Prevention and Management of Painful Neuroma

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概要

• 論文の詳細を見る

• Painful neuroma is a common sequela of peripheral nerve injury which is usually resistant to pharmacologic treatment and requires surgical intervention. The widely accepted methods of neuroma management prevent regrowth of nerve fibers, thus precluding any functional repair. The present study reviews the currently used methods and experimental approaches to prevent and cure neuromas developing after peripheral nerve injury. The main recommendations are as follows. Special care should be taken to minimize scar formation when operating on peripheral nerves. The laser or scissors transection methods should be used to cut the nerve rather than electrocoagulation or cryoneurolysis. Direct nerve reconstruction, or, if a gap occurs, nerve grafting, should be performed immediately after nerve injury. Surgical resection of recurrent neuroma followed by implantation of the nerve into the muscle or capping the nerve stump with epineural graft seems to be the most effective method of prevention.

• 日本脳神経外科学会の論文
• 2006-02-15

著者

• Kotulska Katarzyna

  Department Of Neurology And Epileptology The Children's Memorial Health Institute

• Kotulska Katarzyna

  Departments Of Physiology Medical University Of Silesia:departments Of Neurology Medical University

• Mandera Marek

  Departments Of Child Neurosurgery Medical University Of Silesia

• LEWIN KOWALIK

  Departments of Physiology, Medical University of Silesia

• MARCOL Wieslaw

  Departments of Physiology, Medical University of Silesia

• KLIMCZAK Andrzej

  Departments of Child Neurosurgery, Medical University of Silesia

• Lewin Kowalik

  Departments Of Physiology Medical University Of Silesia

• Marcol Wieslaw

  Departments Of Physiology Medical University Of Silesia:department Of Child Neurosurgery Medical Uni

• Klimczak Andrzej

  Departments Of Child Neurosurgery Medical University Of Silesia

関連論文

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• Similarity of Balloon Cells in Focal Cortical Dysplasia to Giant Cells in Tuberous Sclerosis
• Prevention and Management of Painful Neuroma
• Epidermal nevus syndrome and intraspinal hemorrhage

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