Weitz J W, Weitz S L, McElhinney A J
Head Neck Surg. 1982 Sep-Oct;5(1):75-8. doi: 10.1002/hed.2890050113.
A new technique is described that preserves trapezius muscle function in radical neck surgery while cutting that part of the spinal accessory nerve which courses through the sternocleidomastoid muscle. The technique takes advantage of the little-know fact that, in humans, the trapezius muscle has dual innervation. The C2-3-4 motor root is joined to the distal portion of the spinal accessory nerve to give motor function to the trapezius muscle. This procedure will save shoulder mobility in the majority of patients who undergo radical neck dissection. The technique is accomplished rapidly with the use of the gastrointestinal stapler in the scalene fat pad.
本文描述了一种新技术，即在根治性颈部手术中保留斜方肌功能的同时，切断副神经穿过胸锁乳突肌的部分。该技术利用了一个鲜为人知的事实，即人类的斜方肌有双重神经支配。C2 - 3 - 4运动神经根与副神经的远端相连，为斜方肌提供运动功能。该手术将使大多数接受根治性颈清扫术的患者保留肩部活动能力。该技术通过在斜角肌脂肪垫中使用胃肠吻合器快速完成。
