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Marginal mandibular nerve injury during neck dissection of level IIa, and the influence of different types of dissection: diathermy versus cold knife

100%
Chiesa Estomba C., Sistiaga Suárez J., González-García J., Larruscain-Sarasola E., Thomas Arrizabalaga I., Altuna Mariezcurrena X.
Otolaryngologia Polska
|
2018
|
vol. 72(4)
21-25
EN
Introduction: Postoperative injury of the marginal mandibular branch of the facial nerve is considered a complication in neck dissection and can be related to different factors including traction, devascularisation or conduction block due to diathermy. Material and Methods: A prospective, crossover study including patients treated via bilateral selective neck dissection level IIa during a 12-month period, was performed to evaluate efficacy of the Hayes-Martin manoeuvre to prevent nerve injury during use of cold or monopolar diathermy dissection. Results: 20 patients met the inclusion criteria (40 neck dissections). Just one case of right temporal MMN weakness in the postoperative period was observed (1/40 = 2.5%). There were no cases of permanent marginal mandibular nerve weakness when using the Hayes-Martin manoeuvre. Conclusion: he Hayes-Martin manoeuvre is a safe method to preserve MMN during neck dissection level IIa, regardless of the type of dissection.
2
Publication available in full text mode
Content available

Marginal mandibular nerve injury during neck dissection of level IIa, and the influence of different types of dissection: diathermy versus cold knife

100%
Chiesa Estomba C., Sistiaga Suárez J., González-García J., Larruscain-Sarasola E., Thomas Arrizabalaga I., Altuna Mariezcurrena X.
Polish Journal of Otolaryngology
|
2018
|
vol. 72
|
issue 4
21-25
EN
Introduction: Postoperative injury of the marginal mandibular branch of the facial nerve is considered a complication in neck dissection and can be related to different factors including traction, devascularisation or conduction block due to diathermy. Material and Methods: A prospective, crossover study including patients treated via bilateral selective neck dissection level IIa during a 12-month period, was performed to evaluate efficacy of the Hayes-Martin manoeuvre to prevent nerve injury during use of cold or monopolar diathermy dissection. Results: 20 patients met the inclusion criteria (40 neck dissections). Just one case of right temporal MMN weakness in the postoperative period was observed (1/40 = 2.5%). There were no cases of permanent marginal mandibular nerve weakness when using the Hayes-Martin manoeuvre. Conclusion: he Hayes-Martin manoeuvre is a safe method to preserve MMN during neck dissection level IIa, regardless of the type of dissection.
3
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Long-term experience with endovascular therapy of the descending thoracic aorta

86%
Raupach J., Vojacek J., Lojik M., Harrer J., Chovanec V., Ferko A., Hoffmann P., Ryška P., Renc O., Krajina A.
Open Medicine
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2013
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vol. 8
|
issue 2
257-265
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