国际口腔医学杂志

国际口腔医学杂志 ›› 2022, Vol. 49 ›› Issue (1): 66-72.doi: 10.7518/gjkq.2022021

• 综述 • 上一篇    下一篇

副神经临床解剖应用的研究进展

武晓芬1(),孙睿1,2()   

  1. 1. 山西医科大学口腔医学院·口腔医院 太原 030001;
    2. 山西医科大学附属人民医院口腔颌面外科 太原 030012
  • 收稿日期:2021-04-12 修回日期:2021-07-26 出版日期:2022-01-01 发布日期:2022-01-07
  • 通讯作者: 孙睿
  • 作者简介:武晓芬,主治医师,硕士,Email： flightan2019@163.com

Research progress on applied clinical anatomy of spinal accessory nerve

Wu Xiaofen1(),Sun Rui1,2()   

  1. 1. School and Hospital of Stomatology, Shanxi Medical University, Taiyuan 030001, China
    2. Dept. of Oral and Maxillofacial Surgery, Shanxi Provincial People’s Hospital Affiliated to Shanxi Medical University, Taiyuan 030012, China;
  • Received:2021-04-12 Revised:2021-07-26 Online:2022-01-01 Published:2022-01-07
  • Contact: Rui Sun

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摘要：

颈淋巴清扫术时了解副神经及其相关结构的临床解剖极其重要。近年来,副神经、颈内静脉、颈神经解剖变异和副神经影像学及Ⅱb区淋巴结、颈神经保留与否等的研究成果不断更新,有助于更有效地减少术后并发症的发生。

关键词: 副神经, 颈内静脉, Ⅱb区;, 颈神经

Abstract:

Learning the clinical anatomy of spinal accessory nerve and its relevant structures is extremely important during neck dissection. In recent years, research results of anatomical variations in spinal accessory nerve, internal jugular vein and cervical nerves have been constantly updated. Thus, spinal accessory nerve imaging and whether to reserve level Ⅱb and cervical nerves can contribute to significantly reducing postoperative complications, such as shoulder syndrome.

Key words: spinal accessory nerve, internal jugular vein, level Ⅱb;, cervical nerves

