OBJECTIVES/HYPOTHESIS To describe a modified facial nerve reconstruction technique for complex defects of the facial fan after parotid surgery that avoids synkinesis between upper and lower face. STUDY DESIGN Retrospective case series. METHODS Patients who had undergone radical parotidectomy with a large defect of the facial fan, reconstruction of the upper face by facial nerve interpositio...

Purpose: Proprioception is a part of the somatosensory system responsible for sending information to the central nervous system to monitor the status of various body parts relative to each another. One of the main causes of impaired proprioception is fatigue. In the following study, the effects of fatigue on quadriceps muscle and hence on knee proprioception in healthy subjects was studied.&nbs...

In tetraplegia, hand reconstruction is of high priority. Key pinch has been advocated for tetraplegia because the lack donors nerve and tendon transfers. We report a patient with mid-cervical who underwent transfers in right left upper limbs seven months post-injury to reconstruct function. The particularity our case resides left-hand thumb index pulp-to-pulp reconstruction. For this, we transf...

Adenoid cystic carcinoma of the parotid gland is a rare and slowly growing, but highly malignant tumor. Surgical resection of a malignant parotid tumor should include resection of the facial nerve when the nerve is involved in the tumor. Facial nerve reconstruction is required after nerve resection. A 14 year-old female presented with complaints of painless enlargement of the right parotid glan...

Background: Our aim was to investigate the motor outcome, effects on the diaphragm muscle, and delimit the regained nerve conduction capacity of the transected phrenic nerve, following its reconstruction to prepare the subjects to electrophrenic respiration. Methods: All one-year-old 12 healthy pigs (German Landrace) weighing 45 to 50 kg were used in the study. Three groups, each of which consi...

Prevention of the atrophy of denervated muscles is essential for a good outcome in facial contouring and oral reconstruction. In this study, we compared the effectiveness of end-to-end and end-to-side neurorrhaphy of the motor nerve, and end-to-end neurorrhaphy of the sensory nerve, all of which are frequently used in such reconstruction for the prevention of muscle atrophy. Wistar rats were di...

UNLABELLED BACKGROUND The aim was to evaluate what can be learned from rat models when treating patients suffering from a sciatic nerve injury. METHODS Two patients with traumatic sciatic nerve injury are presented with examination of motor and sensory function with a five-year follow-up. Reconstruction of the nerve injury was performed on the second and third day, respectively, after inju...

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...

BACKGROUND The purpose of this article is to evaluate a new method of DIEP flap neurotization using a reliably located recipient nerve. We hypothesize that neurotization by this method (with either nerve conduit or direct nerve coaptation) will have a positive effect on sensory recovery. METHODS Fifty-seven deep inferior epigastric perforator (DIEP) flaps were performed on 35 patients. Neurot...

INTRODUCTION Repair of peripheral nerve injuries is an intensive area of challenge and research in modern reconstructive microsurgery. Intensive research is being carried out to develop effective alternatives to the standard nerve autografting, avoiding its drawbacks. The aim of the study was to evaluate the effectiveness of a newly designed mechanical device for the reconstruction of the sciat...