Skip to content
DraconiticResearch
Search Sources API
203,234 studies31 sourcesUpdated 30 min ago
Peer-reviewedCC BY 4.0The Journal of Laryngology and Otology

Intra-operative neuromonitoring and electrophysiological nerve stimulation for the spinal accessory and marginal mandibular nerve during neck dissection: a scoping review

  • Aditya Singh1
  • James Heyman2
  • David Owens2
  1. 1Cardiff University School of Medicine, UK
  2. 2Department of Otolaryngology, Cardiff and Vale University Health Board, UK
Read full textDOICite

Abstract

Objectives: Evaluating the effectiveness of intra-operative nerve monitoring and stimulation in preventing spinal accessory nerve and marginal mandibular nerve injuries during neck dissection.

Methods: Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Review methodology was used to map and summarise current literature. Online PubMed/MEDLINE searches and manual screening identified relevant studies for inclusion.

Results: Seven studies met the inclusion criteria. Six addressed the spinal accessory nerve and one the marginal mandibular nerve. No randomised controlled trials were identified. The evidence tentatively supports the use of intra-operative neurophysiological monitoring in reducing spinal accessory nerve and marginal mandibular nerve palsy rates during neck dissection. Intra-operative neurophysiological monitoring modalities varied across studies, from continuous neuromonitoring to handheld nerve stimulation and nerve mapping. Monitoring criteria and outcome definitions differed across studies.

Conclusions: The evidence base for intra-operative neurophysiological monitoring of standard accessory nerve and marginal mandibular nerve during neck dissection remains methodologically heterogeneous. Standardised protocols, prospective controlled studies and dedicated marginal mandibular nerve monitoring studies are required before routine implementation can be recommended.

Related

  1. Unsupervised electrophysiological localization of dorsolateral-associated STN activity using an attention-based contrastive VAE for optimal deep brain stimulation electrode placement in Parkinson’s disease
    Bhavna Bajpai, Shubham Sharma, Alfredo Rosado
    Neuroscience InformaticsPeer-reviewedCC BYFull textNeurologyDOAJ
  2. The effect of routine intraoperative neuromonitoring on thyroidectomy complications : A propensity score-matched retrospective cohort study
    Huseyin Emre Arslan, Bercis Imge Ucar, Sezgin Zeren +4
    MedicinePeer-reviewedCC BYFull textGeneral medicineEurope PMC
  3. Thyroid-cartilage and anterior-laryngeal electrodes provide higher and more frequently adequate electromyographic signals in intraoperative neuromonitoring during thyroid surgery: a systematic review and meta-analysis
    Hisham Ali Alghamdi, Muhannad Ali Hendi Alghamdi, Mujtaba A. Ali +10
    Gland SurgeryPeer-reviewedCC BY-NC-NDFull textGeneral medicineEurope PMC
  4. Hybrid Airway Management for Neuromonitoring-guided Selective Phrenic Nerve Surgery in Intractable Hiccups: A Case Report
    Bekir Suat Kürkçüoğlu, Sinan Ünsal, Bahar Uslu Bayhan +2
    Turkish Journal of Anaesthesiology and ReanimationPeer-reviewedCC BY 4.0Full textPhysiologyPMC
  5. Beyond Neuromonitoring: Spinal Cord Perfusion, Autonomic Dysregulation, and Neurological Risk During Complex Spinal Deformity Correction
    Michał Grabala, Piotr Kowalski, Krzysztof Zakrzewski +2
    Journal of Clinical MedicinePeer-reviewedCC BY 4.0General medicineCrossref

Cite

BibTeXRIS
BibTeX
@article{singh2026intraoperative,
  title = {{Intra-operative neuromonitoring and electrophysiological nerve stimulation for the spinal accessory and marginal mandibular nerve during neck dissection: a scoping review}},
  author = {Aditya Singh and James Heyman and David Owens},
  journal = {The Journal of Laryngology and Otology},
  year = {2026},
  month = nov,
  doi = {10.1017/s0022215126105064},
  url = {https://doi.org/10.1017/s0022215126105064},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Intra-operative neuromonitoring and electrophysiological nerve stimulation for the spinal accessory and marginal mandibular nerve during neck dissection: a scoping review
AU  - Aditya Singh
AU  - James Heyman
AU  - David Owens
PY  - 2026
DA  - 2026/11/06
JO  - The Journal of Laryngology and Otology
DO  - 10.1017/s0022215126105064
UR  - https://doi.org/10.1017/s0022215126105064
AB  - Objectives: Evaluating the effectiveness of intra-operative nerve monitoring and stimulation in preventing spinal accessory nerve and marginal mandibular nerve injuries during neck dissection.  Methods: Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Review methodology was used to map and summarise current literature. Online PubMed/MEDLINE searches and manual screening identified relevant studies for inclusion.  Results: Seven studies met the inclusion criteria. Six addressed the spinal accessory nerve and one the marginal mandibular nerve. No randomised controlled trials were identified. The evidence tentatively supports the use of intra-operative neurophysiological monitoring in reducing spinal accessory nerve and marginal mandibular nerve palsy rates during neck dissection. Intra-operative neurophysiological monitoring modalities varied across studies, from continuous neuromonitoring to handheld nerve stimulation and nerve mapping. Monitoring criteria and outcome definitions differed across studies.  Conclusions: The evidence base for intra-operative neurophysiological monitoring of standard accessory nerve and marginal mandibular nerve during neck dissection remains methodologically heterogeneous. Standardised protocols, prospective controlled studies and dedicated marginal mandibular nerve monitoring studies are required before routine implementation can be recommended.
SN  - 0022-2151
SN  - 1748-5460
ER  -