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Otol."],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215113002934_sec1\"><jats:title>Objective:<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215113002934_sec2\"><jats:title>Methods:<\/jats:title><jats:p>A search of the Medline, Scopus and Cochrane databases from 1995 to October 2012 was undertaken, using the search terms \u2018monitoring, intra-operative\u2019 and \u2018accessory nerve\u2019. 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.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215113002934_sec3\"><jats:title>Results:<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215113002934_sec4\"><jats:title>Conclusion:<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215113002934","type":"journal-article","created":{"date-parts":[[2014,8,29]],"date-time":"2014-08-29T13:25:08Z","timestamp":1409318708000},"page":"746-751","source":"Crossref","is-referenced-by-count":12,"title":["Intra-operative monitoring of the spinal accessory nerve: a systematic review"],"prefix":"10.1017","volume":"128","author":[{"given":"A C","family":"McGarvey","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G R","family":"Hoffman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P G","family":"Osmotherly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P E","family":"Chiarelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2014,8,29]]},"reference":[{"key":"S0022215113002934_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2008.03.019"},{"key":"S0022215113002934_ref20","doi-asserted-by":"publisher","DOI":"10.1002\/lary.5541011223"},{"key":"S0022215113002934_ref33","doi-asserted-by":"publisher","DOI":"10.1097\/WNP.0b013e31818e7ff2"},{"key":"S0022215113002934_ref22","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215106002052"},{"key":"S0022215113002934_ref10","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.133.5.481"},{"key":"S0022215113002934_ref39","doi-asserted-by":"publisher","DOI":"10.1016\/j.otot.2004.07.007"},{"key":"S0022215113002934_ref28","doi-asserted-by":"publisher","DOI":"10.1097\/WNP.0b013e31824079b3"},{"key":"S0022215113002934_ref35","doi-asserted-by":"publisher","DOI":"10.1007\/s10143-007-0105-5"},{"key":"S0022215113002934_ref40","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.130.6.764"},{"key":"S0022215113002934_ref11","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1177\/014556130608500820","article-title":"Spinal accessory nerve monitoring with clinical outcome measures","volume":"85","author":"Witt","year":"2006","journal-title":"Ear Nose Throat J"},{"key":"S0022215113002934_ref34","doi-asserted-by":"publisher","DOI":"10.1258\/0022215021910735"},{"key":"S0022215113002934_ref9","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20637"},{"key":"S0022215113002934_ref16","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-010-0705-7"},{"key":"S0022215113002934_ref14","first-page":"85","article-title":"Monitoring of neurophysiologic modalities during surgery for cerebellopontine angle tumors. 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