- Tytuł:
- Marginal mandibular nerve injury during neck dissection of level IIa, and the influence of different types of dissection: diathermy versus cold knife
- Autorzy:
-
Chiesa Estomba, Carlos
Sistiaga Suárez, Jon
González-García, Jose
Larruscain-Sarasola, Ekhiñe
Thomas Arrizabalaga, Izaskun
Altuna Mariezcurrena, Xabier - Powiązania:
- https://bibliotekanauki.pl/articles/1398290.pdf
- Data publikacji:
- 2018
- Wydawca:
- Index Copernicus International
- Tematy:
-
Neck
Dissection
Marginal Mandibular Nerve
Diathermy
Cold Knife. - Opis:
- Introduction: Postoperative injury of the marginal mandibular branch of the facial nerve is considered a complication in neck dissection and can be related to different factors including traction, devascularisation or conduction block due to diathermy. Material and Methods: A prospective, crossover study including patients treated via bilateral selective neck dissection level IIa during a 12-month period, was performed to evaluate efficacy of the Hayes-Martin manoeuvre to prevent nerve injury during use of cold or monopolar diathermy dissection. Results: 20 patients met the inclusion criteria (40 neck dissections). Just one case of right temporal MMN weakness in the postoperative period was observed (1/40 = 2.5%). There were no cases of permanent marginal mandibular nerve weakness when using the Hayes-Martin manoeuvre. Conclusion: he Hayes-Martin manoeuvre is a safe method to preserve MMN during neck dissection level IIa, regardless of the type of dissection.
- Źródło:
-
Polish Journal of Otolaryngology; 2018, 72, 4; 21-25
0030-6657
2300-8423 - Pojawia się w:
- Polish Journal of Otolaryngology
- Dostawca treści:
- Biblioteka Nauki
Artykuł