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Afflicted patients present with dull, constant pain in the shoulder region which can be severe in nature. In addition, there is weakness of shoulder abduction and cosmetic deformity related to trapezius atrophy. Measures for conservative management include analgesics and physical therapy to strengthen the shoulder girdle. Nerve exploration is indicated for cases with documented denervation that do not respond to conservative treatment. A review of the English literature identified two previous case reports of spinal accessory nerve injury sustained during rhytidectomy. In this report, we present two additional cases and review current concepts regarding diagnosis, management, and prevention of this unusual complication of rhytidectomy. \u00a9 1994 John Wiley &amp; Sons, Inc.<\/jats:p>","DOI":"10.1002\/hed.2880160213","type":"journal-article","created":{"date-parts":[[2007,2,21]],"date-time":"2007-02-21T22:08:32Z","timestamp":1172095712000},"page":"181-185","source":"Crossref","is-referenced-by-count":15,"title":["Spinal accessory nerve palsy: An unusual complication of rhytidectomy"],"prefix":"10.1002","volume":"16","author":[{"given":"Keith E.","family":"Blackwell","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael D.","family":"Landman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas C.","family":"Calcaterra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2006,7,18]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-6196(12)61751-0"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4725.1989.tb01170.x"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199007000-00008"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197759040-00008"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197703000-00010"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197002000-00003"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197212000-00004"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197801000-00008"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197701000-00004"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198003000-00003"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/0196-0709(92)90092-8"},{"key":"e_1_2_1_13_2","first-page":"335","volume-title":"The unfavorable result in plastic surgery","author":"MacGregor MW","year":"1972"},{"key":"e_1_2_1_14_2","first-page":"445","article-title":"Accessory nerve palsy: an uncommon etiology","volume":"63","author":"Sarala PK","year":"1982","journal-title":"Arch Phys Med Rehab"},{"key":"e_1_2_1_15_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1977.01370030036005"},{"key":"e_1_2_1_16_2","first-page":"598","article-title":"Paralysis of the trapezius: a case report","volume":"72","author":"Braatz JH","year":"1991","journal-title":"Arch Phys Med Rehabil"},{"key":"e_1_2_1_17_2","first-page":"515","article-title":"Peripheral injuries to the spinal accessory nerve","volume":"94","author":"Norden A","year":"1946","journal-title":"Acta Chir Scand"},{"key":"e_1_2_1_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(85)90161-8"},{"key":"e_1_2_1_19_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1960.01300060001001"},{"key":"e_1_2_1_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-198306000-00024"},{"key":"e_1_2_1_21_2","doi-asserted-by":"publisher","DOI":"10.1002\/mus.880110210"},{"key":"e_1_2_1_22_2","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1972.00490180032008"},{"key":"e_1_2_1_23_2","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1968.00470360130014"},{"key":"e_1_2_1_24_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.40.11.1113"},{"key":"e_1_2_1_25_2","first-page":"453","article-title":"Late sequelae of iatrogenic spinal accessory nerve injury","volume":"140","author":"Valtonen EJ","year":"1974","journal-title":"Acta Chir Scand"},{"key":"e_1_2_1_26_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-195209000-00005"},{"key":"e_1_2_1_27_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4610.1978.hed1805274.x"},{"key":"e_1_2_1_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(66)90100-0"},{"key":"e_1_2_1_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(69)90232-3"},{"key":"e_1_2_1_30_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197912000-00005"},{"key":"e_1_2_1_31_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.2890050113"}],"container-title":["Head &amp; 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