Vascularized Nerve Bypass Graft: A Case Report of an Additional Treatment for Poor Sensory Recovery. Issue 4 (April 2016)

• Record Type: Journal Article
• Authors: Usami, Satoshi; Tanaka, Kentaro; Ohkubo, Alisa; Okazaki, Mutsumi
• Is Part Of: Plastic and reconstructive surgery. Volume 4:Issue 4(2016:Apr.)
• Publication Date: 2016-04
• Subjects: Surgery, Plastic -- Periodicals; Surgery, Plastic -- Periodicals; Reconstructive Surgical Procedures -- Periodicals; 617.95205
• DOI: 10.1097/GOX.0000000000000673
• Languages: English
• ISSNs: 2169-7574

Abstract

Abstract : Summary: End-to-side neurorrhaphy has proven effective in basic research and in clinical application. One of the methods of end-to-side neurorrhaphy, nerve bypass technique, has been reported and axon regeneration has been proven. In clinical application, the utility of the nerve bypass technique has been revealed in some cases; however, these bypasses were performed using nonvascularized nerves. We initially used the vascularized nerve bypass graft technique with the sural nerve as a secondary clinical procedure after median nerve injury in a 61-year-old patient and achieved motor and sensory nerve regeneration, as supported by a nerve conduction study and clinical sensory test. This technique has the potential to become one of the choices for salvage procedure of severe nerve injury.