Work

Reset Neurectomy for Cutaneous Nerve Injuries

Year: 2021

Type: article

Abstract: 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.

Source: Plastic & Reconstructive Surgery Global Open

DOI: 10.1097/gox.0000000000003401

Authors: Kyle R. Eberlin, Brent B. Pickrell, Ryoko Hamaguchi, Robert R. Hagan

Institutions: Harvard University, Massachusetts General Hospital

Language: English

Topic: Nerve Injury and Rehabilitation

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,195