Background: Revision neurectomy may be approached with either a dorsal or a plantar incision. Although a plantar approach is more commonly described, few studies have investigated outcomes following a dorsal revision neuroma excision. In this study, we performed a case series on a group of patients who underwent revision neuroma excision through a dorsal approach and reported complications and outcomes using validated patient-reported outcome measures (PROMs).
Methods: This retrospective case series included 10 patients who underwent a dorsal-approach revision neuroma excision and had preoperative and minimum 1-year postoperative Patient-Reported Outcomes Measurement Information System (PROMIS) scores. Complications including neuroma recurrence and continued unresolved pain were obtained from the electronic medical record. Preoperative and postoperative PROMIS scores were compared to assess improvement in PROMs.
Results: There were significant improvements in the PROMIS pain interference (P = .026), pain intensity (P = .008), and global physical health (P = .017) domains. One patient experienced recurrence of their neuroma 4 years after surgery.
Conclusion: This case series provides preliminary data indicating that revision neurectomy using a dorsal approach leads to satisfactory outcomes in pain-related PROMs. Further research with comparative study designs is necessary to determine if one approach is superior to the other.
Levels Of Evidence: Level IV: Retrospective.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1177/19386400221116466 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
[Schwannoma, a rare swelling of the tongue].
Ned Tijdschr Geneeskd
December 2024
Elisabeth-TweeSteden Ziekenhuis, afd. Mond-, Kaak- en Aangezichtschirurgie, Tilburg.
A 65-year-old woman presented with progressively increasing swelling on the right lateral side of her tongue. Further investigation confirmed it to be a schwannoma. Surgical excision of the tumour was performed, resulting in an uncomplicated postoperative recovery with complete preservation of the tongue function.
View Article and Find Full Text PDFChallenges in the surgical treatment of neuroma in continuity in the upper extremity using human acellular nerve allografts.
J Plast Reconstr Aesthet Surg
November 2024
Department of Hand Surgery, Herlev/Gentofte University Hospital of Copenhagen, Hospitalsvej 1, 2900 Hellerup, Denmark; University of Copenhagen, Faculty of Health and Medical Sciences, Institute of Clinical Medicine, Blegdamsvej 3B, 2200 Copenhagen, Denmark.
The restoration of nerve function after the injury might be complicated by the development of a disorganized fibrous mass-a neuroma. This results in sensory and/or motor deficits and pain that can be severely debilitating. Surgical excision of the painful neuroma may leave a gap, which can be bridged using autografts or allografts.
View Article and Find Full Text PDFAvoidance and Management of Complications in Retrosigmoid Approach to Vestibular Schwannomas.
Acta Neurochir Suppl
November 2024
DNB Neurosurgery, Department of Neurosurgery and Gamma Knife Radiosurgery, P. D. Hinduja Hospital and Medical Research Center, Veer Savarkar Marg, Mahim, Mumbai, India.
An experience with two rare complications during surgery of vestibular schwannomas (VSs) is presented, and measures to avoid and manage the complications are discussed.Case A: Spinal cord ischemia in semi-sitting position: A 47-year-old with a giant vestibular schwannoma (VS) underwent surgery through a retrosigmoid approach in the semi-sitting position. The intraoperative phase was uneventful, except for an episode of moderate hypotension.
View Article and Find Full Text PDFCervical Ganglio-neuroma, a Rare Neck Mass in Pediatric Age: A Case Report.
Indian J Otolaryngol Head Neck Surg
December 2024
Department of Pathology, Government Medical College, Jammu, India.
Ganglioneuromas (GN) are benign, slow-growing, non-invasive, and well differentiated neoplasms of neuroblastic origin. We reported a 4 year old girl who presented with a left lateral slow growing cervical neck mass. After surgical excision the tumour was sent for histopathological examination which confirmed ganglioneuroma.
View Article and Find Full Text PDFReducing the Distance Between Anode and Cathode to Make Handheld Nerve Stimulators More Selective in Nerve Fascicle Selection: Report of Two Cases.
Microsurgery
November 2024
Department of Plastic and Reconstructive Surgery, Hospital Universitario de Getafe, Madrid, Spain.
Article Synopsis
- Precise identification of nerve fascicles is crucial for certain surgeries on peripheral nerves, with bipolar nerve stimulation preferred, but many still use handheld monopolar stimulators.
- The study presents a new technique for monopolar stimulation, where both the anode and cathode are placed on the same nerve fascicle to enhance specificity.
- Two surgical cases demonstrated that this modified method allowed for better selection of nerve fascicles, resulting in successful outcomes without unexpected complications.
Want 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!