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Surgical Algorithm for Neuroma Management: A Changing Treatment Paradigm

Successful treatment of the painful neuroma is a particular challenge to the nerve surgeon. Historically, symptomatic neuromas have primarily been treated with excision and implantation techniques, which are inherently passive and do not address the terminal end of the nerve. Over the past decade, t...

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Autores principales: Eberlin, Kyle R., Ducic, Ivica
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250458/
https://www.ncbi.nlm.nih.gov/pubmed/30534497
http://dx.doi.org/10.1097/GOX.0000000000001952
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author Eberlin, Kyle R.
Ducic, Ivica
author_facet Eberlin, Kyle R.
Ducic, Ivica
author_sort Eberlin, Kyle R.
collection PubMed
description Successful treatment of the painful neuroma is a particular challenge to the nerve surgeon. Historically, symptomatic neuromas have primarily been treated with excision and implantation techniques, which are inherently passive and do not address the terminal end of the nerve. Over the past decade, the surgical management of neuromas has undergone a paradigm shift synchronous with the development of contemporary techniques aiming to satisfy the nerve end. In this article, we describe the important features of surgical treatment, including the approach to diagnosis with consideration of neuroma type and the decision of partial versus complete neuroma excision. A comprehensive list of the available surgical techniques for management following neuroma excision is presented, the choice of which is often predicated upon the availability of the terminal nerve end for reconstruction. Techniques for neuroma reconstruction in the presence of an intact terminal nerve end include hollow tube reconstruction and auto- or allograft nerve reconstruction. Techniques for neuroma management in the absence of an intact or identifiable terminal nerve end include submuscular or interosseous implantation, centro-central neurorrhaphy, relocation nerve grafting, nerve cap placement, use of regenerative peripheral nerve interface, “end-to-side” neurorrhaphy, and targeted muscle reinnervation. These techniques can be further categorized into passive/ablative and active/reconstructive modalities. The nerve surgeon must be aware of available treatment options and should carefully choose the most appropriate intervention for each patient. Comparative studies are lacking and will be necessary in the future to determine the relative effectiveness of each technique.
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spelling pubmed-62504582018-12-10 Surgical Algorithm for Neuroma Management: A Changing Treatment Paradigm Eberlin, Kyle R. Ducic, Ivica Plast Reconstr Surg Glob Open Special Topic Successful treatment of the painful neuroma is a particular challenge to the nerve surgeon. Historically, symptomatic neuromas have primarily been treated with excision and implantation techniques, which are inherently passive and do not address the terminal end of the nerve. Over the past decade, the surgical management of neuromas has undergone a paradigm shift synchronous with the development of contemporary techniques aiming to satisfy the nerve end. In this article, we describe the important features of surgical treatment, including the approach to diagnosis with consideration of neuroma type and the decision of partial versus complete neuroma excision. A comprehensive list of the available surgical techniques for management following neuroma excision is presented, the choice of which is often predicated upon the availability of the terminal nerve end for reconstruction. Techniques for neuroma reconstruction in the presence of an intact terminal nerve end include hollow tube reconstruction and auto- or allograft nerve reconstruction. Techniques for neuroma management in the absence of an intact or identifiable terminal nerve end include submuscular or interosseous implantation, centro-central neurorrhaphy, relocation nerve grafting, nerve cap placement, use of regenerative peripheral nerve interface, “end-to-side” neurorrhaphy, and targeted muscle reinnervation. These techniques can be further categorized into passive/ablative and active/reconstructive modalities. The nerve surgeon must be aware of available treatment options and should carefully choose the most appropriate intervention for each patient. Comparative studies are lacking and will be necessary in the future to determine the relative effectiveness of each technique. Wolters Kluwer Health 2018-10-16 /pmc/articles/PMC6250458/ /pubmed/30534497 http://dx.doi.org/10.1097/GOX.0000000000001952 Text en Copyright © 2018 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Special Topic
Eberlin, Kyle R.
Ducic, Ivica
Surgical Algorithm for Neuroma Management: A Changing Treatment Paradigm
title Surgical Algorithm for Neuroma Management: A Changing Treatment Paradigm
title_full Surgical Algorithm for Neuroma Management: A Changing Treatment Paradigm
title_fullStr Surgical Algorithm for Neuroma Management: A Changing Treatment Paradigm
title_full_unstemmed Surgical Algorithm for Neuroma Management: A Changing Treatment Paradigm
title_short Surgical Algorithm for Neuroma Management: A Changing Treatment Paradigm
title_sort surgical algorithm for neuroma management: a changing treatment paradigm
topic Special Topic
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250458/
https://www.ncbi.nlm.nih.gov/pubmed/30534497
http://dx.doi.org/10.1097/GOX.0000000000001952
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