Unilateral frontalis muscle paralysis reanimated by contralateral frontalis muscle through sural nerve graft connecting the two muscles (muscle‐nerve‐muscle neurotization technique)—A case report

Microsurgery ◽  
2020 ◽  
Author(s):  
Yung Chia Chang ◽  
Ricardo Luiz Vanz ◽  
Juliana Calvet Aurenção ◽  
Tamsin Burgues ◽  
Alberto Schanaider
2018 ◽  
Vol 23 (4) ◽  
pp. 306
Author(s):  
Jeong-Hyun Cheon ◽  
Jae-Ho Chung ◽  
Eul-Sik Yoon ◽  
Byung-Il Lee ◽  
Seung-Ha Park

Author(s):  
Si-Gyun Roh ◽  
Jae Young Chun ◽  
Nae-Ho Lee ◽  
Jin Yong Shin ◽  
Jong-Lim Kim

Injury of peripheral nerve may require reconstruction for motor and sensory function recovery. However, when the nerve defect is long, especially in the lower extremities, reconstruction with successful function recovery proved to be difficult. We documented a case of bilateral vascularized sural nerve graft repair of a large and long sciatic nerve defect following malignant tumor resection on posterior thigh. Although we were unable to achieve satisfactory outcomes in motor function recovery, we did accomplish some sensory function recovery.


Microsurgery ◽  
2005 ◽  
Vol 25 (1) ◽  
pp. 54-56 ◽  
Author(s):  
Heinrich M. Schubert ◽  
Gottfried Wechselberger ◽  
Heribert Hussl ◽  
Thomas Schoeller

2001 ◽  
Vol 110 (9) ◽  
pp. 801-810 ◽  
Author(s):  
Norman D. Hogikyan ◽  
Melanie Urbanchek ◽  
Michael M. Johns ◽  
William R. Carroll ◽  
Paul R. Kileny ◽  
...  

There is no current treatment method that can reliably restore physiologic movement to a paralyzed vocal fold. The purposes of this study were to test the hypotheses that 1) muscle-nerve-muscle (M-N-M) neurotization can be induced in feline laryngeal muscles and 2) M-N-M neurotization can restore movement to a paralyzed vocal fold. Muscle-nerve-muscle neurotization can be defined as the reinnervation of a denervated muscle via axons that are induced to sprout from nerves within an innervated muscle and that then traverse a nerve graft interposed between it and the target denervated muscle. a paralyzed laryngeal muscle could be reinnervated by axons from its contralateral paired muscle, thus achieving motion-specific reinnervation. Eighteen adult cats were divided into sham, hemilaryngeal-denervated, and M-N-M—reinnervated thyroarytenoid muscle groups. Five of the 6 reinnervated animals had histologic evidence of axons in the nerve graft, 4 of the 6 had evoked electromyographic evidence of crossed reinnervation, and 1 of the 6 had a return of appropriately phased adduction. This technique has great potential and should be further investigated.


Author(s):  
Joohee Jeong ◽  
Akram Abdo Almansoori ◽  
Hyun-Soo Park ◽  
Soo-Hwan Byun ◽  
Seung-Ki Min ◽  
...  

2020 ◽  
Vol 9 (12) ◽  
pp. 3823
Author(s):  
Karl Schwaiger ◽  
Selim Abed ◽  
Elisabeth Russe ◽  
Fabian Koeninger ◽  
Julia Wimbauer ◽  
...  

Background: Proximal radial nerve lesions located between the brachial plexus and its division into the superficial and deep branches are rare but severe injuries. The majority of these lesions occur in association with humerus fractures, directly during trauma or later during osteosynthesis for fracture treatment. Diagnostics and surgical interventions are often delayed. The best type of surgical treatment and the outcome to be expected often is uncertain. Methods: Twelve patients with proximal radial nerve lesions due to trauma or prior surgery were included in this study and underwent neurolysis (n = 6) and sural nerve graft interposition (n = 6). Retrospective analysis of the collected patient data was performed and the postoperative course was systematically evaluated. The Disabilities of the Arm, Shoulder, and Hand (DASH) and the LSUHS (Louisiana State University Health Sciences) scores were used to determine regeneration after surgery. Comparison between the patients’ and calculated normative DASH scores was performed. Results: All patients had a traumatically or iatrogenically induced proximal radial nerve lesion and underwent secondary treatments. The average time from radial nerve lesion occurrence to surgical intervention was approximately four months (1.5–10 months). Eight patients (66.67%) had a humeral fracture. During follow up, no statistically significant difference between the calculated normative and the patients’ DASH scores was observed. The LSUHS scores were at least satisfactory. Conclusions: Neurolysis or sural nerve graft interposition performed within a specific period of time are the primary treatment options for radial nerve lesions. They should be performed depending on the lesion type. Regeneration to a satisfactory degree was observed in all patients, and the majority achieved full recovery of sensory and motor functions. This was the first study to highlight the efficiency of neurolysis and sural nerve graft interposition as secondary treatment interventions, especially for radial nerve lesions.


Neurosurgery ◽  
1993 ◽  
Vol 32 (6) ◽  
pp. 1011???1014
Author(s):  
Anil P. Lal ◽  
Thomas Joseph ◽  
Sushil M. Chandi ◽  
Bhanu Pant

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