{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390282680199231744.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.5981/jjhnc.34.67"}},{"identifier":{"@type":"NAID","@value":"10024155136"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2008209460"}}],"dc:title":[{"@language":"en","@value":"Recovery of trapezius muscle paralysis in neck dissection in which the spinal accessory nerve was preserved"},{"@language":"ja","@value":"副神経保存した頸部郭清術における僧帽筋麻痺の経時的回復"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"Spinal accessory nerve palsy caused by the retractor during operation is often observed in the early postoperative period even in neck dissections in which the spinal accessory nerve was preserved. The range of active arm abduction, which is related to the trapezius muscle innervated by the accessory nerve, was measured to evaluate trapezius muscle paralysis and recovery.<BR>Various degrees of paralysis were seen within 2 months postoperatively in 10 neck dissections in which the accessory nerve was preserved: it was less than 100 degrees in 4 cases of severe neck paralysis, 100-150 degrees in 3 cases of moderate neck paralysis, and more than 150 degrees in 3 cases of almost normal necks. It is considered that the various degrees of paralysis were caused by the different intraoperative damage to the spinal accessory nerve which was affected by the retractor and electric scalpel. Afterwards, the active arm abduction test results were almost recovered in all patients at around 6 months postoperatively.<BR>In conclusion, the probability of temporary accessory nerve palsy is high even in neck dissections in which the accessory nerve was preserved. Appropriate physical rehabilitation according to the degree of spinal accessory nerve palsy is necessary to prevent adhesive capsulitis by trapezius muscle paralysis."},{"@language":"ja","@value":"副神経を保存した保存的頸部郭清術においても，鉤などの術中操作により術直後はその多くに副神経麻痺が生じている。今回は副神経支配の僧帽筋が最も関与する上肢自動外転角度を計測し，僧帽筋麻痺の程度，回復過程を評価した。副神経を保存した保存的頸部郭清術10例を術後2ヶ月以内でみると，上肢外転角度100度未満の重度の僧帽筋麻痺4例，100～150度未満の中等度の麻痺3例，150度以上のほぼ麻痺のない3例であり，様々な程度の僧帽筋麻痺に分かれた。これは術中の副神経の牽引操作や電気メスなどの影響によって，副神経損傷の程度にばらつきが生じるためと考えられた。術後6ヶ月前後では，全例150度以上に上肢外転角度は改善した。副神経を保存した頸部郭清術においても，一過性の副神経麻痺を来たしている可能性が高く，僧帽筋麻痺による肩関節，肩甲帯の癒着性関節包炎を避けるために，副神経障害の程度に応じたリハビリテーションが必要である。"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410001204428511616","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000002872466"},{"@type":"NRID","@value":"9000258258016"},{"@type":"NRID","@value":"9000255811102"},{"@type":"NRID","@value":"9000258078139"},{"@type":"NRID","@value":"9000256076781"},{"@type":"NRID","@value":"9000256834345"},{"@type":"NRID","@value":"9000256077919"},{"@type":"NRID","@value":"9000256078316"},{"@type":"NRID","@value":"9000258078012"},{"@type":"NRID","@value":"9000258077724"}],"foaf:name":[{"@language":"en","@value":"Onitsuka Tetsuro"},{"@language":"ja","@value":"鬼塚 哲郎"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Division of Head and Neck Surgery, Shizuoka Cancer Center Hospital"},{"@language":"ja","@value":"静岡県立静岡がんセンター頭頸科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410290696401858304","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Ebihara Mitsuru"},{"@language":"ja","@value":"海老原 充"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Division of Head and Neck Surgery, Shizuoka Cancer Center Hospital"},{"@language":"ja","@value":"静岡県立静岡がんセンター頭頸科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001204428511617","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000006315508"},{"@type":"NRID","@value":"9000258078141"},{"@type":"NRID","@value":"9000256076773"},{"@type":"NRID","@value":"9000258250567"},{"@type":"NRID","@value":"9000255718719"},{"@type":"NRID","@value":"9000258078015"},{"@type":"NRID","@value":"9000283653966"}],"foaf:name":[{"@language":"en","@value":"Iida