Krause H R, Bremerich A, Herrmann M
Dept. of Oral and Maxillo-Facial Surgery, University of Ulm, Germany.
J Craniomaxillofac Surg. 1991 Feb;19(2):87-9. doi: 10.1016/s1010-5182(05)80613-4.
The accessory nerve, the cervical plexus, the sternocleidomastoid and trapezius muscles and neighbouring structures were examined in 47 corpses. Considerable inter- as well as intra-individual differences could be found both in the course and shape of the accessory nerve and in the participation of the cervical plexus in the innervation of the trapezius muscle. The great variation in the manifestation of the shoulder-arm-syndrome in patients after radical neck-dissection can thus be explained. Finally a new method of restoring the innervation of the trapezius muscle is proposed.
在47具尸体上对副神经、颈丛、胸锁乳突肌和斜方肌及邻近结构进行了检查。在副神经的走行和形态以及颈丛参与斜方肌的神经支配方面，个体间和个体内均存在相当大的差异。由此可以解释根治性颈清扫术后患者肩臂综合征表现的巨大差异。最后提出了一种恢复斜方肌神经支配的新方法。
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