An Unusual Variation of the Accessory Nerve

An Unusual Variation of the Accessory Nerve

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.

___

  • 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
The Turkish Journal of Ear Nose and Throat-Cover
  • ISSN: 2602-4837
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1991
  • Yayıncı: İstanbul Üniversitesi
Sayıdaki Diğer Makaleler

Determining Eustachian Tube Function in Mucosal Ear Disease Using Cost-Effective, Consistent, Constant, Convenient Tests: A Hospital Based Study

Sphoorthı BASAVANNAİAH

Comparison of High-Resolution Computed Tomography and Surgical Findings in Patients with Temporal Bone Cholesteatoma

Doğan ÇAKAN, Semih UŞAKLIOĞLU

Virtual Reality Glasses (Cardboard VR): A New Tool for The Assessment of Nystagmus

Remzi DOĞAN, Nazan DEĞİRMENCİ

The Effect of Vocal Rehabilitation on Patients with Vocal Cord Paralysis

Mila BUNİJEVAC, Andrijana MİKİĆ, Maša ĐURİŠİĆ

Investigation of Ototoxicity of Intratympanic 5-fluorouracil in Rats

Meltem DEMİRDAĞ ÇEVİKKAN, Asım ASLAN, Elgin TÜRKÖZ ULUER, Damla DEMİRKAYA TAS

Can Osteotomes Be Sharpened in the Operating Room Inexpensively and Effectively? An Experimental Study on Sandpaper Versus Arkansas Stone

Cem BAYRAKTAR, Nesrettin Fatih TURGUT, Mehmet Eser SANCAKTAR

An Unusual Variation of the Accessory Nerve

Necati İLHAN, Ahmet KARA, Büşra GEBEŞ ŞAHİNER, Ebru Mihriban GÜVEN

Effects of Acitretin Treatment on Hearing in Patients with Psoriasis Vulgaris

Başak MUTLU, Merve TORUN TOPÇU, Ayse Serap KARADAG, Ayşe Yasemin GÜNDÜZ, Tayyar KALCIOĞLU

The Restorative Effects of Three Commonly Used Materials on Hearing Thresholds in Patients with Austin-Kartush Type A Ossicular Defects

Harun GÜR, Kemal Koray BAL, Kemal GÖRÜR, Onur İSMİ, Yusuf VAYISOĞLU, Cengiz ÖZCAN

Comparison of Video Head Impulse Test Results of Pediatric Patients with Dizziness with Healthy Volunteers

Eren YILMAZ, İbrahim YAGCİ, Mustafa Caner KESİMLİ, Aytuğ ALTUNDAĞ