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March 1977

Accessory Nerve Function After Surgical Procedures in the Posterior Triangle

Author Affiliations

From the Divisions of Orthopedics and Plastic Surgery, Department of Surgery (Drs Gordon, Graham, and Miller), and the Division of Neurology, Department of Medicine (Dr Black), Milton S. Hershey Medical Center of the Pennsylvania State University, Hershey.

Arch Surg. 1977;112(3):264-268. doi:10.1001/archsurg.1977.01370030036005

• Seventeen patients who had undergone surgical procedures in the posterior triangle of the neck were examined between one day and four years after operation. Eleven patients were studied with electromyography. Clinical and electromyographic evidence of 11th cranial nerve paresis was present in 12 patients. Partial nerve injuries and entrapments, as suggested by delayed symptoms and incomplete denervation on electromyographic studies, were frequent. Physiotherapy was effective in restoring a satisfactory, although in many cases an incomplete, return of function. The spinal accessory nerve appears to be vulnerable to injury despite careful preservation during surgical dissection.

(Arch Surg 112:264-268, 1977)

Ewing MR, Marlin H:  Disability following radical neck dissection . Cancer 5:873-883, 1952.Article
Henford JM:  Surgical excision of tuberculous lymph nodes of the neck . Surg Clin North Am 13:301, 1933.
Haymaker W, Woodhall B: Peripheral Nerve Injuries . Philadelphia, WB Saunders Co, 1953, pp 201-207.
Norden A:  Peripheral injuries to the spinal accessory nerve . Acta Chir Scand 94:515-532, 1946.
Ray PH, Beahrs O:  Spinal accessory nerve in radical neck dissections . Am J Surg 118:800, 1969.Article
Schneck S:  Peripheral and cranial nerve injuries resulting from general surgical procedures . Arch Surg 81:855-859, 1960.Article
Woodhall B:  Trapezius paralysis following minor surgical procedures in the posterior cervical triangle . Am Surg 136:375-380, 1952.
Wulff H:  The treatment of tuberculous cervical lymphoma: Late results in 230 cases treated partly surgically, partly radiologically . Acta Chir Scand 84:343-346, 1941.
Dunn AW:  Surgical procedures in the posterior cervical triangle . South Med J 67:312-315, 1974.Article
Warwick R (ed): Gray's Anatomy , ed 35. Philadelphia, WB Saunders Co, 1971.
Cherington M:  Accessory nerve conduction studies . Arch Neurol 18:708-709, 1968.Article
Pearson A:  The spinal accessory nerve in human embryos . J Comp Neurol 68:243-266, 1938.Article
Inman VT, Saunders JB, Abbott LC:  Observations on the function of the shoulder joint . J Bone Joint Surg 26:1-30, 1944.
Eisen A, Bertrand G:  Isolated accessory nerve palsy of spontaneous origin . Arch Neurol 27:496-501, 1972.Article
Bell DS:  Pressure palsy of the accessory nerve . Br Med J 1:1483, 1964.Article
Singh S, Schlagenhauff RE:  Pressure palsy of accessory nerve . Neurol India 18:122-125, 1971.
Ballantyne AJ, Guinn GA:  Reduction of shoulder disability after neck dissections . Am J Surg 112:662-665, 1962.Article
Mead S:  Posterior triangle operations and trapezius paralysis . Arch Surg 64:752-755, 1952.Article