The neurologic deficit caused by the cranial positioning of the right diaphragm due to the injuryofthe phrenic nerve, as well as from the spinal accessory
nerve injury, reduced this patient's quality of life.
A tracheostomy below the thyroid isthmus and bilateral neck dissection, preserving the spinal accessory
nerve, internal jugular vein and sternocleidomastoid muscle, were performed (Figures 3 and 4).
Specific care was executed during the dissection to avoid injury to the spinal accessory
nerve, which pass through the SCM.
A major complication associated with this surgery constitutes the injury to the spinal accessory
nerve in addition to injury to the great vessels and lymphatic vessels .
Objective: To describe the functional outcome of spinal accessory
to supra-scapular nerve transfer procedure for shoulder abduction following closed brachial plexus injury.
The surgical community is also confronted with the same necessity to accurately identify the location of C1, which serves as an anatomical landmark for surgeries and treating various otolaryngeal conditions, including injuries to the spinal accessory
nerve schwannoma involving the jugular foramen.
This subluxation pattern shows manifestation or dysfunction of the tissues involving the brainstem, the vagal nerve or cranial nerve 10 and the spinal accessory
nerve or cranial nerve 11.
The muscles affected are principally those supplied by the spinal accessory
nerve palsy commonly occurs as a result of iatrogenic injury, usually during lymph node excision in the posterior cervical triangle.
Oswaldo Suarez gets the credit for popularizing functional neck dissection where by the spinal accessory
nerve is carefully preserved to the extent where tumor involvement allows.2
Direct distal spinal accessory
nerve (SAN) transfer into the suprascapular nerve outside the zone of injury represents our present reconstructive strategy of choice for reinnervation of the supraspinatus and infraspinatus in order to promote shoulder stability and restore active external rotation.