Yoshiyuki"},{"@language":"ja","@value":"飯田 善幸"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Division of Head and Neck Surgery, Shizuoka Cancer Center Hospital"},{"@language":"ja","@value":"静岡県立静岡がんセンター頭頸科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001204428511618","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000242806756"}],"foaf:name":[{"@language":"en","@value":"Kamijyo Tomoyuki"},{"@language":"ja","@value":"上條 朋之"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Division of Head and Neck Surgery, Shizuoka Cancer Center Hospital"},{"@language":"ja","@value":"静岡県立静岡がんセンター頭頸科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001204428511620","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000001976708"},{"@type":"NRID","@value":"9000258250568"}],"foaf:name":[{"@language":"en","@value":"Asano Rie"},{"@language":"ja","@value":"浅野 理恵"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Division of Head and Neck Surgery, Shizuoka Cancer Center Hospital"},{"@language":"ja","@value":"静岡県立静岡がんセンター頭頸科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001288076295936","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000256638044"},{"@type":"NRID","@value":"9000006381815"},{"@type":"NRID","@value":"9000258078008"}],"foaf:name":[{"@language":"en","@value":"Isihiki Hiroto"},{"@language":"ja","@value":"石木 寛人"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Division of Head and Neck Surgery, Shizuoka Cancer Center Hospital"},{"@language":"ja","@value":"静岡県立静岡がんセンター頭頸科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001288078143745","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000003152537"},{"@type":"NRID","@value":"9000258078135"},{"@type":"NRID","@value":"9000253542292"}],"foaf:name":[{"@language":"en","@value":"Tanuma Akira"},{"@language":"ja","@value":"田沼 明"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Division of Rehabilitation, Shizuoka Cancer Center Hospital"},{"@language":"ja","@value":"静岡県立静岡がんセンターリハビリテーション科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"13495747"},{"@type":"EISSN","@value":"18818382"},{"@type":"NCID","@value":"AA11985555"}],"prism:publicationName":[{"@language":"en","@value":"Toukeibu Gan"},{"@language":"ja","@value":"頭頸部癌"},{"@language":"en","@value":"Toukeibu Gan"},{"@language":"ja","@value":"頭頸部癌"}],"dc:publisher":[{"@language":"en","@value":"Japan Society for Head and Neck Cancer"},{"@language":"ja","@value":"日本頭頸部癌学会"}],"prism:publicationDate":"2008","prism:volume":"34","prism:number":"1","prism:startingPage":"67","prism:endingPage":"70"},"reviewed":"false","url":[{"@id":"https://search.jamas.or.jp/link/ui/2008209460"}],"availableAt":"2008","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=Neck%20dissection","dc:title":"Neck dissection"},{"@id":"https://cir.nii.ac.jp/all?q=Spinal%20accessory%20nerve","dc:title":"Spinal accessory nerve"},{"@id":"https://cir.nii.ac.jp/all?q=Trapezius%20muscle%20paralysis","dc:title":"Trapezius muscle paralysis"},{"@id":"https://cir.nii.ac.jp/all?q=Arm%20abduction","dc:title":"Arm abduction"},{"@id":"https://cir.nii.ac.jp/all?q=%E9%A0%B8%E9%83%A8%E9%83%AD%E6%B8%85%E8%A1%93","dc:title":"頸部郭清術"},{"@id":"https://cir.nii.ac.jp/all?q=%E5%89%AF%E7%A5%9E%E7%B5%8C","dc:title":"副神経"},{"@id":"https://cir.nii.ac.jp/all?q=%E5%83%A7%E5%B8%BD%E7%AD%8B%E9%BA%BB%E7%97%BA","dc:title":"僧帽筋麻痺"},{"@id":"https://cir.nii.ac.jp/all?q=%E4%B8%8A%E8%82%A2%E5%A4%96%E8%BB%A2%E9%81%8B%E5%8B%95","dc:title":"上肢外転運動"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1390001288046164864","@type":"Article","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@language":"ja","@value":"副神経を温存し，頸神経を切断した頸部郭清術後の障害と早期リハビリ介入の有用性の検討"},{"@language":"en","@value":"Efficacy