Diaphragm plication following phrenic nerve injury

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منابع مشابه

Diaphragm plication following phrenic nerve injury: a comparison of paediatric and adult patients.

BACKGROUND A study was undertaken to evaluate whether adults differ from children in the indications and outcome of diaphragmatic plication following phrenic nerve injury. METHODS A retrospective study was performed of 21 patients, 10 below the age of 5 and 11 older than 37 years. The indication for surgery for all the children was failure to wean from ventilatory support. The indications for...

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Phrenic nerve injury after paediatric heart surgery: is aggressive plication of the diaphragm beneficial?

OBJECTIVES Phrenic nerve injury after paediatric heart surgery is associated with significant morbidity. Surgical plication of the diaphragm is believed to be beneficial to the patient, with difficult weaning from ventilation; however, the optimal timing remains unclear. We aimed to compare the outcome after two different strategies for treating hemidiaphragmatic paresis. METHODS A retrospect...

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Reinnervation of the paralyzed diaphragm: application of nerve surgery techniques following unilateral phrenic nerve injury.

BACKGROUND Unilateral phrenic nerve injury often results in symptomatic hemidiaphragm paralysis, and currently few treatment options exist. Reported etiologies include cardiac surgery, neck surgery, chiropractic manipulation, and interscalene nerve blocks. Although diaphragmatic plication has been an option for treatment, the ideal treatment would be restoration of function to the paralyzed hem...

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Phrenic nerve injury following blunt trauma.

Phrenic nerve trauma in the absence of direct injury is unusual and may present diagnostic difficulty. Diaphragmatic paralysis resulting from phrenic nerve injury may closely mimic diaphragmatic rupture. This case highlights the value of magnetic resonance imaging in establishing diaphragmatic integrity and of ultrasonographic assessment during respiratory excursion in confirming diaphragmatic ...

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Passive stretch of the diaphragm following unilateral phrenic nerve stimulation.

MASMOUDI et al. [1] reported an exciting pilot study on the beneficial effects of unilateral phrenic nerve stimulation on diaphragm muscle trophicity and structure in mechanically ventilated sheep. They observed that, during 72 h of mechanical ventilation, stimulation sessions of 30 min at 4-h intervals attenuated the development of muscle fibre atrophy in the stimulated hemidiaphragm. Fibres f...

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ژورنال

عنوان ژورنال: Thorax

سال: 2003

ISSN: 0040-6376

DOI: 10.1136/thorax.58.5.460-a