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术中颈清扫术中副神经监测。

Intraoperative spinal accessory nerve monitoring in neck dissections.

机构信息

Department of Otorhinolaryngology and Head and Neck Surgery, Virgen Macarena University Hospital, Doctor Fedriani 3, 41009, Seville, Spain.

出版信息

Eur Arch Otorhinolaryngol. 2021 Sep;278(9):3579-3581. doi: 10.1007/s00405-021-06909-z. Epub 2021 May 30.

DOI:10.1007/s00405-021-06909-z
PMID:34052866
Abstract

BACKGROUND

The identification and preservation of the spinal accessory nerve (SAN) is essential in neck surgeries due to possible complications. We report the technique to intraoperative neuromonitoring (IONM) of SAN in functional neck dissections.

METHOD

SAN was monitored by needle electrodes placed on the trapezius muscle. Preoperative and postoperative nerve mapping was performed.

CONCLUSION

IONM for spinal accessory nerve in patients undergoing neck dissection is a useful technique that can be valuable for neck surgeries where spinal nerve injury is at risk.

摘要

背景

由于可能出现的并发症,在颈部手术中识别和保护副神经(SAN)至关重要。我们报告了在功能性颈清扫术中进行 SAN 术中神经监测(IONM)的技术。

方法

通过放置在斜方肌上的针电极来监测 SAN。进行术前和术后的神经定位。

结论

在接受颈清扫术的患者中进行 SAN 的 IONM 是一种有用的技术,对于存在脊髓神经损伤风险的颈部手术可能具有重要价值。

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Intraoperative spinal accessory nerve monitoring in neck dissections.术中颈清扫术中副神经监测。
Eur Arch Otorhinolaryngol. 2021 Sep;278(9):3579-3581. doi: 10.1007/s00405-021-06909-z. Epub 2021 May 30.
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