title: Upper neck spinal accessory nerve identification during neck dissection.
abstract: Iatrogenic injury to the spinal accessory nerve (SAN) during neck dissection may result in significant and avoidable morbidity in the form of 'shoulder syndrome'. The authors describe a simple method, based on the anatomy of the sternocleidomastoid muscle (SCM), which allows consistent and rapid identification of the SAN in the upper neck during dissection, thereby facilitating its preservation.
authors.affiliation: Department of Otorhinolaryngology-Head & Neck Surgery, Charing Cross Hospital, London, UK. tarantatla@hotmail.com
authors.forename: T
authors.initials: T
authors.lastname: Tatla
authors.forename: J
authors.initials: J
authors.lastname: Kanagalingam
authors.forename: A
authors.initials: A
authors.lastname: Majithia
authors.forename: P M
authors.initials: PM
authors.lastname: Clarke
mesh_terms: D000055:Accessory Nerve / Q000033:anatomy & histology*; D061227:Accessory Nerve Injuries; D004210:Dissection / Q000379:methods; D006801:Humans; D037981:Neck Dissection / Q000009:adverse effects / Q000379:methods*; D009334:Neck Muscles / Q000294:innervation; D011183:Postoperative Complications / Q000517:prevention & control; D012785:Shoulder Joint / Q000294:innervation / Q000502:physiology; D020069:Shoulder Pain / Q000209:etiology / Q000517:prevention & control