Anatomy of the accessory nerve and its cervical contributions in the neck
Details of the course of the accessory nerve and the pattern of the cervical contributions to the nerve are essential for planning neck dissection. Based on a recent anatomic description, a technique was devised to preserve the distal accessory nerve; the theory advanced was that the trapezius was s...
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| Veröffentlicht in: | Head & neck surgery (New York, N.Y.) N.Y.), 1986-11, Vol.9 (2), p.111-115 |
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| container_title | Head & neck surgery (New York, N.Y.) |
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| creator | Soo, Khee-Chee Hamlyn, Peter J. Pegington, John Westbury, Gerald |
| description | Details of the course of the accessory nerve and the pattern of the cervical contributions to the nerve are essential for planning neck dissection. Based on a recent anatomic description, a technique was devised to preserve the distal accessory nerve; the theory advanced was that the trapezius was supplied by motor fibers from the cervical plexus, which join the accessory nerve in the posterior triangle. Dissections were performed on 23 cadavers to test such a theory. The course of the accessory nerve in the neck was mapped in each dissection, and landmarks for use during surgery determined. Cervical contributions to the nerve usually joined deep to the sternocleidomastoid, and not in the posterior triangle. Branches from the cervical plexus, independent of the accessory nerve, entered the trapezius in the posterior triangle. None of the bilateral dissections showed symmetry of the cervical contributions. |
| doi_str_mv | 10.1002/hed.2890090207 |
| format | Article |
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Based on a recent anatomic description, a technique was devised to preserve the distal accessory nerve; the theory advanced was that the trapezius was supplied by motor fibers from the cervical plexus, which join the accessory nerve in the posterior triangle. Dissections were performed on 23 cadavers to test such a theory. The course of the accessory nerve in the neck was mapped in each dissection, and landmarks for use during surgery determined. Cervical contributions to the nerve usually joined deep to the sternocleidomastoid, and not in the posterior triangle. Branches from the cervical plexus, independent of the accessory nerve, entered the trapezius in the posterior triangle. None of the bilateral dissections showed symmetry of the cervical contributions.</description><identifier>ISSN: 0148-6403</identifier><identifier>EISSN: 1930-2398</identifier><identifier>DOI: 10.1002/hed.2890090207</identifier><identifier>PMID: 3623936</identifier><language>eng</language><publisher>New York: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Accessory Nerve - anatomy & histology ; Biological and medical sciences ; Cervical Plexus - anatomy & histology ; Fundamental and applied biological sciences. Psychology ; Humans ; Isolated neuron and nerve. 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Based on a recent anatomic description, a technique was devised to preserve the distal accessory nerve; the theory advanced was that the trapezius was supplied by motor fibers from the cervical plexus, which join the accessory nerve in the posterior triangle. Dissections were performed on 23 cadavers to test such a theory. The course of the accessory nerve in the neck was mapped in each dissection, and landmarks for use during surgery determined. Cervical contributions to the nerve usually joined deep to the sternocleidomastoid, and not in the posterior triangle. Branches from the cervical plexus, independent of the accessory nerve, entered the trapezius in the posterior triangle. None of the bilateral dissections showed symmetry of the cervical contributions.