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Intraoperative spinal accessory nerve monitoring in neck dissections

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Abstract

Background

The identification and preservation of the spinal accessory nerve (SAN) is essential in neck surgeries due to possible complications. We report the technique to intraoperative neuromonitoring (IONM) of SAN in functional neck dissections.

Method

SAN was monitored by needle electrodes placed on the trapezius muscle. Preoperative and postoperative nerve mapping was performed.

Conclusion

IONM for spinal accessory nerve in patients undergoing neck dissection is a useful technique that can be valuable for neck surgeries where spinal nerve injury is at risk.

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Authors and Affiliations

  1. Department of Otorhinolaryngology and Head and Neck Surgery, Virgen Macarena University Hospital, Doctor Fedriani 3, 41009, Seville, Spain

    José M. Palacios-García, Julissa Vizcarra-Melgar & Serafín Sánchez-Gómez

Authors
  1. José M. Palacios-García
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  2. Julissa Vizcarra-Melgar
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  3. Serafín Sánchez-Gómez
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Corresponding author

Correspondence to José M. Palacios-García.

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Conflict of interest

No conflicts of interest to declare. The patients included in this short series signed an informed consent prior to the procedure.

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Palacios-García, J.M., Vizcarra-Melgar, J. & Sánchez-Gómez, S. Intraoperative spinal accessory nerve monitoring in neck dissections. Eur Arch Otorhinolaryngol 278, 3579–3581 (2021). https://doi.org/10.1007/s00405-021-06909-z

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  • DOI: https://doi.org/10.1007/s00405-021-06909-z

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