Post-Operative Functional Evaluation of Accessory Nerve Reconstruction

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  • Asakura Koji
    Department of Otorhinolaryngology, Muroran City General Hospital
  • Honma Tomo
    Department of Otorhinolaryngology, Muroran City General Hospital
  • Keira Takashi
    Department of Otorhinolaryngology, Sapporo Medical University
  • Nagaya Tomonori
    Department of Otorhinolaryngology, Sapporo Medical University
  • Himi Tetsuo
    Department of Otorhinolaryngology, Sapporo Medical University

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Other Title
  • 副神経再建手術の術後機能評価
  • フクシンケイ サイケン シュジュツ ノ ジュツゴ キノウ ヒョウカ

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Description

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).

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