{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T11:00:42Z","timestamp":1790247642802,"version":"4.1.0"},"reference-count":31,"publisher":"Cambridge University Press (CUP)","issue":"8","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0022215126105064_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Evaluating the effectiveness of intra-operative nerve monitoring and stimulation in preventing spinal accessory nerve and marginal mandibular nerve injuries during neck dissection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215126105064_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Review methodology was used to map and summarise current literature. Online PubMed\/MEDLINE searches and manual screening identified relevant studies for inclusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215126105064_sec3c\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seven studies met the inclusion criteria. Six addressed the spinal accessory nerve and one the marginal mandibular nerve. No randomised controlled trials were identified. The evidence tentatively supports the use of intra-operative neurophysiological monitoring in reducing spinal accessory nerve and marginal mandibular nerve palsy rates during neck dissection. Intra-operative neurophysiological monitoring modalities varied across studies, from continuous neuromonitoring to handheld nerve stimulation and nerve mapping. Monitoring criteria and outcome definitions differed across studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215126105064_sec4d\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The evidence base for intra-operative neurophysiological monitoring of standard accessory nerve and marginal mandibular nerve during neck dissection\u00a0remains methodologically heterogeneous. Standardised protocols, prospective controlled studies and dedicated marginal mandibular nerve monitoring studies are required before routine implementation can be recommended.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s0022215126105064","type":"journal-article","created":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T06:25:09Z","timestamp":1780295109000},"page":"852-858","source":"Crossref","is-referenced-by-count":0,"title":["Intra-operative neuromonitoring and electrophysiological nerve stimulation for the spinal accessory and marginal mandibular nerve during neck dissection: a scoping review"],"prefix":"10.1017","volume":"140","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2960-2430","authenticated-orcid":false,"given":"Aditya","family":"Singh","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03kk7td41","id-type":"ROR","asserted-by":"publisher"}],"name":"Cardiff University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Heyman","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0489f6q08","id-type":"ROR","asserted-by":"publisher"}],"name":"Cardiff and Vale University Health Board"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Owens","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0489f6q08","id-type":"ROR","asserted-by":"publisher"}],"name":"Cardiff and Vale University Health Board"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,6,1]]},"reference":[{"key":"S0022215126105064_ref25","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215113002934"},{"key":"S0022215126105064_ref15","doi-asserted-by":"publisher","DOI":"10.7326\/M18-0850"},{"key":"S0022215126105064_ref19","doi-asserted-by":"publisher","DOI":"10.1177\/0003489415589365"},{"key":"S0022215126105064_ref22","doi-asserted-by":"publisher","DOI":"10.1177\/0194599818766057"},{"key":"S0022215126105064_ref8","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0b013e3280523ac5"},{"key":"S0022215126105064_ref13","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21119"},{"key":"S0022215126105064_ref7","doi-asserted-by":"publisher","DOI":"10.1002\/ca.24119"},{"key":"S0022215126105064_ref11","doi-asserted-by":"publisher","DOI":"10.1002\/hed.25078"},{"key":"S0022215126105064_ref10","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215112001740"},{"key":"S0022215126105064_ref29","doi-asserted-by":"publisher","DOI":"10.21037\/aot.2019.07.04"},{"key":"S0022215126105064_ref24","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2016.1192"},{"key":"S0022215126105064_ref31","doi-asserted-by":"publisher","DOI":"10.1088\/1741-2560\/13\/2\/021001"},{"key":"S0022215126105064_ref6","doi-asserted-by":"publisher","DOI":"10.1054\/bjps.2000.3318"},{"key":"S0022215126105064_ref2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197912000-00005"},{"key":"S0022215126105064_ref14","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2022.823117"},{"key":"S0022215126105064_ref1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-011-1610-2"},{"key":"S0022215126105064_ref4","doi-asserted-by":"publisher","DOI":"10.1186\/s43163-021-00134-5"},{"key":"S0022215126105064_ref9","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200001000-00014"},{"key":"S0022215126105064_ref26","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-021-06909-z"},{"key":"S0022215126105064_ref30","first-page":"A08190464","article-title":"The prevalence of nerve injuries following neck dissections \u2013 a systematic review and meta-analysis","volume":"67","author":"Houlind Larsen","year":"2020","journal-title":"Dan Med J"},{"key":"S0022215126105064_ref12","doi-asserted-by":"publisher","DOI":"10.1007\/s12565-024-00770-w"},{"key":"S0022215126105064_ref17","doi-asserted-by":"publisher","DOI":"10.1177\/0194599814531021"},{"key":"S0022215126105064_ref16","first-page":"93","article-title":"Minimizing shoulder syndrome with intra-operative spinal accessory nerve monitoring for neck dissection","volume":"33","author":"Lee","year":"2013","journal-title":"Acta Otorhinolaryngol Ital"},{"key":"S0022215126105064_ref5","doi-asserted-by":"publisher","DOI":"10.1002\/ca.23497"},{"key":"S0022215126105064_ref20","doi-asserted-by":"publisher","DOI":"10.1007\/s12020-023-03324-8"},{"key":"S0022215126105064_ref3","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21013"},{"key":"S0022215126105064_ref18","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198701000-00023"},{"key":"S0022215126105064_ref28","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10184246"},{"key":"S0022215126105064_ref27","doi-asserted-by":"publisher","DOI":"10.1177\/019459988809800107"},{"key":"S0022215126105064_ref23","doi-asserted-by":"publisher","DOI":"10.1177\/0194599814568779"},{"key":"S0022215126105064_ref21","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-024-04785-7"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215126105064","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T10:07:08Z","timestamp":1790244428000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215126105064\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,1]]},"references-count":31,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["S0022215126105064"],"URL":"https:\/\/doi.org\/10.1017\/s0022215126105064","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,1]]}}}