{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T21:06:03Z","timestamp":1771103163069,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,9,1]],"date-time":"2016-09-01T00:00:00Z","timestamp":1472688000000},"content-version":"vor","delay-in-days":5114,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2002,9]]},"abstract":"<jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>This study assessed patient outcome following surgical reconstruction of the accessory nerve after an iatrogenic injury.<\/jats:p><\/jats:sec><jats:sec><jats:title>STUDY DESIGN<\/jats:title><jats:p>A retrospective chart review of 8 patients was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>There were 3\u00a0men and 5 women in the study, and the mean time between injury and nerve graft\/repair surgery was 5\u00a0months. Four injuries were sustained during a lymph node biopsy. Electromyography revealed a complete accessory nerve injury in all cases. In 6 cases, a nerve graft was required (mean length, 3.6\u00a0cm), and in 2 cases, a direct nerve repair was possible. The trapezius muscle was successfully reinnervated in all cases. In total, full shoulder abduction was achieved in 6 cases; in the remaining 2 cases, the patients achieved shoulder abduction to 90\u00b0.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION<\/jats:title><jats:p>Functional deficit after accessory nerve injury is significant. Nerve graft\/repair reconstruction reliably yields a satisfactory result, providing good scapular rotation and thus good shoulder function.<\/jats:p><\/jats:sec>","DOI":"10.1067\/mhn.2002.126803","type":"journal-article","created":{"date-parts":[[2003,2,4]],"date-time":"2003-02-04T21:49:09Z","timestamp":1044395349000},"page":"221-224","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Patient Outcome after Surgical Management of an Accessory Nerve Injury"],"prefix":"10.1002","volume":"127","author":[{"given":"Christine B.","family":"Novak","sequence":"first","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery Washington University Schoolof Medicine St Louis Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan E.","family":"Mackinnon","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery Washington University Schoolof Medicine St Louis Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,9]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"An Atlas of Anatomy","author":"Grant Jcb","year":"1972"},{"key":"e_1_2_6_3_1","volume-title":"Muscles: Testing and Function","author":"Kendall FP","year":"1993"},{"key":"e_1_2_6_4_1","first-page":"142","article-title":"Complications of biopsy of the cervical lymph node","volume":"173","author":"Battista Af","year":"1991","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1054\/jhsb.2000.0487"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-199306000-00004"},{"key":"e_1_2_6_7_1","first-page":"682","article-title":"Diagnosis and treatment of iatrogenic spinal accessory nerve injury","volume":"62","author":"Matz PG","year":"1996","journal-title":"Am Surg"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199811000-00007"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(91)90109-2"},{"key":"e_1_2_6_10_1","first-page":"171","article-title":"Microsurgical repair of iatrogenic accessory nerve lesions in the posterior triangle of the neck","volume":"153","author":"Osgaard O","year":"1987","journal-title":"Acta Chir Scand"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.124.4.377"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199911000-00003"},{"key":"e_1_2_6_13_1","first-page":"521","article-title":"The posterior triangle and the painful shoulder: Spinal accessory nerve injury","volume":"78","author":"Williams WW","year":"1996","journal-title":"Ann R Coll Surg Engl"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1054\/JHSB.1999.0158"},{"key":"e_1_2_6_15_1","volume-title":"Surgery of the Peripheral Nerve","author":"Mackinnon SE","year":"1988"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199912000-00005"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1067\/mhn.2002.126803","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1067\/mhn.2002.126803","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1067\/mhn.2002.126803","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T13:15:18Z","timestamp":1760966118000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1067\/mhn.2002.126803"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2002,9]]},"references-count":15,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2002,9]]}},"alternative-id":["10.1067\/mhn.2002.126803"],"URL":"https:\/\/doi.org\/10.1067\/mhn.2002.126803","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2002,9]]},"assertion":[{"value":"2016-09-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}