[胸锁乳突肌-耳大神经瓣修复副神经缺损]
[Reconstruction of accessory nerve defects with sternocleidomastoid muscle-great auricular nerve flap].
作者信息
Guo Chuan-Bin, Zhang Ye, Zou Li-Dong, Mao Chi, Peng Xin, Yu Guang-Yan
机构信息
Department of Oral and Maxillofacial Surgery, Peking University School of Stomatology, Beijing 100081, China.
出版信息
Zhonghua Kou Qiang Yi Xue Za Zhi. 2004 Nov;39(6):445-8.
OBJECTIVE
To describe a new method of accessory nerve defect reconstruction with sternocleidomastoid muscle-great auricular flap.
METHODS
Thirty-four cases receiving traditional radical neck dissection were divided into two groups: single neck dissection group (n = 19) and accessory nerve reconstruction group (n = 15). Surgical procedure of the reconstruction was described in detail. Postoperative shoulder functions were compared between the two groups.
RESULTS
Accessory nerve reconstruction group experienced much better shoulder function recovery than that in single neck dissection group.
CONCLUSIONS
Reconstruction of accessory nerve defects with sternocleidomastoid muscle-great auricular nerve flap is simple, effective and complication-free.
目的
描述一种采用胸锁乳突肌-耳大神经瓣修复副神经缺损的新方法。
方法
将34例行传统根治性颈清扫术的患者分为两组：单纯颈清扫组（n = 19）和副神经重建组（n = 15）。详细描述了重建手术过程。比较两组术后的肩部功能。
结果
副神经重建组的肩部功能恢复明显优于单纯颈清扫组。
结论
采用胸锁乳突肌-耳大神经瓣修复副神经缺损简单、有效且无并发症。
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