of post-operative rehabilitation in patients receiving neck dissection preserving the spinal accessory nerve and sacrificing cervical nerves"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282680199900032","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@language":"en","@value":"RECONSTRUCTION OF THE MANDIBLE BASED ON TISSUE ENGINEERING"},{"@language":"ja","@value":"Ｔｉｓｓｕｅ　Ｅｎｇｉｎｅｅｒｉｎｇを応用した顎骨の再構築"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282680200790912","@type":"Article","relationType":["isReferencedBy","isCitedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Investigation of adverse events associated with planned neck dissection in oropharyngeal and hypopharyngeal cancers"},{"@language":"ja","@value":"中下咽頭癌に対するｐｌａｎｎｅｄ　ｎｅｃｋ　ｄｉｓｓｅｃｔｉｏｎがもたらす有害事象の検討"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282680259794176","@type":"Article","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@language":"ja","@value":"頸部郭清術後の副神経障害とリハビリテーション"},{"@language":"en","@value":"Spinal accessory nerve dysfunction and rehabilitation after neck dissections"}]},{"@id":"https://cir.nii.ac.jp/crid/1390564238056083200","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Positive association between the cross-sectional area of the rhomboid muscle, and the range of shoulder abduction after neck dissection surgery"}]},{"@id":"https://cir.nii.ac.jp/crid/1570009750786089472","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Objective comparison of physical dysfunction after neck dissection"}]},{"@id":"https://cir.nii.ac.jp/crid/1570009750786090624","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@value":"頸部郭清術後の周術期リハビリテーション"}]},{"@id":"https://cir.nii.ac.jp/crid/1570009750932761472","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@value":"治療に伴う痛みとそのコントロール 頸部郭清術後の頸部痛とその対応"}]},{"@id":"https://cir.nii.ac.jp/crid/1570854175716218368","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Electromyographic findings after different selective neck dissections"}]},{"@id":"https://cir.nii.ac.jp/crid/1571417125669643776","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"A prospective study of shoulder disability resulting from radical and modified neck dissections"}]},{"@id":"https://cir.nii.ac.jp/crid/1572824500553197952","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Accessory nerve function after modified radical and lateral neck dissection"}]},{"@id":"https://cir.nii.ac.jp/crid/1573105975529907328","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Excision of cancer of head and neck"}]},{"@id":"https://cir.nii.ac.jp/crid/1573105975529908736","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"The 11th nerve syndrome in functional neck dissection"}]},{"@id":"https://cir.nii.ac.jp/crid/1573387450506615552","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@value":"リハビリテーションの要点 (頸部リンパ節郭清術後)"}]},{"@id":"https://cir.nii.ac.jp/crid/1573387450506620544","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"The 11th nerve syndrome. Accessory nerve palsy or adhesive capsulitis?"}]}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:0031297997"},{"@type":"CROSSREF","@value":"10.5981/jjhnc.34.67"},{"@type":"CIA","@value":"10024155136"},{"@type":"CROSSREF","@value":"10.5106/jjshns.28.63_references_DOI_Txi726OFalgohmgOOX8dDgjKBLn"},{"@type":"CROSSREF","@value":"10.5106/jjshns.26.307_references_DOI_Txi726OFalgohmgOOX8dDgjKBLn"},{"@type":"CROSSREF","@value":"10.5981/jjhnc.37.137_references_DOI_Txi726OFalgohmgOOX8dDgjKBLn"},{"@type":"CROSSREF","@value":"10.1298/ptr.e9944_references_DOI_Txi726OFalgohmgOOX8dDgjKBLn"}]}