Reinnervation of the Diaphragm After Bilateral Phrenic Nerve Resection and Immediate Reconstruction Using a Contralateral Phrenic Nerve Autograft.

Abstract:

:A patient affected by a voluminous synovial sarcoma of mediastinum received radical surgery, resulting in injury of both phrenic nerves. Because of the cancer location, reconstruction of the left phrenic nerve was not possible, so to prevent the patient's ventilator dependence, the right phrenic nerve was reconstructed via an autograft from the residual proximal stump of the contralateral one. In 3 months, the right hemidiaphragm function showed a full recovery, documented by ultrasonographic and radiographic assessment of diaphragmatic excursion, and the patient was weaned from mechanical ventilation. When a nerve autograft is indicated, the sural nerve still remains the criterion standard, because of the low morbidity of the donor site and ease of harvesting; however, in particular situations, such as in this unique case, the choice of an orthotopic graft may offer promising results.

journal_name

Ann Plast Surg

authors

Brunetti B,Morelli Coppola M,Crucitti P,Spinelli F,Stilo F,Longo F,Cortese L,Tenna S,Persichetti P

doi

10.1097/SAP.0000000000002543

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

527-530

issue

5

eissn

0148-7043

issn

1536-3708

journal_volume

85

pub_type

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