Background: Trapezius palsy results from injury to the spinal accessory nerve. The condition presents with loss of shoulder abduction, pain, and winging of the scapula. Surgical treatment may improve functional outcomes and quality of life.
Purpose: The purpose of this study was to report and evaluate the clinical outcomes following surgical management of trapezius palsy.
Study Design: Systematic review.
Methods: The electronic databases EMBASE, MEDLINE, and PubMed were searched for studies and relevant data were abstracted. Only studies reporting on outcomes after the surgical treatments of trapezius palsy were included.
Results: A total of 10 studies including 192 patients were included in this review. All surgical interventions resulted in improved function and pain reduction. Patients reported high satisfaction (90-92%) following nerve reconstruction or the Eden-Lange procedure, in comparison to neurolysis. The most common procedure reported was the Eden-Lange muscle transfer (32% reported cases) demonstrating the highest patient satisfaction rates with low complication rate of 7.7%.
Conclusion: Patients failing conservative treatment report good outcomes following surgical treatment of trapezius palsy. All reported surgical procedures demonstrate reduction in pain the best results from the Eden-Lange muscle transfer. Further high-quality comparative studies are required to make definitive conclusions regarding the comparative efficacy of each surgical procedure.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285977 | PMC |
| http://dx.doi.org/10.1177/1758573219872730 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Comparison of Latissimus Dorsi versus Teres Major Tendon Transfer to Restore External Rotation of the Shoulder in Patients with Erb Palsy.
J Hand Surg Asian Pac Vol
February 2025
Alzhraa University Hospital, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.
The transfer of latissimus dorsi (LD) and teres major (TM) have been described for restoration of external rotation (ER) and shoulder abduction in neonatal brachial plexus palsy (NBPP). The aim of this prospective randomised study is to compare the outcomes of LD versus TM transfer in the treatment of internal rotation contracture of the shoulder in children with NBPP. The study was conducted from February 2014 to January 2018 and included NBPP patients with internal rotation contracture of the shoulder.
View Article and Find Full Text PDF['s subcutaneous needling for non-acute idiopathic facial paralysis : a randomized controlled trial].
Zhongguo Zhen Jiu
November 2024
Department of Acupuncture and Moxibustion, Nanjing Jing'an Community Health Service Center.
Objective: To observe the effect of 's subcutaneous needling in the treatment of non-acute idiopathic facial paralysis and its effect on serum levels of nitric oxide (NO) and endothelin (ET).
Methods: A total of 76 patients with non-acute idiopathic facial paralysis were randomly divided into an observation group (38 cases, 2 cases dropped out) and a control group (38 cases, 2 cases dropped out). The patients in the control group received basic treatment (mecobalamin tablets orally, specific electromagnetic spectrum irradiation, facial muscle rehabilitation training).
Simultaneous Reconstruction of Voluntary and Spontaneous Smiles and Eyelid Closure With Triple Latissimus Dorsi Muscle Flaps.
J Craniofac Surg
January 2025
Department of Plastic and Reconstructive Surgery, University of Tokyo Graduate School of Medicine.
Article Synopsis
- The study explores using the latissimus dorsi muscle flap for dynamic facial reconstruction, specifically addressing issues from facial paralysis.
- In a case involving a 61-year-old woman with facial paralysis due to a tumor resection, the muscle was divided into three flaps to restore both smile functionality and eyelid closure.
- The innovative procedure achieved significant restoration of facial appearance and movement in a single operation, highlighting its effectiveness for treating facial dysfunctions.
Long-term Follow-up of Secondary Reconstruction of Facial Paralysis and Depressive Deformities After Subtotal Temporal Bone Resection.
J Craniofac Surg
January 2025
Department of Plastic, Reconstructive and Aesthetic Surgery, Dokkyo Medical University, Tochigi, Japan.
Subtotal temporal bone resection (STBR) frequently results in facial paralysis and depression, making reconstruction challenging due to significant tissue loss. This study aimed to evaluate the effectiveness of a procedure designed for simultaneous smile and soft tissue reconstruction after STBR. The authors included 3 patients who underwent latissimus dorsi (LD) neuromuscular flap combined with adipose flap transfer after STBR at the Tokyo Medical and Dental University Hospital between 2010 and 2016.
View Article and Find Full Text PDFStaged Shoulder and Elbow Reconstruction in a Child with Obstetric Brachial Plexus Palsy: Six-year Follow-up.
Afr J Paediatr Surg
October 2024
Department of Orthopaedic Surgery, Division of Paediatric Orthopaedics, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
The management of obstetric brachial plexus palsy (OBPP) can be challenging, particularly in neglected patients. We report the long-term results of the surgical management of a late-presenting adolescent girl with severe left shoulder and elbow flexor paralysis secondary to OBPP. She was subjected to staged shoulder and elbow reconstruction in the form of trapezius transfer and latissimus and teres major transfer to enhance shoulder abduction and lateral rotation, and flexor-pronator transfer to the anterior distal humerus to enhance elbow flexion.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!