USEFULNESS OF PRESERVATION OF CERVICAL NERVE DURING NECK DISSECTION

Accession number;04A0146746
Title;USEFULNESS OF PRESERVATION OF CERVICAL NERVE DURING NECK DISSECTION
Author; YUKAWA HISAYA (Fac. Madicine, Kansai Medical Univ., JPN) TSUJI HIROYUKI (Fac. Madicine, Kansai Medical Univ., JPN) IWAI HIROSHI (Fac. Madicine, Kansai Medical Univ., JPN) MINAMINO MASAYUKI (Fac. Madicine, Kansai Medical Univ., JPN) OGURA MANABU (Fac. Madicine, Kansai Medical Univ., JPN) MIYAMOTO MAKOTO (Fac. Madicine, Kansai Medical Univ., JPN) YAMASHITA TOSHIO (Fac. Madicine, Kansai Medical Univ., JPN) SASAI KUNIHIKO (Kansai Med. Univ.)
Journal Title;Head and Neck Cancer
Journal Code:Y0503A
ISSN:0911-4335
VOL.28;NO.1;PAGE.114-118(2002)
Figure&Table&Reference;FIG.4, TBL.3, REF.10
Pub. Country;Japan
Language;Japanese
Abstract;It has been reported that movement and sense of the shoulder are often disturbed after neck dissection and that this disturbance is related to amputation of the accessory nerve. However, significance of preservation of the cervical nerve is still unclear. Function of the cervical nerve in patients who under went functional neck dissection in the present study was examined. The subjects included 19 patients whose accessory and cervical nerves were preserved, 6 patients whose accessory nerve was preserved, and 10 patients whose both nerves were cut off during surgery. These patients were examined for flexibility of the shoulder joint and trapezius muscle strength and provided information on subjective symptoms through a questionnaire. The results indicted that the cervical nerve had a close relation to flexibility of the shoulder joint and trapezius muscle strength. Therefore, it is likely that preservation of the cervical nerve as well as the accessory nerve contributes to the better quality of life of patients after surgery. (author abst.)