</description><subject>Accessory Nerve - anatomy & histology</subject><subject>Biological and medical sciences</subject><subject>Cervical Plexus - anatomy & histology</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>Isolated neuron and nerve. Neuroglia</subject><subject>Jugular Veins - anatomy & histology</subject><subject>Neck - innervation</subject><subject>Neck Dissection</subject><subject>Vertebrates: nervous system and sense organs</subject><issn>0148-6403</issn><issn>1930-2398</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1986</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkDtPwzAURi0EKqWwsiFlQGwpN3FeHlEpLVIpEuIxWrZjq4bEATsB-u8xpICYmKyre77rTwehwwjGEUB8upLlOC4IAIEY8i00jAiGMMak2EZDiJIizBLAu2jPuUeANImzfIAGOPMEzobo8sywtqnXQaOCdiUDJoR0rrHrwEj76mdTBrp1gfCTFqwKRGNaq3nX6sa4QJuvlJHiaR_tKFY5ebB5R-juYno7mYeL69nl5GwRiiTHeZgK4L5FWaoE4jzKAUQJTKZEEU4U5qUqyljyhHHf3ZflKlFxSrgAzAtcYDxCJ_3dZ9u8dNK1tNZOyKpiRjado3mOcUEy4sFxDwrbOGelos9W18yuaQT00x317uivOx842lzueO1X3_hGlt8fb_bMeRXKMiO0-8EKyEiCPwuSHnvTlVz_8ymdT8__VAj7rHatfP_JMvtEM28vpQ_LGb2_Xd4sJlf3dI4_AHoJlp8</recordid><startdate>198611</startdate><enddate>198611</enddate><creator>Soo, Khee-Chee</creator><creator>Hamlyn, Peter J.</creator><creator>Pegington, John</creator><creator>Westbury, Gerald</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198611</creationdate><title>Anatomy of the accessory nerve and its cervical contributions in the neck</title><author>Soo, Khee-Chee ; Hamlyn, Peter J. ; Pegington, John ; Westbury, Gerald</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4737-5c0b542ddf40271700cd0ae59f9b9f3bdf8d2eb4ab148267bf4f259bc03b83833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1986</creationdate><topic>Accessory Nerve - anatomy & histology</topic><topic>Biological and medical sciences</topic><topic>Cervical Plexus - anatomy & histology</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Humans</topic><topic>Isolated neuron and nerve. Neuroglia</topic><topic>Jugular Veins - anatomy & histology</topic><topic>Neck - innervation</topic><topic>Neck Dissection</topic><topic>Vertebrates: nervous system and sense organs</topic><toplevel>online_resources</toplevel><creatorcontrib>Soo, Khee-Chee</creatorcontrib><creatorcontrib>Hamlyn, Peter J.</creatorcontrib><creatorcontrib>Pegington, John</creatorcontrib><creatorcontrib>Westbury, Gerald</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Head & neck surgery (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Soo, Khee-Chee</au><au>Hamlyn, Peter J.</au><au>Pegington, John</au><au>Westbury, Gerald</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anatomy of the accessory nerve and its cervical contributions in the neck</atitle><jtitle>Head & neck surgery (New York, N.Y.)</jtitle><addtitle>Head Neck</addtitle><date>1986-11</date><risdate>1986</risdate><volume>9</volume><issue>2</issue><spage>111</spage><epage>115</epage><pages>111-115</pages><issn>0148-6403</issn><eissn>1930-2398</eissn><abstract>Details of the course of the accessory nerve and the pattern of the cervical contributions to the nerve are essential for planning neck dissection. Based on a recent anatomic description, a technique was devised to preserve the distal accessory nerve; the theory advanced was that the trapezius was supplied by motor fibers from the cervical plexus, which join the accessory nerve in the posterior triangle. Dissections were performed on 23 cadavers to test such a theory. The course of the accessory nerve in the neck was mapped in each dissection, and landmarks for use during surgery determined. Cervical contributions to the nerve usually joined deep to the sternocleidomastoid, and not in the posterior triangle. Branches from the cervical plexus, independent of the accessory nerve, entered the trapezius in the posterior triangle. None of the bilateral dissections showed symmetry of the cervical contributions.</abstract><cop>New York</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>3623936</pmid><doi>10.1002/hed.2890090207</doi><tpages>5</tpages></addata></record> |
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| identifier | ISSN: 0148-6403 |
| ispartof | Head & neck surgery (New York, N.Y.), 1986-11, Vol.9 (2), p.111-115 |
| issn | 0148-6403 1930-2398 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_77338969 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Accessory Nerve - anatomy & histology Biological and medical sciences Cervical Plexus - anatomy & histology Fundamental and applied biological sciences. Psychology Humans Isolated neuron and nerve. Neuroglia Jugular Veins - anatomy & histology Neck - innervation Neck Dissection Vertebrates: nervous system and sense organs |
| title | Anatomy of the accessory nerve and its cervical contributions in the neck |
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