c l i n i c a l f o l i o s : n a r r a t i v e





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Modified Neck Dissection, Desmoplastic Melanoma: 25

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The spinal accessory nerve (see neck anatomy, frame 3) was identified as it entered the sternocleidomastoid at an unusually low location.     

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Modified Neck Dissection, Desmoplastic Melanoma: 26

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A nerve stimulator was used to confirm the identity of the nerve.     

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Modified Neck Dissection, Desmoplastic Melanoma: 27

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The nerve was intimately associated with the nodal pathology and was sacrificed, converting a potential functional neck dissection to a modified neck dissection.     

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This page was last modified on 6/23/2009.