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Variations in the Anatomy of Spinal Accessory Nerve and its Landmarks for Identification in Neck Dissection: A Clinical Study.
J Maxillofac Oral Surg
September 2021
Department of Plastic Surgery, SDM College of Medical Sciences and Hospital, A Constitutent Unit of Shri Dharmasthala Manjunatheshwara University, Dharwad, Karnataka India.
Purpose: To assess the anatomy of the spinal accessory nerve (SAN), its variations and the landmark of level II B lymph nodes.
Methods: Prospective study included 50 patients from 2016 to 2018.The predictor variables were drawn from demographic details of the patients; SAN was analyzed intraoperatively with the parameters like the nerve relationship with the IJV, SCM muscle, contributions of cervical plexus and a new parameter of length from midpoint of clavicle to entry of nerve in the trapezius muscle in the lower part of neck which was studied for the first time and forms the prime identification landmark to preserve the nerve.