scholarly journals Restoration of Trigeminal Cutaneous Sensation with Cross-Face Sural Nerve Grafts: Case Report and Literature Review

2020 ◽  
Vol 10 (5) ◽  
Author(s):  
Trung Trực Vũ ◽  
Keyword(s):  
Trigeminal Nerve ◽  
Facial Palsy ◽  
Sural Nerve ◽  
Donor Site ◽  
Tumor Resection ◽  
Contralateral Side ◽  
Nerve Graft ◽  
Cutaneous Sensation ◽  
Nerve Tumor ◽  
First Case

Abstract Complete anesthesia leaves patients susceptible to occult injury, and facial sensation is an important component of interaction and activities of daily living. Although treating facial palsy is considered debilitating for patients, trigeminal nerve palsy and sensory deficits of the face are overlooked components of disability. The authors reported the first case in Vietnam: 38 year-old man who lost the sensation on his right face follow by V cranial nerve tumor resection one year before. The sensation of the trigeminal cutaneous nerve was restored with cross-face sural nerve graft from contralateral side in 2018. The patient demonstrated improved sensation in the reconstructed dermatomes without donor-site aNBormalities at the time of 18 months post operation. Keywords: Facial palsy, facial sensation, trigeminal nerve tumor, cross-face nerve graft.

Calcaneal Reconstruction With Free Deep Circumflex Iliac Artery Osseocutaneous Flap Following Aggressive Benign Bone Tumor Resection

2021 ◽  
pp. 107110072110252
Author(s):  
Mohamad Aizat Rosli ◽  
Wan Faisham Wan Ismail ◽  
Wan Azman Wan Sulaiman ◽  
Nor Azman Mat Zin ◽  
Syurahbil Abdul Halim ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Donor Site ◽  
Tumor Resection ◽  
Case Series ◽  
Benign Tumors ◽  
Reconstruction Method ◽  
Short Term ◽  
Deep Circumflex Iliac Artery ◽  
First Case ◽  
Donor Site Pain

Background: Advances in limb-salvage techniques have made total calcanectomy and primary reconstruction possible in managing calcaneal aggressive benign tumors and selected cases of intraosseous malignant tumors. However, there is still no consensus on the operative approach, oncologic margin, and the best reconstruction method to date. These 2 cases describe our experience in calcaneal reconstruction with the free deep circumflex iliac artery (DCIA) osseocutaneous flap in benign aggressive calcaneal tumors. Methods: We reported 2 consecutive male and female patients, with an average age of 25 years (age 19 and 31, respectively), who underwent total calcanectomy and primary calcaneal reconstruction with the free DCIA osseocutaneous flaps for calcaneal chondroblastoma and giant cell tumor. A marginal resection of the entire calcaneus through the subtalar and calcaneocuboid joints (intra-articular approach) was performed in the first case and a wide local resection leaving 1 cm normal calcaneal bone margin anterosuperiorly (intraosseous approach) was performed in the second case. Results: The follow-up period averaged 48 months. Negative oncologic margins were achieved in both cases. The first case was complicated with venous thrombosis; however, the graft remained viable after emergency reexploration. Normal foot function was restored with good solid osseous union and bony hypertrophy observed. Both patients achieved good short-term functional and aesthetic outcomes with no donor site pain or disability. No local recurrence was reported either. Conclusion: Primary calcaneal reconstruction with the free DCIA osseocutaneous flap can lead to good short-term functional and aesthetic outcomes. Level of Evidence: Level IV, case series.

Facial palsy caused by an intrameatal metastatic disease - Reconstruction with an autologous sural nerve graft

Injury ◽  
2020 ◽  
Vol 51 ◽  
pp. S93-S95
Author(s):  
GF Hadjigeorgiou ◽  
A Michalinos ◽  
L Shiakallis ◽  
KF Fountas ◽  
EO Johnson
Keyword(s):  
Metastatic Disease ◽  
Facial Palsy ◽  
Sural Nerve ◽  
Nerve Graft ◽  
Sural Nerve Graft

scholarly journals Subjective outcome related to donor site morbidity after sural nerve graft harvesting: a survey in 41 patients

BMC Surgery ◽  
2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Alexander Hallgren ◽  
Anders Björkman ◽  
Anette Chemnitz ◽  
Lars B Dahlin
Keyword(s):  
Sural Nerve ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Nerve Graft ◽  
Subjective Outcome ◽  
Sural Nerve Graft

scholarly journals Long-Term Outcomes of Donor Site Morbidity After Sural Nerve Graft Harvesting

2020 ◽  
Vol 2 (2) ◽  
pp. 74-76 ◽  
Author(s):  
Kaoru Tada ◽  
Mika Nakada ◽  
Masashi Matsuta ◽  
Daisuke Yamauchi ◽  
Kazuo Ikeda ◽  
...  
Keyword(s):  
Sural Nerve ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Nerve Graft ◽  
Long Term Outcomes ◽  
Sural Nerve Graft

scholarly journals Reconstruction of Sciatic Nerve Using Bilateral Vascularized Sural Nerve Grafts: A Case Report

2021 ◽  
Author(s):  
Si-Gyun Roh ◽  
Jae Young Chun ◽  
Nae-Ho Lee ◽  
Jin Yong Shin ◽  
Jong-Lim Kim
Keyword(s):  
Case Report ◽  
Sciatic Nerve ◽  
Peripheral Nerve ◽  
Sural Nerve ◽  
Tumor Resection ◽  
Nerve Graft ◽  
Sensory Function ◽  
Nerve Grafts ◽  
Function Recovery ◽  
Sural Nerve Graft

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.

