PURPOSE Reinnervation of chronically denervated muscle is clinically unpredictable and poorly understood. Current operative strategies include either direct nerve repair, nerve grafting, nerve transfer, or neurotization. The goal of this study is to compare muscle recovery using microneural repair versus neurotization in a rat model of chronic denervation. METHODS Fifty-eight Sprague-Dawley r...

Contralateral C7 (CC7) neurotization has been an important approach for brachial plexus injury (BPI). Patients can achieve relatively good grasping function driven by the proximal extrinsic hand muscle (flexor digitorum, FD) after CC7 neurotization, whereas the thumb opposition function driven by the distal intrinsic muscle (abductor pollicis brevis, APB) is poor. The present study aimed to inv...

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...

PURPOSE We conducted a clinical study to evaluate the effects of neurotization, especially comparing the total contralateral C7 (CC7) root transfer to hemi-CC7 transfer, on total root avulsion brachial plexus injuries (BPI). METHODS Forty patients who received neurotization for BPI were enrolled in this prospective study. Group 1 (n = 20) received hemi-CC7 transfer for hand function, while gr...

METHODS: Retrospective chart review of single surgeon’s experience following repair of OBPI from June 1995 to June 2015. Twelve patients underwent nerve grafting +/neurotization of the upper trunk only while fourteen patients underwent repair of the upper trunk and neurotization of the suprascapular nerve. Shoulder abduction and ER were recorded preoperatively and postoperatively in degrees. Po...

OBJECTIVE To determine if selective reinnervation of the cricothyroid muscle could be achieved with muscle-nerve-muscle neurotization. DESIGN Case series. SETTING Tertiary referral center. PATIENTS Three consecutive patients with high vagal lesions that resulted in unilateral laryngeal paralysis. INTERVENTIONS Patients underwent laryngeal reinnervation with ansa hypoglossi to recurrent ...

Objectives This study is aimed at comparing the functional outcome of axillary nerve neurotization by a triceps motor branch through the axillary approach and posterior arm approach. Methods The study included 27 patients with post-traumatic brachial plexus injury treated with axillary nerve neurotization by a triceps motor branch for functional recovery of shoulder abduction and external rot...

METHODS: Retrospective chart review of single surgeon’s experience following repair of OBPI from June 1995 to June 2015. Twelve patients underwent nerve grafting +/neurotization of the upper trunk only while fourteen patients underwent repair of the upper trunk and neurotization of the suprascapular nerve. Shoulder abduction and ER were recorded preoperatively and postoperatively in degrees. Po...

Purpose To report a case of regained corneal sensation and function in a patient with neurotrophic keratopathy due to direct damage to the long ciliary nerves by performing a corneal neurotization procedure using ipsilateral supraorbital nerve. Surgical technique is described in detail as well as a review of the literature on corneal neurotization. Observations A patient with devastating corn...

The quality of work healthcare workers (doctors and nurses) is directly dependent on the state their psychological health, as well ability to adequately promptly respond occurrence pathological stress reactions neurotic disorders. In May-June 2020, 373 medical were interviewed in Sverdlovsk region, including 86 specialist doctors 287 paramedical involved treatment care patients with coronavirus...