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Scholars Journal of Applied Medical Sciences | Volume-6 | Issue-07
Spinal Accessory Neuropathy after Level V Neck Node Clearance
Dr. Gaurav Parashar, Dr. Mahendra Singh Hada, Dr. Sunita Aggrawal
Published: July 30, 2018 | 139 136
DOI: 10.36347/sjams.2018.v06i07.042
Pages: 2849-2851
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Abstract
Head and neck cancers are a significant problem in several regions of the world, particularly in developing countries like India. To evaluate the injury of spinal accessory nerve after level V neck node clearance It is prospective case study of 48 patients subjected to neck dissection. Nerve integrity was evaluated before and after the procedure using surface EMG. Mean EMG values were 119.17±17.696 µV in preoperative; and 68.24±25.307µV in postoperative patients. (P value <0.0001) EMG can be considered as a sensitive and painless method benefitting early diagnosis of XI cranial nerve dysfunction. Our study suggests the advantage of using EMG in the trapezium to confirm the diagnosis and to guide early physical therapy intervention in probable neuropathies of this nerve.