| Title: | Identification of three anatomical patterns of the spinal accessory nerve in the neck by neurophysiological mapping |
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| Authors: | ID Lanišnik, Boštjan (Author)
ID Žargi, Miha (Author)
ID Rodi, Zoran (Author) |
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| Files: |  URL - Source URL, visit http://ojs.szd.si/index.php/ro/article/view/1991/1695
 PDF - Presentation file, download (1,66 MB)
MD5: B9447D215F91A4F0AB042A03FB260DAE
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| Language: | English |
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| Typology: | 1.01 - Original Scientific Article |
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| Organization: |  OI - Institute of Oncology
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| Abstract: | Background. In spite of preservation of the accessory nerve there is still considerable proportion of patients with partial nerve damage during modified radical neck dissection (MRND). Methods. The nerve was identified during the surgery and its branches for the trapezius muscle mapped with nerve monitor. Results. The accessory nerve was mapped during 74 hemineck dissections and three patterns were identified. In type 1 nerve exits at the posterior end of the sternocleidomastoid muscle (SCm) and then it enters the level V (66 %). In type 2 the nerve for trapezius muscle branches off before entering the SCm (22 %). In type 3 the nerve exits at the posterior part of the SCm and it joins to the cervical plexus (12 %). The nerve than exits this junction more medially as a single trapezius branch. Conclusions. The description of three anatomical patterns in level II and V could help preserving the trapezius branch during MRND. |
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| Keywords: | spinal accessory nerve, nerve mapping, neck dissection, anatomy, shoulder disability |
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| Publication status: | Published |
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| Publication version: | Version of Record |
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| Publication date: | 01.12.2014 |
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| Publisher: | Association of Radiology and Oncology |
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| Year of publishing: | 2014 |
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| Number of pages: | str. 387-392, V |
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| Numbering: | Vol. 48, no. 4 |
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| Source: | Ljubljana |
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| PID: | 20.500.12556/DiRROS-18670  |
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| UDC: | 611.93-089 |
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| ISSN on article: | 1318-2099 |
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| DOI: | 10.2478/raon-2013-0069 |
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| COBISS.SI-ID: | 5080127 |
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| Copyright: | by Authors |
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| Publication date in DiRROS: | 11.04.2024 |
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| Views: | 209 |
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| Downloads: | 53 |
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