Cranio-Caudal Identification and Preservation of Spinal Accessory Nerve during Modified Radical Neck Dissection
Introduction: The spinal accessory nerve (SAN) is encountered during neck dissection surgeries and is at the highest risk for iatrogenic injury, which may lead to shoulder syndrome. This functional deformity can be avoided by preservation of SAN in modified radical neck dissection (MRND). Descriptio...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-10-01
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| Series: | Indian Journal of Dental Research |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/ijdr.ijdr_583_23 |
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| author | Pushkar P. Waknis Ravina Dharamsi Mrinal Gawali Divya Palanisami |
| author_facet | Pushkar P. Waknis Ravina Dharamsi Mrinal Gawali Divya Palanisami |
| author_sort | Pushkar P. Waknis |
| collection | DOAJ |
| description | Introduction:
The spinal accessory nerve (SAN) is encountered during neck dissection surgeries and is at the highest risk for iatrogenic injury, which may lead to shoulder syndrome. This functional deformity can be avoided by preservation of SAN in modified radical neck dissection (MRND).
Description:
Many techniques are described in the literature for SAN preservation, one of which is the identification of Erb’s point and dissection in the posterior triangle where the SAN leaves the sternocleidomastoid (SCM) muscle. However, this technique for identification and preservation of SAN requires a skilled and trained surgeon to avoid any iatrogenic injury to SAN.
Conclusion:
Therefore, a study was carried out on 30 patients to find if the cranio-caudal dissection of SAN helps in the preservation of the nerve during MRND surgeries at the beginner’s level. |
| format | Article |
| id | doaj-art-b1e27f3f6406461c861d84bb81b31dd1 |
| institution | Kabale University |
| issn | 0970-9290 1998-3603 |
| language | English |
| publishDate | 2023-10-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Dental Research |
| spelling | doaj-art-b1e27f3f6406461c861d84bb81b31dd12025-02-07T15:32:06ZengWolters Kluwer Medknow PublicationsIndian Journal of Dental Research0970-92901998-36032023-10-0134444344410.4103/ijdr.ijdr_583_23Cranio-Caudal Identification and Preservation of Spinal Accessory Nerve during Modified Radical Neck DissectionPushkar P. WaknisRavina DharamsiMrinal GawaliDivya PalanisamiIntroduction: The spinal accessory nerve (SAN) is encountered during neck dissection surgeries and is at the highest risk for iatrogenic injury, which may lead to shoulder syndrome. This functional deformity can be avoided by preservation of SAN in modified radical neck dissection (MRND). Description: Many techniques are described in the literature for SAN preservation, one of which is the identification of Erb’s point and dissection in the posterior triangle where the SAN leaves the sternocleidomastoid (SCM) muscle. However, this technique for identification and preservation of SAN requires a skilled and trained surgeon to avoid any iatrogenic injury to SAN. Conclusion: Therefore, a study was carried out on 30 patients to find if the cranio-caudal dissection of SAN helps in the preservation of the nerve during MRND surgeries at the beginner’s level.https://journals.lww.com/10.4103/ijdr.ijdr_583_23modified radical neck dissectionoral squamous cell carcinomaspinal accessory nervespinal accessory nerve preservation |
| spellingShingle | Pushkar P. Waknis Ravina Dharamsi Mrinal Gawali Divya Palanisami Cranio-Caudal Identification and Preservation of Spinal Accessory Nerve during Modified Radical Neck Dissection Indian Journal of Dental Research modified radical neck dissection oral squamous cell carcinoma spinal accessory nerve spinal accessory nerve preservation |
| title | Cranio-Caudal Identification and Preservation of Spinal Accessory Nerve during Modified Radical Neck Dissection |
| title_full | Cranio-Caudal Identification and Preservation of Spinal Accessory Nerve during Modified Radical Neck Dissection |
| title_fullStr | Cranio-Caudal Identification and Preservation of Spinal Accessory Nerve during Modified Radical Neck Dissection |
| title_full_unstemmed | Cranio-Caudal Identification and Preservation of Spinal Accessory Nerve during Modified Radical Neck Dissection |
| title_short | Cranio-Caudal Identification and Preservation of Spinal Accessory Nerve during Modified Radical Neck Dissection |
| title_sort | cranio caudal identification and preservation of spinal accessory nerve during modified radical neck dissection |
| topic | modified radical neck dissection oral squamous cell carcinoma spinal accessory nerve spinal accessory nerve preservation |
| url | https://journals.lww.com/10.4103/ijdr.ijdr_583_23 |
| work_keys_str_mv | AT pushkarpwaknis craniocaudalidentificationandpreservationofspinalaccessorynerveduringmodifiedradicalneckdissection AT ravinadharamsi craniocaudalidentificationandpreservationofspinalaccessorynerveduringmodifiedradicalneckdissection AT mrinalgawali craniocaudalidentificationandpreservationofspinalaccessorynerveduringmodifiedradicalneckdissection AT divyapalanisami craniocaudalidentificationandpreservationofspinalaccessorynerveduringmodifiedradicalneckdissection |