Abstract The case presented here is a delayed reconstruction of facial nerve defect after radical parotidectomy without useful stump at the stylomastoid foramen. A composite free flap was used to reconnect nerve’s intrapetrous portion peripheral branches and reconstruct soft-tissue deficit.

IMPORTANCE Damage to the recurrent laryngeal nerve (RLN) is highly detrimental to voice, swallow, and cough. The optimal method for reconstitution of a nerve gap after injury is unknown. OBJECTIVE To evaluate multiple methods of RLN reconstruction. DESIGN, SETTING, AND PARTICIPANTS This study used an established canine model of RLN injury to examine purpose-bred, conditioned, female, 20-kg ...

Vestibular schwannoma (VS) usually present the widening of internal auditory canal (IAC), and these bony changes are typically limited to IAC, not extend to temporal bone. Temporal bone invasion by VS is extremely rare. We report 51-year-old man who revealed temporal bone destruction beyond IAC by unilateral VS. The bony destruction extended anteriorly to the carotid canal and inferiorly to the...

BACKGROUND Long-gap peripheral nerve defects arising from tumor, trauma, or birth-related injuries requiring nerve reconstruction are currently treated using nerve autografts and nerve allografts. Autografts are associated with limited supply and donor-site morbidity. Allografts require administration of transient immunosuppressants, which has substantial associated risks. To overcome these lim...

Objective: Uncontrolled postoperative pain and nausea and vomiting are the most common causes for hospital admission following ambulatory anterior cruciate ligament (ACL) reconstruction. Therefore, finding techniques that provide excellent postoperative pain control is of critical importance. This retrospective study compared patients who received preoperative femoral nerve blockade to those wh...

conclusions zebris movement analysis system is a highly reliable instrument for the measurement of gait parameters at different speeds in healthy athletes and those after acl reconstruction surgery. this implies its use in the assessment and treatment process of gait deficits in such a clinically important population. background reconstruction surgery is one of the treatment methods after an an...

BACKGROUND After complete five-level root brachial plexus injury, free functional muscle transfer and intercostal nerve transfer to the musculocutaneous nerve are two potential reconstructive options for elbow flexion. The aim of this study was to determine the outcomes of free functional muscle transfer versus intercostal nerve-to-musculocutaneous nerve transfers with respect to strength. ME...

Peripheral nerve injuries (PNI) in the lower extremity are an uncommon but highly morbid condition. Recent advances our understanding of physiology and microsurgical techniques have inspired renewed faith surgery sparked a creative renaissance tools, approaches, reconstructive schemas available to surgeons management PNIs. In this article, we review literature provide principles-based approach ...

BACKGROUND The exact role of proximal and distal nerve transfers in reconstruction strategies of brachial plexus injury remains controversial. We compared proximal with distal nerve reconstruction strategies in a rat model of brachial plexus injury. METHODS In rats, the C6 spinal nerve with a nerve graft (proximal nerve transfer model, n = 30, group A) and 50% of ulnar nerve (distal nerve tra...