Accessory Nerve Injury: Conservative or Surgical Treatment?

1991 ◽  
Vol 16 (5) ◽  
pp. 531-536 ◽  
Author(s):  
T. OGINO ◽  
M. SUGAWARA ◽  
A. MINAMI ◽  
H. KATO ◽  
N. OHNISHI
Keyword(s):  
Surgical Treatment ◽  
Nerve Injury ◽  
Nerve Repair ◽  
Treated Group ◽  
Accessory Nerve ◽  
Nerve Suture ◽  
Complete Paralysis ◽  
Nerve Recovery ◽  
One Year ◽  
Non Surgical Treatment

In order to clarify the functional prognosis of accessory nerve injury after nerve repair and non-surgical treatment, 27 of our cases with accessory nerve injury were studied. 20 cases were followed up for more than 8 months. In ten cases treated conservatively, the dull feeling and hypaesthesia did not improve. However, pain and dysfunction of the shoulder improved in half of these cases. In ten cases treated surgically, nerve suture was performed in two cases, nerve graft in five cases and neurolysis in three cases. In the surgically treated group, subjective complaints disappeared in all cases, but hypaesthesia or contracture of the shoulder persisted in three cases. Surgical treatment of the accessory nerve is recommended in fresh cases with complete paralysis and in cases in which there is no sign of nerve recovery within one year after the original injury.

One-year clinical outcomes following non-surgical treatment of peri-implant mucositis with adjunctive diode laser application

2020 ◽  
Vol 69 (5) ◽  
Author(s):  
Giulia M. Mariani ◽  
Elena Ercoli ◽  
Nicoletta Guzzi ◽  
Loretta Bongiovanni ◽  
Laura Bianco ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Clinical Outcomes ◽  
Diode Laser ◽  
Laser Application ◽  
One Year ◽  
Non Surgical Treatment

SURGICAL TREATMENT OF POSTERIOR INTEROSSEOUS NERVE SYNDROME

Hand Surgery ◽  
1996 ◽  
Vol 01 (02) ◽  
pp. 107-112
Author(s):  
Sheng-Mou Hou ◽  
Jyh-Horng Wang ◽  
Jui-Sheng Sun
Keyword(s):  
Surgical Treatment ◽  
Nerve Injury ◽  
Sural Nerve ◽  
Tendon Transfer ◽  
Nerve Repair ◽  
Posterior Interosseous Nerve ◽  
Nerve Grafting ◽  
Motor Power ◽  
Iatrogenic Nerve Injury ◽  
Posterior Interosseous Nerve Syndrome

Sixteen patients were operated on consecutively for palsy of the posterior interosseous nerve. The aetiologies were traumatic in 12 patients and non-traumatic in four. Operative neurolysis was done in six cases. Neurorrhaphy with sural nerve grafting was performed in two cases. Tendon transfer was done in eight cases. Relief of compression has the best result followed by nerve repair. Iatrogenic nerve injury after radial plating carried the worst prognosis. Although motor power was not normal after surgery, tendon transfer still provided a useful hand with residual extension lag of the fingers. The prognosis of operative treatment of posterior interosseous nerve syndrome depends mainly on its aetiology.

An overture to basic science aspects of nerve injuries

2011 ◽  
Vol 36 (9) ◽  
pp. 726-729 ◽  
Author(s):  
T. Carlstedt
Keyword(s):  
Nervous System ◽  
Surgical Treatment ◽  
Molecular Biology ◽  
Nerve Injury ◽  
Basic Science ◽  
Nerve Repair ◽  
Functional Improvement ◽  
New Concepts ◽  
Injury And Repair ◽  
Inhibitory Molecules

