 2005-01-01 Journal 10159584 2-s2.0-23844532987 10.1016/S1015-9584(09)60336-5 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=23844532987&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/62425
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
topic Medicine
spellingShingle Medicine
Atchara Aramrattana
Pichit Sittitrai
Kanchana Harnsiriwattanagit
Surgical anatomy of the spinal accessory nerve in the posterior triangle of the neck
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 Journal
author Atchara Aramrattana
Pichit Sittitrai
Kanchana Harnsiriwattanagit
author_facet Atchara Aramrattana
Pichit Sittitrai
Kanchana Harnsiriwattanagit
author_sort Atchara Aramrattana
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 2018
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=23844532987&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/62425
_version_ 1681425804504858624

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