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KMID : 1011720200130010043
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International Journal of Thyroidology
2020 Volume.13 No. 1 p.43 ~ p.46
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A Case of Brachial Plexus Neurorrhaphy During Revisional Modified Radical Neck Dissection
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Lee Min-Ki
Kang Hyun-Tag
Kim Shin-Young
Lee Seung-Won
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Abstract
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The brachial plexus originates from the ventral rami of spinal nerves C5?T1 and lies between the anterior and middle scalene muscles. Brachial plexus injury can occur as a rare complication of neck dissection or in association with trauma, malignancy, or radiotherapy. We performed modified radical neck dissection in a female with cervical lymph node metastasis of a recurrent papillary thyroid carcinoma. Brachial plexus injury occurred because of severe adhesion and anatomical distortion during the surgical revision and was immediately treated via end-to-end neurorrhaphy. After surgery, the patient felt pain and numbness in her right shoulder and arm. Motor function was grade 0 on right shoulder flexion, arm abduction and elbow flexion. After 1 year of follow-up, both motor and sensory function had fully recovered. This is the first reported case of complete motor function restoration after brachial plexus neurorrhaphy in a patient treated in the Republic of Korea.
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KEYWORD
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Brachial plexus injury, Modified radical neck dissection, Neurorrhaphy
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