keyword
https://read.qxmd.com/read/37921469/an-investigation-into-whether-the-facial-nerve-and-auditory-nerve-can-be-protected-by-removal-of-the-posterior-wall-of-the-internal-auditory-canal-under-30%C3%A2-neuroendoscopy-during-vestibular-schwannoma-surgery
#21
JOURNAL ARTICLE
Siming Yang, Jianbiao Wang, Chi Yang, Zhengyuan Li, Yang Qiao, Cunzhi Wang, Jingtao Wang, Wenming Hong, Bin Wang
The aim of this study was to evaluate the surgical technique of microresection of vestibular schwannoma by removing the posterior wall of the internal auditory canal (IAC) under neuroelectrophysiological monitoring and 30° neuroendoscopy, with respect to the protection of facial and auditory nerve function. Forty-five cases of microscopic resection of auditory neuromas were performed through a posterior approach to the inferior occipital sigmoid sinus using a 30° neuroendoscope to assist in the removal of the posterior wall of the IAC during surgery...
November 3, 2023: Journal of Craniofacial Surgery
https://read.qxmd.com/read/37900512/the-double-opposing-adipofascial-interposition-flap-a-novel-technique-to-prevent-scar-tethering-and-symptomatic-neuroma-of-the-superficial-radial-nerve-after-trauma
#22
JOURNAL ARTICLE
Chane Kulenkampff, Rajan Choudhary, Niall O'Hara, Samuel George
The superficial radial nerve (SRN) is vulnerable to injury following trauma with a high incidence of resultant nerve tether and neuroma formation. The SRN has an anatomical predisposition to neuroma formation, with research indicating that its propensity to neuroma development is out of proportion with its likelihood for injury. In addition, SRN neuromas have been described as one of the more painful and difficult neuromas to manage. Despite this, the published literature to date is chiefly focused on neuroma and scar tether treatment options rather than more impactful work on neuroma prevention, which can be safely delivered at the time of primary surgery...
September 2023: Curēus
https://read.qxmd.com/read/37864051/improving-outcomes-in-traumatic-peripheral-nerve-injuries-to-the-upper-extremity
#23
JOURNAL ARTICLE
Kim S Zimmermann, Martin Aman, Leila Harhaus, Arne H Boecker
Peripheral nerve lesions of the upper extremity are common and are associated with devastating limitations for the patient. Rapid and accurate diagnosis of the lesion by electroneurography, neurosonography, or even MR neurography is important for treatment planning. There are different therapeutic approaches, which may show individual differences depending on the injured nerve. If a primary nerve repair is not possible, several strategies exist to bridge the gap. These may include autologous nerve grafts, bioartificial nerve conduits, or acellular nerve allografts...
October 21, 2023: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/37851396/biology-and-pathophysiology-of-symptomatic-neuromas
#24
JOURNAL ARTICLE
Charles D Hwang, Yannick Albert J Hoftiezer, Floris V Raasveld, Barbara Gomez-Eslava, E P A van der Heijden, Selwyn Jayakar, Bryan James Black, Benjamin R Johnston, Brian J Wainger, William Renthal, Clifford J Woolf, Kyle R Eberlin
Neuromas are a substantial cause of morbidity and reduction in quality of life. This is not only caused by a disruption in motor and sensory function from the underlying nerve injury but also by the debilitating effects of neuropathic pain resulting from symptomatic neuromas. A wide range of surgical and therapeutic modalities have been introduced to mitigate this pain. Nevertheless, no single treatment option has been successful in completely resolving the associated constellation of symptoms. While certain novel surgical techniques have shown promising results in reducing neuroma-derived and phantom limb pain, their effectiveness and the exact mechanism behind their pain-relieving capacities have not yet been defined...
October 17, 2023: Pain
https://read.qxmd.com/read/37842076/the-reset-neurotomy-within-a-nonidentifiable-zone-of-injury-after-trauma
#25
Lauren L Schnack, Edgardo R Rodriguez-Collazo, Stephanie A Oexeman, Andrew J Costa
Recent reconstructive approaches to peripheral nerve surgery have been directed toward active approaches; one such approach is nerve grafting the injured nerve segment. Addressing a nerve injury proximal to the zone of injury has demonstrated reproducible results in preventing symptomatic neuroma formation. A 53-year-old woman with a history of an ankle fracture presented with neuritic symptoms that interfered with her activities of daily living. Her intractable pain was significantly but temporarily relieved with in-office nerve blocks to the superficial peroneal nerve and sural nerve...
