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An Unusual Variation of the Accessory Nerve

Yıl 2022, , 126 - 128, 24.01.2023
https://doi.org/10.26650/Tr-ENT.2022.1105115

Öz

In this manuscript, we report an anatomic variation of the spinal accessory nerve for the first time in the literature. The spinal accessory nerve was exited from the skull base in duplicate, and these two branches merged in the anterior triangle of the neck and continued as a common branch in a 68-year-old male patient who underwent total laryngectomy and bilateral modified neck dissection.

Kaynakça

  • 1. Khaki AA, Shokouhi G, Shoja MM, et al. Ansa cervicalis as a variant of spinal accessory nerve plexus: a case report. Clin Anat 2006;19(6):540-3. google scholar
  • 2. Brown H. Anatomy of the spinal accessory nerve plexus: relevance to head and neck cancer and atherosclerosis. Exp Biol Med (Maywood) 2002;227(8):570-8. google scholar
  • . McGarvey AC, Chiarelli PE, Osmotherly PG, Hoffman GR. Physiotherapy for accessory nerve shoulder dysfunction following neck dissection surgery: a literature review. Head Neck 2011;33(2):274-80. google scholar
  • 4. Saman M, Etebari P, Pakdaman MN, Urken ML. Anatomic relationship between the spinal accessory nerve and the jugular vein: a cadaveric study. Surg Radiol Anat 2011;33(2):175-9. google scholar
  • 5. Symes A, Ellis H. Variations in the surface anatomy of the spinal accessory nerve in the posterior triangle. Surg Radiol Anat 2005;27(5):404-8. google scholar
  • 6. Overland J, Hodge JC, Breik O, Krishnan S. Surgical anatomy of the spinal accessory nerve: review of the literature and case report of a rare anatomical variant. J Laryngol Otol 2016;130(10):969-72. google scholar
  • 7. Tubbs RS, Ajayi OO, Fries FN, Spinner RJ, Oskouian RJ. Variations of the accessory nerve: anatomical study including previously undocumented findings-expanding our misunderstanding of this nerve. Br J Neurosurg 2017;31(1):113-5. google scholar
  • 8. Salgarelli AC, Landini B, Bellini P, Multinu A, Consolo U, Collini M. A simple method of identifying the spinal accessory nerve in modified radical neck dissection: anatomic study and clinical implications for resident training. Oral Maxillofac Surg 2009;13(2):69-72. google scholar
  • 9. Watkinson JC, Gleeson M. 2016. Neck: the accessory nerve. In: Standring S, editor. Gray’s Anatomy: The Anatomical Basis of Clinical Practice. 41st ed. London: Elsevier Limited P 467-8. google scholar
  • 10. Ouaknine G, Nathan H. Anastomotic connections between the eleventh nerve and the posterior root of the first cervical nerve in humans. J Neurosurg 1973;38(2):189-97. google scholar
  • 11. Hagenah R, Kosak M, Freckmann N. Anatomic topographical relationship of the intraspinal accessory root to the upper cervical roots and to the vessels of the cranial cervical region. Acta Anat (Basel) 1983;115(2):158-67. google scholar
  • 12. Midwinter K, Willatt D. Accessory nerve monitoring and stimulation during neck surgery. J Laryngol Otol 2002;116(4):272-4. google scholar
Yıl 2022, , 126 - 128, 24.01.2023
https://doi.org/10.26650/Tr-ENT.2022.1105115

