| Author/Editor | Lanišnik, Boštjan; Rodi, Zoran; Žargi, Miha; Levart, Primož; Debevc, David; Čizmarevič, Bogdan | |
| Title | Medoperacijski nadzor in sledenje XI. možganskega živca s kontinuirano elektromiografijo med disekcijo vratnih bezgavk | |
| Translated title | Intraoperative monitoring and following of the cranial nerve XI with continuous electriomiography in modified radical neck dissection | |
| Type | članek | |
| Source | In: Zbornik predavanj 6. kongres otorinolaringologov Slovenije; 2012 okt; Ljubljana Ljubljana : Medicinski razgledi | |
| Vol. and No. | Letnik 51, št. supl. 4 | |
| Publication year | 2012 | |
| Volume | str. 215-221 | |
| Language | slv | |
| Abstract | Poškodba XI. možganskega živca je najpogostejša težava bolnikov po disekciji vratnih bezgavk. V literaturi ni nobenih podatkov o uporabnosti in vplivu medoperacijskega nadzora XI. možganskega živca na morbiditeto in funkcijo ramenskega obroča. S pomočjo elektromiografije smo pri 9 bolnikih vršili kartiranje in medoperacijski nadzor na eni strani vratu med modificirano disekcijo vratnih bezgavk. Identificirali smo 3 različne tipe poteka XI. možganskega živca glede na delitev vej za mišico sternocleidomastoideus in mišico trapezius. Prav tako smo s pomočjo medoperativne stimulacije ugotovili, da pri 78 % bolnikov pride do medoperacijske poškodbe živčnih vlaken.Damage to the accessory nerve is the most frequent problem after modified neck dissection. To our knowledge, there are no relevant data in literature on intraoperative nerve monitoring and its impact on postoperative morbidity and shoulder dysfunction. With the help of nerve monitoring with continuous electromyography and nerve mapping in 9 patients with bilateral neck dissection, we identified three different types of the accessory nerve with respect to the division of the roots for the sternocleidomastoid muscle and the trapezius muscle. We also found that in 78 % of the patients with neck dissection some degree of nerve fibre occurs during the procedure. | |
| Descriptors | Accessory Nerve 11. možganski živec Neck Dissection Vrat, disekcija Electromyography Elektromiografija |