October 2023: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/37813009/brazilian-society-of-otology-task-force-vestibular-schwannoma-%C3%A2-evaluation-and-treatment
#26
REVIEW
Vagner Antonio Rodrigues Silva, Joel Lavinsky, Henrique Furlan Pauna, Melissa Ferreira Vianna, Vanessa Mazanek Santos, Cláudio Márcio Yudi Ikino, André Luiz Lopes Sampaio, Paula Tardim Lopes, Pauliana Lamounier, André Souza de Albuquerque Maranhão, Vitor Yamashiro Rocha Soares, José Fernando Polanski, Mariana Moreira de Castro Denaro, Carlos Takahiro Chone, Ricardo Ferreira Bento, Arthur Menino Castilho
OBJECTIVE: To review the literature on the diagnosis and treatment of vestibular schwannoma. METHODS: Task force members were educated on knowledge synthesis methods, including electronic database search, review and selection of relevant citations, and critical appraisal of selected studies. Articles written in English or Portuguese on vestibular schwannoma were eligible for inclusion. The American College of Physicians' guideline grading system and the American Thyroid Association's guideline criteria were used for critical appraisal of evidence and recommendations for therapeutic interventions...
August 28, 2023: Brazilian Journal of Otorhinolaryngology
https://read.qxmd.com/read/37751885/cryoanalgesia-review-with-respect-to-peripheral-nerve
#27
JOURNAL ARTICLE
Benjamin R Slavin, Moses I Markowitz, Kevin M Klifto, Frank J Prologo, Susan M Taghioff, A Lee Dellon
BACKGROUND: Cryoanalgesia is a tool being used by interventional radiology to treat chronic pain. Within a certain cold temperature range, peripheral nerve function is interrupted, and recovers, without neuroma formation. Cryoanalgesia has most often been applied to the intercostal nerve. Cryoanalgesia has applications to peripheral nerve surgery, yet is poorly understood by reconstructive microsurgeons. METHODS: Histopathology of nerve injury was reviewed to understand cold applied to peripheral nerve...
September 26, 2023: Journal of Reconstructive Microsurgery
https://read.qxmd.com/read/37719491/a-muscle-preserving-short-transverse-incision-for-unicompartmental-knee-arthroplasty-a-technical-note
#28
JOURNAL ARTICLE
Sho Tanaka, Takafumi Hiranaka, Yasuhiro Fukai, Takahiro Okajima, Tatsuhiko Kanno
We describe the use of a short transverse incision technique with muscle retention for unicompartmental knee arthroplasty (UKA). The incision is made transversely just above the joint line, followed by a detachment of subcutaneous soft tissue from the underlying capsule and fascia to create a mobile window. The fascia is incised along the medial border of the vastus medialis and the capsule of the suprapatellar pouch is incised laterally, preserving vastus medialis muscle. All procedures are performed within the mobile window while controlling the knee flexion angle...
August 2023: Curēus
https://read.qxmd.com/read/37700356/treatment-options-for-digital-nerve-injury-a-systematic-review-and-meta-analysis
#29
Yi Zhang, Nianzong Hou, Jian Zhang, Bing Xie, Jiahui Liang, Xiaohu Chang, Kai Wang, Xin Tang
BACKGROUND: Surgical treatment of finger nerve injury is common for hand trauma. However, there are various surgical options with different functional outcomes. The aims of this study are to compare the outcomes of various finger nerve surgeries and to identify factors associated with the postsurgical outcomes via a systematic review and meta-analysis. METHODS: The literature related to digital nerve repairs were retrieved comprehensively by searching the online databases of PubMed from January 1, 1965, to August 31, 2021...
September 12, 2023: Journal of Orthopaedic Surgery and Research
https://read.qxmd.com/read/37674248/effect-of-surgical-approach-on-the-treatment-of-morton-s-neuroma-a-systematic-review-and-meta-analysis
#30
REVIEW
Jiayao Zhang, Jing Li, Wufeng Cai, Kaiwen Zheng, Xihao Huang, Xin Rong, Qi Li
BACKGROUND: Surgical resection of Morton's neuroma includes dorsal and plantar approaches. However, there is no consensus on the choice of approach in clinic. The purpose of this study was to conduct a systematic review and meta-analysis to compare the surgical results of dorsal and plantar approaches. METHODS: The literatures of PubMed, Cochrane library, Embase and Web of Science were searched on April 26th, 2023. A systematic review was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines...
