Publications by authors named "M C Hazewinkel"

Importance: During gender-affirming mastectomy, nerves are transected, resulting in sensory loss. Nerve preservation using targeted nipple-areola complex (NAC) reinnervation (TNR) may restore sensation.

Objective: To determine the quantitative and patient-reported sensory outcomes of TNR.

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Introduction: Although nerve decompression surgery has proven to be effective in reducing symptoms in patients with head and neck neuralgia and headache disorders, it is currently not part of the treatment algorithms for headache disorders. Therefore, patients wait an average of 20 years from the onset of symptoms to surgery, resulting in high conservative treatment costs ($989,275.65 per patient) and patient morbidity.

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Article Synopsis
  • Ganglion excision is a surgical procedure done for pain relief, functionality, or cosmetic improvements, with recurrence rates between 9-20%.
  • This study analyzed data from 1,076 patients on their recurrence and reoperation rates after ganglion excision, finding a low reoperation rate of 3.3% and a recurrence rate of 13%.
  • Patient-reported outcomes showed good functional scores and minimal ongoing pain, with females reporting slightly higher scores on pain and disability assessments.
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Introduction: This study analyzed the etiologies and treatment of iatrogenic occipital nerve injuries.

Methods: Patients with occipital neuralgia (ON) who were screened for occipital nerve decompression surgery were prospectively enrolled. Patients with iatrogenic occipital nerve injuries who underwent nerve decompression surgery were identified.

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Purpose Of Review: This review article critically evaluates the latest advances in the surgical treatment of headache disorders.

Recent Findings: Studies have demonstrated the effectiveness of innovative screening tools, such as doppler ultrasound, pain drawings, magnetic resonance neurography, and nerve blocks to help identify candidates for surgery. Machine learning has emerged as a powerful tool to predict surgical outcomes.

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