Gait Analysis: A New Perspective on Sural Nerve Graft Donor Site Morbidity Assessment

2002 ◽  
Vol 48 (4) ◽  
pp. 449-450 ◽  
Author(s):  
Reha Yavuzer ◽  
G??ne?? Yavuzer ◽  
S??reyya Ergin ◽  
Osman Latifo??lu
Keyword(s):  
Gait Analysis ◽  
Sural Nerve ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Nerve Graft ◽  
Graft Donor ◽  
New Perspective ◽  
Sural Nerve Graft

Reconstruction of Extensive Composite Parotid Region Oncologic Defects with Immediate Facial Nerve Reconstruction Using a Chimeric Scapulodorsal Vascularized Nerve Free Flap

2020 ◽  
Author(s):  
Maria L. Mangialardi ◽  
Jean-Fracois Honart ◽  
Quentin Qassemyar ◽  
Alice Guyon ◽  
Sean S. Li ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Motor Nerve ◽  
Donor Site ◽  
Tumor Resection ◽  
Nerve Graft ◽  
Great Length ◽  
Nerve Reconstruction ◽  
Parotid Region ◽  
Single Donor ◽  
Group A

Abstract Background Cancer involving the parotid gland region may originates from parotid parenchyma itself or from locoregional organs and in rare cases, the facial nerve (FN) has to be sacrificed during tumor resection. In these cases, cancer extension often goes beyond the parotid compartment and requires extensive local resection responsible for complex multitissular defects. The goals of reconstruction may be summarized in the following two components: (1) restoration of the volumetric tissue defect and (2) FN reconstruction. The aim of this study is to describe our surgical technique and our cosmetic results using the chimeric scapulodorsal vascularized nerve (SDVN) flap to reconstruct extensive maxillofacial defects associated with FN sacrifice. Methods All patients undergone an extensive maxillofacial resection with FN sacrifice and primarily reconstructed with a SDVN flap were included. We classified the maxillofacial defects into six groups based on the type of resection. Intraoperative data including flap composition, topography of FN injury, length of nerve gap, and number of nervous anastomosis were recorded. Results Twenty-nine patients were included. Mean follow-up was 38.7 months. The harvested flaps included the SDVN combined with different components according to the defect group. A satisfactory volumetric restoration was obtained in 93% of cases. The mean number of distal nervous anastomosis was 4.5. The length of the vascularized grafted nerve ranged from 7 to 10 cm. Conclusion This is largest series presented in literature on primary FN reconstruction utilizing a vascularized nerve graft. We believe that the chimeric SDVN flap should be highly considered for these cases due to its versatility. The surgeon is able to use single donor site available soft and hard tissues components along with a vascular motor nerve graft, which offers a great length and number of distal branches, and easily matches with the extracranial FN trunk and its peripheral ramifications.

Local Fasciocutaneous Infragluteal (FCI) Flap for Vulvar and Vaginal Reconstruction: A New Technique in Cancer Surgery

2012 ◽  
Vol 22 (1) ◽  
pp. 132-138 ◽  
Author(s):  
Christian Windhofer ◽  
Christoph Papp ◽  
Alfons Staudach ◽  
Wolfgang Michlits
Keyword(s):  
Donor Site ◽  
Tumor Resection ◽  
Cancer Recurrence ◽  
Contralateral Side ◽  
Soft Tissue Reconstruction ◽  
Inferior Gluteal Artery ◽  
Vaginal Reconstruction ◽  
Vulvar Reconstruction ◽  
Tissue Reconstruction ◽  
A New Technique

IntroductionSoft tissue reconstruction after vulvar, vaginal, or anal cancer resection poses a formidable task for reconstructive surgeons because of the functional, locational, and cosmetic importance of this region. Although numerous flaps have been designed for vulvar reconstruction, each has its disadvantages.MethodsThe authors introduce the local fasciocutaneous infragluteal (FCI) flap for vulvar and vaginal reconstruction after tumor resection, vaginal scar obliteration, and vulvar ulceration in 15 patients operated on between 1999 and 2007. The FCI flap is supplied by the cutaneous branch of the descending branch of the inferior gluteal artery. The sensory supply of this flap comes from side branches of the posterior cutaneous nerve of the thigh. A total of 17 flaps were performed in 15 patients.ResultsExcept for one, all flaps survived. One flap necrosis occurred because of false postoperative position with compression and tension to the vascular pedicle. In the remaining patients, we found one local cancer recurrence with necessity of a second flap from the contralateral side. The patients report satisfaction with reconstruction, without one having pain at donor site and recurrent vaginal ulceration.ConclusionsThis article discusses the expanding indications of this versatile flap and the operative technique of the local FCI flap for reconstruction of vulvar and partial vaginal defects. It can be raised in different volume and dimension out of possible irradiated area with an inconspicuous scar.