September 7, 2023: Journal of Foot and Ankle Research
https://read.qxmd.com/read/37620955/regenerative-peripheral-nerve-interface-reduces-the-incidence-of-neuroma-in-the-lower-limbs-after-amputation-a-retrospective-study-based-on-ultrasound
#31
JOURNAL ARTICLE
Zhiyu Lin, Ping Yu, Zheng Chen, Guangxue Li
BACKGROUND: Amputees suffer from symptomatic neuroma and phantom limb pain. Regenerative peripheral nerve interface (RPNI) has recently been regarded as an effective method to prevent neuroma after amputation. However, the verifications of RPNI efficacy are mostly based on subjective evaluation, lacking objective approaches. This study aims to unveil the effect of RPNI on preventing neuroma formation and provide evidence supporting the efficacy of RPNI based on ultrasound. METHODS: Amputees of lower limb at Peking University People's Hospital from July 2020 to March 2022 were analyzed retrospectively...
August 24, 2023: Journal of Orthopaedic Surgery and Research
https://read.qxmd.com/read/37597328/the-effect-of-symptomatology-and-mental-wellbeing-on-quality-of-life-in-people-with-acoustic-neuroma
#32
JOURNAL ARTICLE
Alicja Nowacka, Suzanne Barker-Collo, Anna Miles, Lior Ben-Harosh
INTRODUCTION: Acoustic neuroma (AN) research largely employs a medical framework to understand health outcomes. An alternative is to examine quality of life (QOL) outcomes. This study explored whether mental well-being (i.e., anxiety and depression) were predictive of QOL in those with AN over and above symptomatology. METHODS: A nationwide online survey was distributed to 24 community organisations. The inclusion criteria were a diagnosis of AN irrespective of the treatment approach...
October 2023: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://read.qxmd.com/read/37564478/postauricular-transcanal-posterior-tympanectomy-pt-2-approach-a-modified-surgical-technique-for-jugulotympanic-paragangliomas
#33
JOURNAL ARTICLE
Naresh K Panda, Gyanranjan Nayak
Introduction  The surgical management of jugulotympanic paragangliomas has remained challenging. They are the second most common type of tumor of the temporal bone after acoustic neuroma. It has been noticed by the authors that the jugulotympanic paragangliomas may have extensions to the epitympanum and aditus in addition to the mesotympanum and hypotympanum. The modified technique could be an alternative to the conventional facial recess technique for complete removal of the tumors. Objective  To highlight the modified surgical technique for the surgical treatment of jugulotympanic paragangliomas...
July 2023: International Archives of Otorhinolaryngology
https://read.qxmd.com/read/37518823/ultrasound-guided-injections-in-ankle-and-foot
#34
JOURNAL ARTICLE
Fernando Ruiz Santiago, Beatriz Moraleda Cabrera, Antonio Jesús Láinez Ramos-Bossini
Ultrasound guidance is particularly useful for percutaneous injections in the diagnosis and management of painful conditions of the ankle and foot. The injectates used include steroids and local anesthetics, such as lidocaine, mepivacaine, bupivacaine, ropivacaine, and platelet-rich plasma. Osteoarthritis is the main indication for joint injections. Joints amenable to being injected include the tibiotalar, subtalar, midtarsal, and metatarsophalangeal joints. Tendon injections mainly involve the Achilles, peroneus, extensors, and tibialis tendons, while plantar fascia injections are useful for treating plantar fasciitis and plantar fibromatosis...
July 30, 2023: Journal of Ultrasound
https://read.qxmd.com/read/37510755/infiltrative-type-i-collagen-in-the-treatment-of-morton-s-neuroma-a-mini-series
#35
Federico Giarda, Adele Agostini, Stefano Colonna, Luciana Sciumè, Alberto Meroni, Giovanna Beretta, Davide Dalla Costa
Morton's neuroma (MN) is a compressive neuropathy of the common plantar digital nerve, most commonly affecting the third inter-digital space. The conservative approach is the first recommended treatment option. However, other different approaches have been proposed, offering several options of treatments, where, several degrees of efficacy and safety have been reported. We treated five consecutive patients affected by MN through three indirect ultrasound-guided injections of type I porcine collagen at weekly intervals...
