End-to-side neurorrhaphy as a salvage procedure for irreparable nerve injuries: Technical note

After a few reports on end-to-side nerve repair at the beginning of the last century, the technique was put aside until its recent reintroduction. The authors present their results in three patients with median nerve defects that were between 15 and 22 cm long and treated using end-to-side median-to...

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Bibliographic Details
Published in:	Journal of neurosurgery Vol. 99; no. 1; pp. 180 - 185
Main Authors:	ÖGÜN, Tuns C, ÖZDEMIR, Mustafa, SENARAN, Hakan, ÜSTÜN, Mehmet E
Format:	Journal Article
Language:	English
Published:	Park Ridge, IL American Association of Neurological Surgeons 01-07-2003
Subjects:	Adolescent Adult Biological and medical sciences Child Cranial nerves. Peripheral nerves. Autonomic nervous system Electromyography Female Humans Injuries of the nervous system and the skull. Diseases due to physical agents Male Median Nerve - injuries Median Nerve - surgery Medical sciences Muscle, Skeletal - innervation Nerve Endings - surgery Neurosurgery Neurosurgical Procedures - methods Reconstructive Surgical Procedures - methods Recovery of Function Salvage Therapy - methods Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Transplantation, Autologous Traumas. Diseases due to physical agents Ulnar Nerve - surgery Human Nervous system diseases Cubital nerve Surgical anastomosis ulnar nerve Trauma Treatment Surgery end-to-side nerve repair Median nerve Peripheral nerve disease Technique neurorrhaphy
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Summary:	After a few reports on end-to-side nerve repair at the beginning of the last century, the technique was put aside until its recent reintroduction. The authors present their results in three patients with median nerve defects that were between 15 and 22 cm long and treated using end-to-side median-to-ulnar neurorrhaphy through an epineurial window. The follow-up times were between 32 and 38 months. Sensory evaluation involved superficial touch, pinprick, and two-point discrimination tests. Motor evaluation was completed by assessing the presence of opposition and by palpating the abductor pollicis brevis muscle. Sensory recovery was observed in all patients in the median nerve dermatome, and motor recovery was absent, except in Case 1. End-to-side nerve repair can be a viable alternative to nerve grafting in patients with long gaps between the ends of the injured nerve.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0022-3085 1933-0693
DOI:	10.3171/jns.2003.99.1.0180