| | English Cosmetic Surgery - Staff (Site not responding. Last check: 2007-11-03) |
 | | Among patients who had modified neck dissection with preservation of the spinal accessory nerve, jugular vein, and sternocleidomastiod muscle (risk factors 2 and 3), the distribution of subjective disability (that is, pain) correlated exceedingly well with decreased objective movement and strength at the neck and shoulder (Table II). |
 | | The most likely possibilty is that near the entrance of the nerve into the sternocleidomastiod muscle, the nerve commonly divides and the branch to the trapezius may continue medially to the muscle which makes it vulnerable to injury during the dissection of the nodes underneath the lower sternocleidomastoid muscle and in the posterior cervical triangle. |
 | | A prospective study of 109 patients who underwent either a radical neck dissection or a modification of it with preservation of the spinal accessory nerve revealed that those patients in whom the nerve, muscle, and vein were preserved had less dysfunction (30%) than those with nerve preservation only (50%) or classic radical neck dissection (60%). |
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