Reset Neurectomy for Cutaneous Nerve Injuries. Issue 2 (February 2021)

• Record Type: Journal Article
• Authors: Eberlin, Kyle R.; Pickrell, Brent B.; Hamaguchi, Ryoko; Hagan, Robert R.
• Is Part Of: Plastic and reconstructive surgery. Volume 9:Issue 2(2021)
• Publication Date: 2021-02
• Subjects: Surgery, Plastic -- Periodicals; Surgery, Plastic -- Periodicals; Reconstructive Surgical Procedures -- Periodicals; 617.95205
• DOI: 10.1097/GOX.0000000000003401
• Languages: English
• ISSNs: 2169-7574

Abstract

Abstract : Summary: Diffuse cutaneous nerve injuries, often caused by a crush mechanism, are challenging for the nerve surgeon. Discrete nerve transections and focal neuromas are easier to identify and have a more distinct treatment algorithm. Following crush injury to a noncritical sensory nerve, a successful local anesthetic block proximal to the injury may help determine the possibility of surgical intervention. In these cases, we describe a technique of "reset neurectomy" whereby a neurectomy is performed proximal to the zone of injury, and immediate repair or reconstruction (with or without a nerve graft) is performed. This technique may be useful in cases of diffuse, nontransection nerve injuries in which neuropathic pain is the primary symptom.