The surgical anatomy of the spinal accessory nerve and the internal branch of the superior laryngeal nerve
The surgical anatomy of the spinal accessory nerve and the internal branch of the superior laryngeal nerve
复制标题
脊副神经和喉上神经内支的外科解剖
DOI：
10.1288/00005537-197912000-00006
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发表时间：
1979
期刊：
影响因子：
--
通讯作者：
N. R. Olson
中科院分区：
文献类型：
--
作者：
James H. Hill;N. R. Olson
在保留性颈淋巴清扫术中可能发生副神经损伤。在声门上喉切除术中，上级喉神经内分支的保留在很大程度上被忽视了。尸体解剖和图表被用来审查这两个结构的外科解剖。特别重要的是脊副神经与胸锁乳突肌的关系，它与颈丛的相互作用，以及它的浅表路径。标识的标志，识别的上级喉神经的内部分支，并描述了技术保存。完整的副神经可以有效地保留，从而消除肩综合征。为了尽量减少术后误吸，可以常规地保留上级喉神经的内分支。
Injury to the spinal accessory nerve may occur during conservation neck dissection. In supraglottic laryngectomy preservation of the internal branch of the superior laryngeal nerve has largely been ignored. Cadaver dissection and diagrams are used to review the surgical anatomy of these two structures. Particularly important are the relationship of the spinal accessory nerve to the sternocleidomastoid muscle, its interaction with the cervical plexus, and its superficial path inferiorly. Landmarks for the identification of the internal branch of the superior laryngeal nerve are indicated, and technique for preservation is described. An intact accessory nerve can be efficiently preserved thereby eliminating the shoulder syndrome. Significant sparing of the internal branch of the superior laryngeal nerve can be routinely accomplished as an aid in minimizing postoperative aspiration.