Minimal Incision Technique for Sural Nerve Graft Harvest: Experience with 61 Patients

2002 ◽  
Vol 18 (8) ◽  
pp. 671-676 ◽  
Author(s):  
David W. Chang
Keyword(s):  
Sural Nerve ◽  
Nerve Graft ◽  
Graft Harvest ◽  
Minimal Incision ◽  
Incision Technique ◽  
Sural Nerve Graft

Microneurovascular Reconstruction for Facial Reanimation

2019 ◽  
pp. 393-402
Author(s):  
Michael Klebuc
Keyword(s):  
Sural Nerve ◽  
Motor Nerve ◽  
Muscle Flap ◽  
Nerve Graft ◽  
Muscle Flaps ◽  
Nerve Grafts ◽  
Free Muscle Flap ◽  
Graft Harvest ◽  
Facial Reanimation ◽  
Sural Nerve Graft

Microneurovascular muscle flaps can be effectively employed to reanimate the paralyzed mid-face. This chapter explores the indications and contraindications for free muscle flap smile restoration. Various sources of innervation are examined including the motor nerve to masseter and cross-face nerve grafts, as are different muscle flap donor sites. A detailed description of facial nerve exploration, sural nerve graft harvest, and the cross-face nerve graft procedure are provided. Single and two-staged facial reanimation procedures utilizing free gracilis muscle flaps are also described in detail, including technical nuances, postoperative care, and physical therapy. The technique is well suited for individuals whose native muscles of facial expression have failed to develop in utero, undergone irreversible atrophy, sustained significant trauma, or have been sacrificed during oncologic resection.

Peroneal nerve lesion after sural nerve graft harvest: An unusual complication?case report

Microsurgery ◽  
2005 ◽  
Vol 25 (1) ◽  
pp. 54-56 ◽  
Author(s):  
Heinrich M. Schubert ◽  
Gottfried Wechselberger ◽  
Heribert Hussl ◽  
Thomas Schoeller
Keyword(s):  
Case Report ◽  
Sural Nerve ◽  
Peroneal Nerve ◽  
Nerve Graft ◽  
Unusual Complication ◽  
Nerve Lesion ◽  
Graft Harvest ◽  
Sural Nerve Graft

A randomised comparison of neurotmesis using scissors or a razor blade for sural nerve graft harvest

2016 ◽  
Vol 69 (12) ◽  
pp. 1711-1713
Author(s):  
P.R. Sharma ◽  
A. Rosich-Medina ◽  
M.C. Swan ◽  
P.H. Gillespie ◽  
J.N. Skepper ◽  
...  
Keyword(s):  
Sural Nerve ◽  
Nerve Graft ◽  
Razor Blade ◽  
Graft Harvest ◽  
Sural Nerve Graft

scholarly journals Long-Term Follow-Up after the Sural Nerve Graft on the Injured Temporal Branch of the Facial Nerve: A Case Report

2018 ◽  
Vol 23 (4) ◽  
pp. 306
Author(s):  
Jeong-Hyun Cheon ◽  
Jae-Ho Chung ◽  
Eul-Sik Yoon ◽  
Byung-Il Lee ◽  
Seung-Ha Park
Keyword(s):  
Case Report ◽  
Facial Nerve ◽  
Sural Nerve ◽  
Nerve Graft ◽  
Long Term Follow Up ◽  
Sural Nerve Graft

scholarly journals Per-oral cross-facial sural nerve graft for facial reanimation

2018 ◽  
Vol 40 (1) ◽  
Author(s):  
Joohee Jeong ◽  
Akram Abdo Almansoori ◽  
Hyun-Soo Park ◽  
Soo-Hwan Byun ◽  
Seung-Ki Min ◽  
...  
Keyword(s):  
Sural Nerve ◽  
Nerve Graft ◽  
Facial Reanimation ◽  
Per Oral ◽  
Sural Nerve Graft

scholarly journals Management of Radial Nerve Lesions after Trauma or Iatrogenic Nerve Injury: Autologous Grafts and Neurolysis

2020 ◽  
Vol 9 (12) ◽  
pp. 3823
Author(s):  
Karl Schwaiger ◽  
Selim Abed ◽  
Elisabeth Russe ◽  
Fabian Koeninger ◽  
Julia Wimbauer ◽  
...  
Keyword(s):  
Radial Nerve ◽  
Sural Nerve ◽  
Nerve Graft ◽  
Nerve Lesion ◽  
Severe Injuries ◽  
Nerve Lesions ◽  
Significant Difference ◽  
Radial Nerve Lesion ◽  
Graft Interposition ◽  
Sural Nerve Graft

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.

Facial Neurorrhaphy with Autologous Sural Nerve Graft Using the CO2 Laser in a Primate Model

Neurosurgery ◽  
1993 ◽  
Vol 32 (6) ◽  
pp. 1011???1014
Author(s):  
Anil P. Lal ◽  
Thomas Joseph ◽  
Sushil M. Chandi ◽  
Bhanu Pant
Keyword(s):  
Co2 Laser ◽  
Sural Nerve ◽  
Nerve Graft ◽  
Primate Model ◽  
Sural Nerve Graft

scholarly journals Microsurgical Management of Hypoglossal Schwannomas Over 3 Decades: A Modified Grading Scale to Guide Surgical Approach

2011 ◽  
Vol 69 (suppl_2) ◽  
pp. ons121-ons140 ◽  
Author(s):  
Yoichi Nonaka ◽  
Peter M. Grossi ◽  
Ketan R. Bulsara ◽  
Raymond M. Taniguchi ◽  
Allan H. Friedman ◽  
...  
Keyword(s):  
Sural Nerve ◽  
Hypoglossal Nerve ◽  
Type A ◽  
Nerve Graft ◽  
Type B ◽  
Nerve Reconstruction ◽  
Type D ◽  
Grading Scale ◽  
Type C ◽  
Sural Nerve Graft

Abstract BACKGROUND Schwannomas originating from the hypoglossal nerve are extremely rare. Microsurgical resection with the goal for cure has traditionally been associated with a high risk of postoperative deficits. OBJECTIVE To summarize our clinical experience using tailored cranial base approaches for these formidable lesions. METHODS The clinical records of 13 patients were retrospectively reviewed. In addition, all reported patients in the literature were reviewed. The extreme lateral infrajugular transcondylar-transtubercular exposure approach was used in all of our patients. Based on our experience and literature analysis, we propose the following modified grading scale to facilitate surgical planning: type A, intradural tumors; type B, dumbbell-shaped tumors; type C, extracranial tumors; and type D, peripheral tumors. RESULTS All 13 patients underwent total, near-total, or subtotal tumor resection. Eight patients were men, 5 were women (mean age, 41.7 years). Sural nerve graft reconstruction for the hypoglossal nerve was performed in 4 patients. Three of the 4 patients in whom nerve reconstruction was performed regained satisfactory movement of their tongue. In the review of the literature, the mean patient age was 45.8 years. Patients presented with tongue atrophy (91.6%), headache (60.9%), and dysphagia (31.8%). The tumors were categorized as type A in 31.7% of these patients, type B in 38.6%, type C in 6.2%, and type D in 23.4%. CONCLUSION The extreme lateral infrajugular transcondylar-transtubercular exposure approach, which is a modification of the extreme lateral suboccipital approach, provides sufficient exposure for most intracranial dumbbell-shaped hypoglossal schwannomas. Hypoglossal nerve reconstruction using a sural nerve graft improves tongue atrophy and movement for patients with resected nerves.

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