AI Article Synopsis
- The study analyzed outcomes of microsurgical reconstruction for peripheral nerve injuries over 15 years, involving 60 patients and 63 procedures.
- Key factors affecting results included the timing of surgery, patient age, and type of nerve injury, with upper limb reconstructions showing better outcomes than lower limb.
- Success rates for facial nerve reconstruction were generally good, with earlier surgery being crucial for positive results, particularly for younger patients.
Article Abstract
The purpose of this retrospective clinical study was to present the results achieved by microsurgical reconstruction of peripheral nerve injuries in the 15 years between 1985 and 1999. Sixty patients underwent 63 surgical procedures. Forty-five nerves were reconstructed by autograft in 42 patients with injuries of the upper extremities; 14 patients had lower limb peripheral nerve reconstruction. The facial nerve was reconstructed by autograft in four patients. Factors that could possibly affect the results, such as delaying surgery, age of the patient, nature of the injury, length of the autograft, height of the injury and type of nerve damage, were assessed. The results were better in the reconstruction of nerve injuries in the upper than the lower limbs. Reconstruction of the tibial nerve was also rewarding. In general, the results of facial nerve reconstruction were good. The time between injury and reconstructive surgery was a crucial factor for successful outcome, especially in younger patients.
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| http://dx.doi.org/10.1016/s0020-1383(02)00073-6 | DOI Listing |
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