Abstract
Introduction: Brachial plexus injury as a complication of eck dissection is rare. Occasionally, a loop of the cephaad cervical division contribution lies abnormally high in the eck. Method: We present the case of a 65-year-old man who eveloped a C5/6 root lesion following a modified radical eck dissection for a TxN1Mo squamous cell carcinoma. As consequence, he developed weakness of his deltoid and iceps muscles. Repair with a sural nerve graft was performed o improve the resulting deficit in shoulder, elbow and wrist unction. Result: Significant improvement in shoulder abduction, lbow flexion and wrist supination occurred as a result of erve repair. Discussion: The purpose of this article is to emphasise the nfrequent existence of anatomical variation of the brachial lexus to surgeons operating in the neck region. This may elp to prevent brachial plexus injury and accompanying unctional deficit. The brachial plexus is most vulnerable to amage when performing radical neck dissections.
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