July 12, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37489378/prognostic-factors-for-hearing-preservation-surgery-in-small-vestibular-schwannoma
#36
REVIEW
Stefano Concheri, Alessandra Deretti, Giulia Tealdo, Elisabetta Zanoletti
OBJECTIVE: to evaluate recent contributions to the literature on prognostic factors of hearing preservation in small vestibular schwannoma microsurgery. METHODS: review of the most recent studies. RESULTS: factors such as tumor size, preoperative hearing status, tumor growth rate, tumor origin, surgical approach, radiological characteristics, results of preoperative neurophysiological tests, preoperative symptoms and demographic features have been investigated and some of them reported to be significant in the prediction of hearing preservation...
July 3, 2023: Audiology Research
https://read.qxmd.com/read/37477149/outcomes-of-surgical-treatment-for-sural-neuritis-a-retrospective-case-series
#37
JOURNAL ARTICLE
Chris C Cychosz, Joshua Eisenberg, Natalie Glass, Ignacio Fleury, Joseph A Buckwalter V, Phinit Phisitkul, John E Femino
BACKGROUND: Somatic nerve pain is one of the most common complications following surgery of the foot and ankle but may also arise following traumatic injury or chronic nerve compression. The sural nerve is a commonly affected nerve in the foot and ankle; it is at risk given the proximity to frequently used surgical approaches, exposure to crush injuries, and traction from severe ankle inversion injuries. The purpose of this study is to investigate the outcomes of sural nerve neurectomy with proximal implantation for sural neuromas (SN) and chronic sural neuritis (CSN)...
July 21, 2023: Foot & Ankle International
https://read.qxmd.com/read/37342182/association-of-extent-of-resection-on-recurrence-free-survival-and-functional-outcome-in-vestibular-schwannoma-of-the-elderly
#38
JOURNAL ARTICLE
Sophie Shih-Yüng Wang, Kathrin Machetanz, Florian Ebner, Georgios Naros, Marcos Tatagiba
BACKGROUND: Despite the ongoing debate on the risk-benefit ratio of vestibular schwannoma (VS) treatment options, watchful observation and radiation are usually favored in the elderly (>65 years). If surgery is inevitable, a multimodal approach after deliberate subtotal resection has been described as a valid option. The relationship between the extent of resection (EOR) of surgical and functional outcomes and recurrence-free survival (RFS) remains unclear. This present study aims to evaluate the functional outcome and RFS of the elderly in relation to the EOR...
2023: Frontiers in Oncology
https://read.qxmd.com/read/37320888/intraoperative-venous-congestion-and-brainstem-venous-hemorrhagic-infarction-during-retrosigmoid-for-acoustic-neuroma
#39
Eva M Wu, Ahmed Abdelsalam, Jacques J Morcos
Venous hemorrhagic infarction is rare but can occur during acoustic neuroma resection [1-5]. We present the case of a 27-year-old male with 1.5 years of progressive headaches, tinnitus, imbalance and hearing loss. Imaging revealed a left Koos 4 acoustic neuroma. The patient underwent a retrosigmoid approach for resection. During surgery, a vein of significant size within the capsule of the tumor was encountered and was necessary to take to proceed with resection. After coagulation of the vein, intraoperative venous congestion with cerebellar edema and hemorrhagic infarction ensued, requiring resection of a portion of the cerebellum...
June 10, 2023: Clinical Neurology and Neurosurgery
https://read.qxmd.com/read/37318571/trigeminal-schwannoma-surgery-challenges-in-preserving-facial-sensation
#40
JOURNAL ARTICLE
Ken Matsushima, Michihiro Kohno
Treatments of schwannoma have dramatically improved in the previous few decades, but preservation of the functions of the originating nerve, such as facial sensation in trigeminal schwannomas, still remains challenging. As the preservation of facial sensation in trigeminal schwannomas has not been analyzed in detail, we here review our surgical experience of more than 50 trigeminal schwannoma patients, particularly focusing on their facial sensation. Since the facial sensation in each trigeminal division showed a different perioperative course even in a single patient, we investigated patient-based outcomes (average of the three divisions in each patient) and division-based outcomes separately...
2023: Advances and Technical Standards in Neurosurgery
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