Does the lack of improvement in surgical treatment of nerve injury despite thousands of years of research disturb you? Do you think that basic science has not really contributed to any advancement in the treatment of nerve injury? Have you contributed? Do you think that new molecular biology knowledge in nerve injury and repair is important? Knowing from basic science that the immature nervous system is more fragile would you agree with the view that to be ‘aggressive’ in surgery of the newborn with a brachial plexus injury could be unscrupulous? As molecular biology of the nervous system has demonstrated that the best conditions for regeneration occur immediately after an injury do you find the approach of postponing surgery until at least 3 months after a closed nerve injury to be ignorant and even negligent? Taking into account the normal occurrence of inhibitory molecules in the uninjured peripheral nerve do you think that functional improvement from end to side nerve repair is a myth? Are the recent attempts to artificially enhance nerve regeneration for instance in synthetical conduits like nature seen ‘through a glass darkly’? Do you agree that new concepts in surgical treatment of nerve injury are timely? Do you have the time?

Patient Outcome after Surgical Management of an Accessory Nerve Injury

2002 ◽  
Vol 127 (3) ◽  
pp. 221-224 ◽  
Author(s):  
Christine B. Novak ◽  
Susan E. Mackinnon
Keyword(s):  
Patient Outcome ◽  
Nerve Injury ◽  
Nerve Repair ◽  
Retrospective Chart Review ◽  
Trapezius Muscle ◽  
Lymph Node Biopsy ◽  
Nerve Graft ◽  
Accessory Nerve ◽  
Surgical Reconstruction ◽  
Shoulder Abduction

OBJECTIVE: This study assessed patient outcome following surgical reconstruction of the accessory nerve after an iatrogenic injury. STUDY DESIGN: A retrospective chart review of 8 patients was performed. RESULTS: There were 3 men and 5 women in the study, and the mean time between injury and nerve graft/repair surgery was 5 months. Four injuries were sustained during a lymph node biopsy. Electromyography revealed a complete accessory nerve injury in all cases. In 6 cases, a nerve graft was required (mean length, 3.6 cm), and in 2 cases, a direct nerve repair was possible. The trapezius muscle was successfully reinnervated in all cases. In total, full shoulder abduction was achieved in 6 cases; in the remaining 2 cases, the patients achieved shoulder abduction to 90°. CONCLUSION: Functional deficit after accessory nerve injury is significant. Nerve graft/repair reconstruction reliably yields a satisfactory result, providing good scapular rotation and thus good shoulder function.

Comparison of Functional Recovery Following Median And/Or Ulnar Nerve Repair in Children and Adults

1993 ◽  
Vol 1 (3) ◽  
pp. 123-127
Author(s):  
Diane Joubert ◽  
Louise Caouette-Laberge ◽  
Sharon Wood-Dauphinee ◽  
Lynette A Jones
Keyword(s):  
Nerve Injury ◽  
Ulnar Nerve ◽  
Functional Recovery ◽  
Nerve Repair ◽  
Manual Dexterity ◽  
Sensory Function ◽  
Self Report ◽  
Daily Activities ◽  
One Year ◽  
Better Than

D Joubert, L Caouette-Laberge, S Wood-Dauphinee, LA Jones. Comparison of functional recovery following median and/or ulnar nerve repair in children and adults. Can J Plast Surg 1993;1(3): 123-127. Functional recovery was investigated in a group of 17 children and 17 adults with a median or ulnar nerve microsurgical repair performed at least one year before the assessment. Motor and sensory function, tactile gnosis, manual dexterity, pain and perception of disability were assessed. Statistically significant differences were found between the two groups with respect to two-point discrimination, tactile gnosis, manual dexterity, pain and self-report of performance in daily activities, with the children demonstrating better functional recovery than the adults. There was little difference between the two groups when motor recovery was studied. The widely accepted belief that children recuperate better than adults after a nerve injury may not apply to all aspects of recovery.

