We present a rare case of traumatic lesion the tibial fibers sciatic nerve with spared peroneal fibers. A 33-year-old victim three month earlier stabbing attack came to our attention gait impairment and weakened left foot plantar flexion internal rotation supination. Based upon clinical signs neurophysiological investigations we suspected that injury had occurred. Ultrasound examination detecte...

The facial nerve is the most frequently damaged nerve in head and neck trauma. Patients undergoing facial nerve reconstruction often complain about disturbing abnormal synkinetic movements of the facial muscles (mass movements, synkinesis) which are thought to result from misguided collateral branching of regenerating motor axons and reinnervation of inappropriate muscles. Here, we examined whe...

IMPORTANCE Free muscle transfer innervated by a cross-facial nerve graft represents the criterion standard for smile reconstruction in facial paralysis. If primary reconstruction fails, a second muscle transfer is usually needed. Herein, we investigated the possibility of avoiding a second free muscle transfer by in situ coaptation of the gracilis muscle to the masseteric nerve. OBSERVATIONS ...

Autologous nerve transplantation (ANT) is the clinical gold standard for the reconstruction of peripheral nerve defects. A large number of bioengineered nerve guides have been tested under laboratory conditions as an alternative to the ANT. The step from experimental studies to the implementation of the device in the clinical setting is often substantial and the outcome is unpredictable. This i...

BACKGROUND Altered sensory information arising from damaged knee joint structures has been hypothesized as a contributing factor to persistent muscle dysfunction following injury. METHODS Composite femoral nerve sensory signal was measured in 24 rabbits randomly allocated (8 per group) to receive surgical anterior cruciate ligament (ACL) transection with or without autograft reconstruction or...

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 ...