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Richard R. Gacek, MD

Arch Otolaryngol Head Neck Surg. 1990;116(3):356-358.

Abstract
• We describe an unusual brachial plexus anatomical variant that renders it vulnerable to injury in radical or modified neck dissection. It is represented by a looping redundant course of the most cephalad cervical division contribution to the brachial plexus. Unless recognized during development of the inferior surgical plane by blunt dissection techniques, injury to this portion of the brachial plexus may occur. An awareness of this infrequent variation in brachial plexus anatomy should be maintained.

(Arch Otolaryngol Head Neck Surg. 1990;116:356-358)

Author Affiliations
From the Department of Otolaryngology and Communication Science, State University of New York Health Science Center at Syracuse.

Footnotes
Accepted for publication July 21, 1989.

Reprint requests to Department of Otolaryngology, State University of New York Health Science Center, 750 E Adams St, Syracuse, NY 13210 (Dr Gacek).

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