Surgical treatment for spinal accessory nerve injury

Microsurgery ◽  
2006 ◽  
Vol 26 (4) ◽  
pp. 273-277 ◽  
Author(s):  
Seiichiro Okajima ◽  
Kazuo Tamai ◽  
Hiroyoshi Fujiwara ◽  
Hiroaki Kobashi ◽  
Miyuki Hirata ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Nerve Injury ◽  
Spinal Accessory Nerve ◽  
Accessory Nerve ◽  
Spinal Accessory

scholarly journals Non surgical treatment of chronic anal fissure: one year`s experience with GTN paste

2016 ◽  
Vol 11 (4) ◽  
Author(s):  
Rizwan Aziz ◽  
Faridud Din ◽  
Muhammad Shoaib ◽  
Muhammad Kamran
Keyword(s):  
Surgical Treatment ◽  
Anal Fissure ◽  
Healing Rate ◽  
Chronic Anal Fissure ◽  
Objective Assessment ◽  
Early Recurrence ◽  
Rapid Healing ◽  
One Year ◽  
Non Surgical Treatment

Objective: Assessment of the efficacy of topical 0.2% glyceryl trinitrate (GTN) paste in the treatment of chronic anal fissure. Patients and Methods: Sixty two patients were treated with 0.2% GTN paste and reviewed at 3, 6 and 12 weeks interval to assess efficacy and side effects. Results: At 6 weeks, 72% of patients were treated successfully. In 28% of cases treatment was unsuccessful. At 12weeks follow up there was no early recurrence. The prevalence of headaches was 70%. Conclusions: The use of GTN induces rapid healing of chronic anal fissures with a 72% healing rate in this study. But balance is required between fissure healing and headache intolerance.

Epicardial cryoablation as surgical treatment for atrial fibrillation: One year follow up in 84 patients

2008 ◽  
Vol 56 (S 1) ◽  
Author(s):  
R Uhl ◽  
I Marcolino ◽  
E Zimmer ◽  
F Beyersdorf ◽  
E Eschenbruch
Keyword(s):  
Atrial Fibrillation ◽  
Surgical Treatment ◽  
One Year

Osteosynthesis at pelvic injuries in toy-breed dogs

2020 ◽  
pp. 32-33
Author(s):  
Nikolay I. Antonov ◽  
Keyword(s):  
Surgical Treatment ◽  
Urban Environment ◽  
Pelvic Trauma ◽  
X Rays ◽  
Skeletal Trauma ◽  
Companion Dogs ◽  
Pelvic Injuries ◽  
Behavioral Features ◽  
Osteosynthesis Techniques ◽  
One Year

Pelvic injuries account for 16 to 25% of all skeletal trauma in small pets. Small dogs as companion dogs are now widespread. Unusual exterior and behavioral features have made them popular and at the same time vulnerable in the modern urban environment. The author defined the nature of injuries and adapted technique of transosseous osteosynthesis for the treatment of toy-breed dogs with pelvic trauma. The study of the X-rays in 226 dogs with pelvic injuries demonstrated that toy-breed dogs accounted for 16% of the total. Multiple pelvic trauma was revealed in 95% of them. Surgical treatment was performed in 24 dogs, conservative one - in 13, that amounted to 65% and 35%, respectively. Surgical treatment consisted in open juxtaposing of fragments and focal transosseous and/or internal osteosynthesis with subsequent external fixation using devices of various designs. The external structures were of three types: half-ring support or U-shaped staple, pair of parallel curved plates connected by two threaded rods with each other, and pair of curved plates located bilaterally on both sides of the pelvis and connected by two threaded rods with the help of threaded ends. The terms of fixation for pelvic injuries in toy-breed dogs at the age under one year were 42 days on the average, and in the dogs at the age above one year - 60 days. Surgical treatment in toy-breed dogs with pelvic injuries was performed more often in comparison with conservative one. Pelvic trauma was accompanied by pronounced pain shock. The osteosynthesis techniques used in toy-breed dogs are little traumatic and not limiting functions thereby contributing to recovery of all the structures of pelvis and pelvic limbs.

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