[1] Imai T, Sato Y, Abe J, et al. Shoulder function after neck dissection: assessment via a shoulder-specific quality-of-life questionnaire and active shoulder abduction[J]. Auris Nasus Larynx, 2021,48(1):138-147.
[2] Dedivitis RA, Guimarães AV, Pfuetzenreiter EG Jr, et al. Neck dissection complications[J]. Braz J Otorhinolaryngol, 2011,77(1):65-69.
[3] Larsen MH, Lorenzen MM, Bakholdt V, et al. The prevalence of nerve injuries following neck dissections-a systematic review and Meta-analysis[J]. Dan Med J, 2020,67(8):A08190464.
[4] 王寅, 李龙江, 陈尧. 副神经的解剖特点及其损伤在临床中的意义[J]. 国际口腔医学杂志, 2008,35(6):639-642.
Wang Y, Li LJ, Chen Y. Anatomic features of accessory nerve and clinical significance of its injury[J]. Int J Stomatol, 2008,35(6):639-642.
[5] 何金鑫, 岳淑芬, 宋芳, 等. 副神经脊髓根颅外段的解剖学[J]. 解剖学杂志, 2014,37(2):217-220.
He JX, Yue SF, Song F, et al. Anatomy study of the extracranial spinal accessory nerve[J]. Chin J Anatomy, 2014,37(2):217-220.
[6] Rao V, Subash A, Sinha P, et al. The X-pointer: a forgotten anatomical relationship of spinal accessory nerve and great auricular nerve[J]. Surg Oncol, 2021,37:101522.
[7] Eastwood MJ, George AP. A novel approach to identifying the spinal accessory nerve in surgical neck dissection[J]. Otolaryngol Head Neck Surg, 2018,159(2):300-302.
[8] Saman M, Etebari P, Pakdaman MN, et al. Anato-mic relationship between the spinal accessory nerve and the jugular vein: a cadaveric study[J]. Surg Radiol Anat, 2011,33(2):175-179.
[9] Taylor CB, Boone JL, Schmalbach CE, et al. Intraoperative relationship of the spinal accessory nerve to the internal jugular vein: variation from cadaver studies[J]. Am J Otolaryngol, 2013,34(5):527-529.
[10] Kumar JI, Ma SC, Agarwalla P, et al. Anatomic alert: spinal accessory nerve traversing a fenestrated internal jugular vein[J]. Br J Neurosurg, 2019,33(6):673-674.
[11] Wang XQ, Peng LW, Guo HX, et al. Internal jugular vein fenestration and duplication: anatomical fin-dings, prevalence, and literature review[J]. Front Surg, 2020,7:593367.
[12] Reddy GRK, Hulikal N, Lakshmi AY, et al. Nerve and vein preserving neck dissections for oral cancers: a prospective evaluation of spinal accessory nerve function and internal jugular vein patency following treatment[J]. Acta Otorhinolaryngol Ital, 2018,38(1):7-12.
[13] Tubbs RS, Ajayi OO, Fries FN, et al. Variations of the accessory nerve: anatomical study including previously undocumented findings-expanding our misunderstanding of this nerve[J]. Br J Neurosurg, 2017,31(1):113-115.
[14] Papagianni E, Kosmidou P, Fergadaki S, et al. Spinal accessory nerve duplication: a case report and literature review[J]. Case Rep Otolaryngol, 2018,2018:1027831.
[15] Danish MH, Iftikhar H, Ikram M. Dual spinal accessory nerve: caution during neck dissection[J]. BMJ Case Rep, 2020,13(6):e235487.
[16] Lanisnik B, Zargi M, Rodi Z. Electrophysiologic analysis of injury to cranial nerve Ⅺ during neck dissection[J]. Head Neck, 2016,38(Suppl 1):E372-E376.
[17] Hosokawa S, Mochizuki D, Takahashi G, et al. Relevance of level Ⅱb neck dissection in patients with head and neck squamous cell carcinomas[J]. World J Surg, 2019,43(12):3059-3064.
[18] Pandey M, Karthikeyan S, Joshi D, et al. Results of a randomized controlled trial of level Ⅱb preser-ving neck dissection in clinically node-negative squamous carcinoma of the oral cavity[J]. World J Surg Oncol, 2018,16(1):219.
[19] Dziegielewski PT, McNeely ML, Ashworth N, et al. 2b or not 2b? Shoulder function after level 2b neck dissection: a double-blind randomized controlled clinical trial[J]. Cancer, 2020,126(7):1492-1501.
[20] Wu H, Sun XH, Hu WT, et al. Preservation of level IIb lymph nodes during supraomohyoid neck dissection for clinically node-negative oral squamous cell carcinoma[J]. Am J Transl Res, 2020,12(12):8030-8039.
