title: [Post-operative functional evaluation of accessory nerve reconstruction].
abstract: A nerve reconstruction was performed in 20 patients whose spinal accessory nerve was resected during total neck dissection. Re-anastomosis or a cable graft was performed between both cut ends of the accessory nerve in 14 patients (accessory nerve reconstruction group), and between the peripheral cut end of the accessory nerve and the central cut end of the cervical nerve (C2 or C3) in 6 patients (cervical/accessory nerve reconstruction group). There was no difference in the postoperative shoulder functions between the reconstruction groups, and both groups were significantly better than the group without reconstruction (n = 13), although they tended to be poorer than the nerve preservation group (n = 41).
authors.affiliation: Department of Otorhinolaryngology, Muroran City General Hospital, Muroran.
authors.forename: Koji
authors.initials: K
authors.lastname: Asakura
authors.affiliation: Department of Otorhinolaryngology, Muroran City General Hospital, Muroran.
authors.forename: Tomo
authors.initials: T
authors.lastname: Honma
authors.affiliation: Department of Otorhinolaryngology, Sapporo Medical University, Sapporo.
authors.forename: Takashi
authors.initials: T
authors.lastname: Keira
authors.affiliation: Department of Otorhinolaryngology, Muroran City General Hospital, Muroran.
authors.forename: Tomonori
authors.initials: T
authors.lastname: Nagaya
authors.affiliation: Department of Otorhinolaryngology, Sapporo Medical University, Sapporo.
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Himi
mesh_terms: D000055:Accessory Nerve / Q000502:physiology / Q000601:surgery*; D006801:Humans; D037981:Neck Dissection; D011184:Postoperative Period; D019651:Plastic Surgery Procedures; D012782:Shoulder / Q000502:physiology; D016896:Treatment Outcome