Öz

Kaynakça

  • 1. Khaki AA, Shokouhi G, Shoja MM, et al. Ansa cervicalis as a variant of spinal accessory nerve plexus: a case report. Clin Anat 2006;19(6):540-3. google scholar
  • 2. Brown H. Anatomy of the spinal accessory nerve plexus: relevance to head and neck cancer and atherosclerosis. Exp Biol Med (Maywood) 2002;227(8):570-8. google scholar
  • . McGarvey AC, Chiarelli PE, Osmotherly PG, Hoffman GR. Physiotherapy for accessory nerve shoulder dysfunction following neck dissection surgery: a literature review. Head Neck 2011;33(2):274-80. google scholar
  • 4. Saman M, Etebari P, Pakdaman MN, Urken ML. Anatomic relationship between the spinal accessory nerve and the jugular vein: a cadaveric study. Surg Radiol Anat 2011;33(2):175-9. google scholar
  • 5. Symes A, Ellis H. Variations in the surface anatomy of the spinal accessory nerve in the posterior triangle. Surg Radiol Anat 2005;27(5):404-8. google scholar
  • 6. Overland J, Hodge JC, Breik O, Krishnan S. Surgical anatomy of the spinal accessory nerve: review of the literature and case report of a rare anatomical variant. J Laryngol Otol 2016;130(10):969-72. google scholar
  • 7. Tubbs RS, Ajayi OO, Fries FN, Spinner RJ, Oskouian RJ. Variations of the accessory nerve: anatomical study including previously undocumented findings-expanding our misunderstanding of this nerve. Br J Neurosurg 2017;31(1):113-5. google scholar
  • 8. Salgarelli AC, Landini B, Bellini P, Multinu A, Consolo U, Collini M. A simple method of identifying the spinal accessory nerve in modified radical neck dissection: anatomic study and clinical implications for resident training. Oral Maxillofac Surg 2009;13(2):69-72. google scholar
  • 9. Watkinson JC, Gleeson M. 2016. Neck: the accessory nerve. In: Standring S, editor. Gray’s Anatomy: The Anatomical Basis of Clinical Practice. 41st ed. London: Elsevier Limited P 467-8. google scholar
  • 10. Ouaknine G, Nathan H. Anastomotic connections between the eleventh nerve and the posterior root of the first cervical nerve in humans. J Neurosurg 1973;38(2):189-97. google scholar
  • 11. Hagenah R, Kosak M, Freckmann N. Anatomic topographical relationship of the intraspinal accessory root to the upper cervical roots and to the vessels of the cranial cervical region. Acta Anat (Basel) 1983;115(2):158-67. google scholar
  • 12. Midwinter K, Willatt D. Accessory nerve monitoring and stimulation during neck surgery. J Laryngol Otol 2002;116(4):272-4. google scholar
Toplam 12 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Kulak Burun Boğaz
Bölüm Olgu Sunumu
Yazarlar

Necati İlhan 0000-0002-5832-920X

Ahmet Kara 0000-0003-3600-5957

Büşra Gebeş Şahiner 0000-0001-7239-6786

Ebru Mihriban Güven 0000-0002-9743-2867

Yayımlanma Tarihi 24 Ocak 2023
Gönderilme Tarihi 22 Nisan 2022
Yayımlandığı Sayı Yıl 2022

Kaynak Göster

APA İlhan, N., Kara, A., Gebeş Şahiner, B., Güven, E. M. (2023). An Unusual Variation of the Accessory Nerve. The Turkish Journal of Ear Nose and Throat, 32(4), 126-128. https://doi.org/10.26650/Tr-ENT.2022.1105115
AMA İlhan N, Kara A, Gebeş Şahiner B, Güven EM. An Unusual Variation of the Accessory Nerve. Tr-ENT. Ocak 2023;32(4):126-128. doi:10.26650/Tr-ENT.2022.1105115
Chicago İlhan, Necati, Ahmet Kara, Büşra Gebeş Şahiner, ve Ebru Mihriban Güven. “An Unusual Variation of the Accessory Nerve”. The Turkish Journal of Ear Nose and Throat 32, sy. 4 (Ocak 2023): 126-28. https://doi.org/10.26650/Tr-ENT.2022.1105115.
EndNote İlhan N, Kara A, Gebeş Şahiner B, Güven EM (01 Ocak 2023) An Unusual Variation of the Accessory Nerve. The Turkish Journal of Ear Nose and Throat 32 4 126–128.
IEEE N. İlhan, A. Kara, B. Gebeş Şahiner, ve E. M. Güven, “An Unusual Variation of the Accessory Nerve”, Tr-ENT, c. 32, sy. 4, ss. 126–128, 2023, doi: 10.26650/Tr-ENT.2022.1105115.
ISNAD İlhan, Necati vd. “An Unusual Variation of the Accessory Nerve”. The Turkish Journal of Ear Nose and Throat 32/4 (Ocak 2023), 126-128. https://doi.org/10.26650/Tr-ENT.2022.1105115.
JAMA İlhan N, Kara A, Gebeş Şahiner B, Güven EM. An Unusual Variation of the Accessory Nerve. Tr-ENT. 2023;32:126–128.
MLA İlhan, Necati vd. “An Unusual Variation of the Accessory Nerve”. The Turkish Journal of Ear Nose and Throat, c. 32, sy. 4, 2023, ss. 126-8, doi:10.26650/Tr-ENT.2022.1105115.
Vancouver İlhan N, Kara A, Gebeş Şahiner B, Güven EM. An Unusual Variation of the Accessory Nerve. Tr-ENT. 2023;32(4):126-8.