Biomaterial Database

The preservation of shoulder function after radical neck dissection. 1985

T A Jones, and P M Stell

The most disabling side effect of radical neck dissection is the 'shoulder syndrome', caused by denervation of the trapezius muscle. This is due to division of the spinal accessory nerve, the motor nerve to the trapezius. Using cadaver dissections the anatomy of the cervical spinal nerve supply to the trapezius has been studied. At radical neck dissection stimulation of these cervical spinal nerves produced contraction of the trapezius muscle. Thus a modified technique of radical dissection has been developed preserving the cervical spinal nerves to the trapezius. Comparison of patients undergoing this modified radical neck dissection with patients undergoing a classical radical neck dissection shows them to have better shoulder function.

UI	MeSH Term	Description	Entries
D009119	Muscle Contraction	A process leading to shortening and/or development of tension in muscle tissue. Muscle contraction occurs by a sliding filament mechanism whereby actin filaments slide inward among the myosin filaments.	Inotropism,Muscular Contraction,Contraction, Muscle,Contraction, Muscular,Contractions, Muscle,Contractions, Muscular,Inotropisms,Muscle Contractions,Muscular Contractions
D009132	Muscles	Contractile tissue that produces movement in animals.	Muscle Tissue,Muscle,Muscle Tissues,Tissue, Muscle,Tissues, Muscle
D011183	Postoperative Complications	Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.	Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D002102	Cadaver	A dead body, usually a human body.	Corpse,Cadavers,Corpses
D003714	Denervation	The resection or removal of the nerve to an organ or part.	Laser Neurectomy,Neurectomy,Peripheral Neurectomy,Radiofrequency Neurotomy,Denervations,Laser Neurectomies,Neurectomies,Neurectomies, Laser,Neurectomies, Peripheral,Neurectomy, Laser,Neurectomy, Peripheral,Neurotomies, Radiofrequency,Neurotomy, Radiofrequency,Peripheral Neurectomies,Radiofrequency Neurotomies
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000055	Accessory Nerve	The 11th cranial nerve which originates from NEURONS in the MEDULLA and in the CERVICAL SPINAL CORD. It has a cranial root, which joins the VAGUS NERVE (10th cranial) and sends motor fibers to the muscles of the LARYNX, and a spinal root, which sends motor fibers to the TRAPEZIUS and the sternocleidomastoid muscles.	Cranial Nerve XI,Eleventh Cranial Nerve,Spinal Accessory Nerve,Nerve XI,Nervus Accessorius,Accessorius, Nervus,Accessory Nerve, Spinal,Accessory Nerves,Accessory Nerves, Spinal,Cranial Nerve, Eleventh,Cranial Nerves, Eleventh,Eleventh Cranial Nerves,Nerve XIs,Nerve, Accessory,Nerve, Eleventh Cranial,Nerve, Spinal Accessory,Nerves, Accessory,Nerves, Eleventh Cranial,Nerves, Spinal Accessory,Spinal Accessory Nerves
D012782	Shoulder	Part of the body in humans and primates where the arms connect to the trunk. The shoulder has five joints; ACROMIOCLAVICULAR joint, CORACOCLAVICULAR joint, GLENOHUMERAL joint, scapulathoracic joint, and STERNOCLAVICULAR joint.	Shoulders
D013127	Spinal Nerves	The 31 paired peripheral nerves formed by the union of the dorsal and ventral spinal roots from each spinal cord segment. The spinal nerve plexuses and the spinal roots are also included.	Nerve, Spinal,Nerves, Spinal,Spinal Nerve
D037981	Neck Dissection	Dissection in the neck to remove all disease tissues including cervical LYMPH NODES and to leave an adequate margin of normal tissue. This type of surgery is usually used in tumors or cervical metastases in the head and neck. The prototype of neck dissection is the radical neck dissection described by Crile in 1906.	Radical Neck Dissection,Dissection, Neck,Dissection, Radical Neck,Dissections, Neck,Dissections, Radical Neck,Neck Dissection, Radical,Neck Dissections,Neck Dissections, Radical,Radical Neck Dissections