INTRANEURAL PERINEURIOMA OF THE VIIITH CRANIAL NERVE

Neurosurgery ◽  
2007 ◽  
Vol 61 (3) ◽  
pp. E652-E652 ◽  
Author(s):  
Mattheos Christoforidis ◽  
Ralf Buhl ◽  
Werner Paulus ◽  
Abolghassem Sepehrnia
Keyword(s):  
Cranial Nerve ◽  
Tumor Resection ◽  
Magnetic Resonance Imaging Scan ◽  
En Bloc ◽  
Tumor Mass ◽  
Nerve Tumor ◽  
First Case ◽  
Intraneural Perineurioma ◽  
History Of ◽  
Viiith Cranial Nerve

Abstract OBJECTIVE The authors describe the clinical and pathological features of the second reported case of an intraneural perineurioma involving a major intracranial nerve and the first case of this entity involving the VIIIth cranial nerve. CLINICAL PRESENTATION A 59-year-old woman presented with a long history of dizziness, tinnitus, hearing loss, and unstable gait. A magnetic resonance imaging scan revealed a small intrameatal lesion, which showed no clear progression from 2000 to 2006. INTERVENTION As a result of worsening symptoms and a suspected vestibular schwannoma, an attempt of tumor resection through a retrosigmoid approach was performed. This revealed diffusely infiltrated and fusiform enlarged vestibular and cochlear nerves, with no identifiable border between the main tumor mass and normal nerve. An en bloc nerve-tumor mass excision was performed. The pathological findings confirmed the diagnosis of an intraneuronal perineurioma. CONCLUSION The experience with this unique case and the experience of others with the management of extracranial intraneural perineuriomas lead the authors to conclude that the most reasonable surgical management of this tumor at this location is a nerve-tumor cross-section resection.

Prolonging Nerve Grafts Using Chemical Extracted Muscle-in-vein with Vein Window Method Chemical acellular nerve grafts

2018 ◽  
Vol 68 (12) ◽  
pp. 2936-2940
Author(s):  
Irina Mihaela Jemnoschi Hreniuc ◽  
Camelia Tamas ◽  
Sorin Aurelian Pasca ◽  
Bogdan Ciuntu ◽  
Roxana Ciuntu ◽  
...  
Keyword(s):  
Classical Group ◽  
Donor Site ◽  
Good Alternative ◽  
Nerve Graft ◽  
Male Rats ◽  
Chemical Extraction ◽  
Nerve Grafting ◽  
Nerve Grafts ◽  
Local Resources ◽  
Window Method

Nerve injuries are a common pathology in hand trauma. The consequences are drastic both for patients and doctors/medical system. In many cases direct coaptation is impossible. A nerve graft should be used in the case of a neuroma, trauma or tumor, for restoration of nervous influx. The aim of this study is demonstrate that by grafting restant nerve stumps with muscle-in-vein nerve grafts we obtain good result in terms of functional and sensibility recovery and also our method �window-vein� is a good way of prolonging nerve grafts. The method of study is experimental. We worked in the laboratory in optimal conditions for carrying out of muscles-in-vein nerve grafts (nerve grafts size 1.5 cm-3 cm). We used acellular muscle grafts with the chemical extraction method.The study was conducted on experimental animals (Wistar male rats).We used 30 experience animals in 3 equal groups (classical group and muscle-in-vein nerve grafts-2 nerve grafts of 1,5 cm central sutured and the third group with muscle-in-vein nerve grafts, window-vein method, 3 cm). At 4 and respectively 6 weeks postoperative at the quality tests we observed the progress with the footprint test. The operated hind in comparison with the healthy hind was 86% recovered and similar with classic nerve grafts. Quantitatively the number of regenerated axons in the group with muscle-in-vein nerve grafts was significant bigger in comparison with the classical group (15%).The method using muscle-in-vein nerve graft with windows-vein it�s a good alternative for nerve grafting in comparison with classical nerve grafting. When the local possibilities are limited, this method is good for prolonging the grafts. The relationship between cost and benefit in this case it�s an advantage because we use the local resources of the affected area. The motor results of nerve grafting ingroup 2 in comparison with group 3 were similar and in some cases better in group 1. Grafting with MVNG offers a better alternative for donor site regeneration in comparison with classical nerve grafts. This method is useful to prolong nerve grafts without adding morbidity.

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