D A Chaukar1, A Pai, A K D'Cruz. 1. Department of Surgical Oncology, Tata Memorial Hospital, Mumbai, India. dchaukar@rediffmail.com
Abstract
INTRODUCTION: Preservation of the spinal accessory nerve during neck dissection should be the rule rather than the exception. Despite the presence of many described techniques to locate the nerve, a tedious dissection is often required; as a consequence, it remains vulnerable to damage. METHOD: We describe a novel method, not previously reported, based on identifying a constant vein which crosses the nerve. This aids in the nerve's early identification. CONCLUSION: Our method enables the surgeon to locate the nerve precisely and to avoid damage to it, thereby maximizing post-operative function.
INTRODUCTION: Preservation of the spinal accessory nerve during neck dissection should be the rule rather than the exception. Despite the presence of many described techniques to locate the nerve, a tedious dissection is often required; as a consequence, it remains vulnerable to damage. METHOD: We describe a novel method, not previously reported, based on identifying a constant vein which crosses the nerve. This aids in the nerve's early identification. CONCLUSION: Our method enables the surgeon to locate the nerve precisely and to avoid damage to it, thereby maximizing post-operative function.