- Title
- Intra-operative monitoring of the spinal accessory nerve: a systematic review
- Creator
- McGarvey, A. C.; Hoffman, G. R.; Osmotherly, P. G.; Chiarelli, P. E.
- Relation
- Journal of Laryngology and Otology Vol. 128, Issue 9, p. 746-751
- Publisher Link
- http://dx.doi.org/10.1017/S0022215113002934
- Publisher
- Cambridge University Press
- Resource Type
- journal article
- Date
- 2014
- Description
- Objective: To investigate evidence that intra-operative nerve monitoring of the spinal accessory nerve affects the prevalence of post-operative shoulder morbidity and predicts functional outcome. Methods: A search of the Medline, Scopus and Cochrane databases from 1995 to October 2012 was undertaken, using the search terms ‘monitoring, intra-operative’ and ‘accessory nerve’. Articles were included if they pertained to intra-operative accessory nerve monitoring undertaken during neck dissection surgery and included a functional shoulder outcome measure. Further relevant articles were obtained by screening the reference lists of retrieved articles. Results: Only three articles met the inclusion criteria of the review. Two of these included studies suggesting that intra-operative nerve monitoring shows greater specificity than sensitivity in predicting post-operative shoulder dysfunction. Only one study, with a small sample size, assessed intra-operative nerve monitoring in neck dissection patients. Conclusion: It is unclear whether intra-operative nerve monitoring is a useful tool for reducing the prevalence of accessory nerve injury and predicting post-operative functional shoulder outcome in patients undergoing neck dissection. Larger, randomised studies are required to determine whether such monitoring is a valuable surgical adjunct.
- Subject
- neck dissection; accessory nerve; introperative neurophysiological monitoring
- Identifier
- http://hdl.handle.net/1959.13/1302312
- Identifier
- uon:20449
- Identifier
- ISSN:0022-2151
- Language
- eng
- Reviewed
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