Reconstruction of accessory nerve defects with sternocleidomastoid muscle—great auricular nerve flap

We introduced a new method for reconstruction of accessory nerve defects by using the sternocleidomastoid muscle (SCM)—great auricular nerve flap. Thirty-four patients receiving traditional radical neck dissection were divided into two groups: the accessory nerve not-reconstructed group (Group A, n=19) and the accessory nerve reconstructed group (Group B, n=15). The surgical procedure of the reconstruction is described in detail. Postoperative shoulder functions were compared between the two groups. We found that Group B experienced much better shoulder function recovery than Group A. Both groups had good wound healing. It is concluded that reconstruction of accessory nerve defects with SCM—great auricular nerve flap is simple, effective and complication-free and worthwhile.