[Reconstruction of accessory nerve defects with sternocleidomastoid muscle-great auricular nerve flap].
OBJECTIVE
To describe a new method of accessory nerve defect reconstruction with sternocleidomastoid muscle-great auricular flap.


METHODS
Thirty-four cases receiving traditional radical neck dissection were divided into two groups: single neck dissection group (n = 19) and accessory nerve reconstruction group (n = 15). Surgical procedure of the reconstruction was described in detail. Postoperative shoulder functions were compared between the two groups.


RESULTS
Accessory nerve reconstruction group experienced much better shoulder function recovery than that in single neck dissection group.


CONCLUSIONS
Reconstruction of accessory nerve defects with sternocleidomastoid muscle-great auricular nerve flap is simple, effective and complication-free.
Guo
Chuan-Bin
CB
Department of Oral and Maxillofacial Surgery, Peking University School of Stomatology, Beijing 100081, China. guodazuo@sina.com
Zhang
Ye
Y
Zou
Li-Dong
LD
Mao
Chi
C
Peng
Xin
X
Yu
Guang-Yan
GY
D000055:Accessory Nerve / Q000601:surgery*; D061227:Accessory Nerve Injuries; D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000556:secondary / Q000601:surgery; D004423:Ear / Q000294:innervation*; D005260:Female; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000473:pathology / Q000601:surgery; D009333:Neck; D037981:Neck Dissection / Q000379:methods*; D009334:Neck Muscles / Q000601:surgery*; D016067:Nerve Transfer / Q000379:methods*; D013524:Surgical Flaps; D016896:Treatment Outcome