Applied anatomy and significance of blood supply of accessory nerve
BANG Fu-Sen, DU You-Gong, ZHANG Xin, ZHANG Yan-Gong, CHEN Fei, DAN Xiao-Tian
Chinese Journal of Clinical Anatomy ›› 2015, Vol. 33 ›› Issue (1) : 1-4.
Applied anatomy and significance of blood supply of accessory nerve
Objective To study the blood supply source and style of accessory nerve to provide a reliable anatomical basis for transfer of the vascularized accessory nerve and the vascularized neuro-muscular compound skin flap. Methods 15 fresh specimen underwent arterial perfusion of foam rubber and polyvinyl alcohol-oxidation bismuth and plain radiography to study the external diameter of nutrient vessel of accessory nerve at its origin, the distance between the origin and the accessory nerve, the farthest distance from the accompany artery to accessory nerve, feature of blood supply of accessory nerve. Results The sources of blood supply of accessory nerve came from the occipital artery, superficial cervical artery,transverse cervical artery, dorsal scapular artery. External diameter of the stem of the r nutrient arteries of the accessory nerve at the origin was(1.5±0.5)mm,(2.3±0.2)mm,(2.1±0.3)mm,(1.8±0.5)mm, respectively. The distance from the origin of the blood vessel to accessory nerve was(1.6±0.6)cm,(4.6±0.4)cm,(4.8±0.7)cm,(1.0±0.3)cm, respectively. The major blood vessels that traveled with the accessory nerve for(4.1±0.7)cm,(7.3±0.6)cm,(8.6±0.6)cm,(8.5±0.5)cm, sequentially. Conclusions The sources of blood supply of accessory nerve come from the occipital artery, superficial cervical artery, transverse cervical artery, dorsal scapular artery and they should be cautiously protected in transfer of the vascularized accessory nerve.
[1] 王寅,陈尧,李龙江. 副神经的应用解剖与临床研究进展
[J]. 中国临床解剖学杂志,2008, 26(5):577-579.
[2] 官士兵, 陈德松, 方有生, 等. SAN 的临床应用解剖学研究
[J]. 解剖与临床,2004,9(1):21-22.
[3] 王 雷,姬绍先,马安保,等.SAN 切断术在解除胸锁乳突肌痉挛中的应用
[J].微创医学, 2006, 1(5):361-362.
[4] 王 寅,李龙江,陈 尧.副神经的解剖特点及其损伤在临床中的意义
[J].国际口腔医学杂志,2008, 35(6):639-642.
[5] 顾玉东. 臂丛神经损伤与疾病的诊治
[M].上海: 复旦大学出版社,2001:333-335.
[6] 张惠爱,姜秀艳,石小田.聚乙烯醇-氧化铋人体血管3D可视化
[J].中国临床解剖杂志,2010,28(5):589-590.
[7] 钟世镇,主编.临床应用解剖学
[M].北京:人民军医出版社,1998.769-770.
[8] 宋知非.游离的带血管的神经移植
[J].解剖学通报,1982,5(4):61.
/
〈 |
|
〉 |