Patient outcome after surgical management of an accessory nerve injury

被引:17
作者
Novak, CB [1 ]
Mackinnon, SE [1 ]
机构
[1] Washington Univ, Sch Med, Div Plast & Reconstruct Surg, St Louis, MO 63110 USA
关键词
D O I
10.1067/mhn.2002.126803
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 [耳鼻咽喉科学];
摘要
OBJECTIVE: This study assessed patient outcome following surgical reconstruction of the accessory nerve after an iatrogenic injury. STUDY DESIGN: A retrospective chart review of 8 patients was performed. RESULTS: There were 3, men and 5 women in the study, and the mean time between injury and nerve graft/repair surgery was 5 months. Four injuries were sustained during a lymph node biopsy. Electromyography revealed a complete accessory nerve injury in all cases. In 6 cases, a nerve graft was required (mean length, 3.6 cm), and in 2 cases, a direct nerve repair was possible. The trapezius muscle was successfully reinnervated in all cases. In total, full shoulder abduction was achieved in 6 cases; in the remaining 2 cases, the, patients achieved shoulder abduction to 90degrees. CONCLUSION. Functional deficit after accerssory nerve injury is significant. Nerve graft/repair reconstruction reliably yields a satisfactory result, providing good scapular rotation and thus good shoulder function.
引用
收藏
页码:221 / 224
页数:4
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