[21] Wang L, Wang L, Song XF, et al. The necessity of Ⅱb dissection in T1-T2N0M0 oral squamous cell carcinoma: protocol for a randomized controlled trial[J]. Trials, 2019,20(1):600.
[22] Subash A, Singh A, Sinha P. The omission of level Ⅱb in early oral cancers: a word of caution[J]. J Stomatol Oral Maxillofac Surg, 2021,122(2):224-226.
[23] Lanisnik B, Zargi M, Rodi Z. Identification of three anatomical patterns of the spinal accessory nerve in the neck by neurophysiological mapping[J]. Radiol Oncol, 2014,48(4):387-392.
[24] Lanisnik B. Different branching patterns of the spinal accessory nerve: impact on neck dissection technique and postoperative shoulder function[J]. Curr Opin Otolaryngol Head Neck Surg, 2017,25(2):113-118.
[25] Matthews LA, Blythe JN, Brennan PA. High division of the spinal accessory nerve and communication with a C2 branch of the cervical plexus: a pre-viously unreported anatomical variant[J]. Br J Oral Maxillofac Surg, 2014,52(6):575-576.
[26] Brennan PA, St J Blythe J, Alam P, et al. Division of the spinal accessory nerve in the anterior triangle: a prospective clinical study[J]. Br J Oral Maxillofac Surg, 2015,53(7):633-636.
[27] Aravind R, Kathiresan N. Radical neck dissection: preserving the distal spinal accessory nerve based on its cervical plexus contribution[J]. J Surg Oncol, 2008,98(3):200-201.
[28] Tubbs RS, Shoja MM, Loukas M, et al. Study of the cervical plexus innervation of the trapezius muscle[J]. J Neurosurg Spine, 2011,14(5):626-629.
[29] Gavid M, Mayaud A, Timochenko A, et al. Topographical and functional anatomy of trapezius muscle innervation by spinal accessory nerve and C2 to C4 nerves of cervical plexus[J]. Surg Radiol Anat, 2016,38(8):917-922.
[30] Restrepo CE, Tubbs RS, Spinner RJ. Expanding what is known of the anatomy of the spinal accessory nerve[J]. Clin Anat, 2015,28(4):467-471.
[31] Alimi Y, Iwanaga J, Loukas M, et al. An unusual variation of the accessory nerve[J]. Cureus, 2018,10(6):e2774.
[32] Kim JH, Choi KY, Lee KH, et al. Motor innervation of the trapezius muscle: intraoperative motor conduction study during neck dissection[J]. ORL J Otorhinolaryngol Relat Spec, 2014,76(1):8-12.
[33] Svenberg Lind C, Lundberg B, Hammarstedt Nordenvall L, et al. Quantification of trapezius muscle innervation during neck dissections: cervical plexus versus the spinal accessory nerve[J]. Ann Otol Rhinol Laryngol, 2015,124(11):881-885.
[34] Garzaro M, Riva G, Raimondo L, et al. A study of neck and shoulder morbidity following neck dissection: the benefits of cervical plexus preservation[J]. Ear Nose Throat J, 2015,94(8):330-344.
[35] Honda K, Asato R, Tsuji J, et al. Oncologic safety of cervical nerve preservation in neck dissection for head and neck cancer[J]. Head Neck, 2017,39(9):1751-1755.
[36] Mirjalili SA, Muirhead JC, Stringer MD. Ultrasound visualization of the spinal accessory nerve in vivo[J]. J Surg Res, 2012,175(1):e11-e16.
[37] Canella C, Demondion X, Abreu E, et al. Anatomical study of spinal accessory nerve using ultrasono-graphy[J]. Eur J Radiol, 2013,82(1):56-61.
[38] Hong MJ, Baek JH, Kim DY, et al. Spinal accessory nerve: ultrasound findings and correlations with ne-ck lymph node levels[J]. Ultraschall Med, 2016,37(5):487-491.
[39] Townsley P, Ravenscroft A, Bedforth N. Ultrasound-guided spinal accessory nerve blockade in the diagnosis and management of trapezius muscle-related myofascial pain[J]. Anaesthesia, 2011,66(5):386-389.
[40] Shen J, Chen WM, Ye X, et al. Ultrasound in the management of iatrogenic spinal accessory nerve palsy at the posterior cervical triangle area[J]. Muscle Nerve, 2019,59(1):64-69.
[41] Casaletto E, Lin B, Wolfe SW, et al. Ultrasound ima-ging of nerves in the neck: correlation with MRI, EMG, and clinical findings[J]. Neurol Clin Pract, 2020,10(5):415-421.
[1] 王寅1综述 李龙江1，陈尧2审校. 副神经的解剖特点及其损伤在临床中的意义[J]. 国际口腔医学杂志, 2008, 35(6): 639-639～642.
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