Nerve transfers. Medical search. Frequent questions

The facial nerve (cranial nerve VII) carries motor, secretory, and afferent fibers from the anterior two thirds of the tongue. (medscape.com)
Cranial nerve transfer procedure for a benign facial schwannoma. (clevelandclinic.org)
Neurologic examination demonstrated vestibular ataxia, hearing loss, and diplopia resulting from cranial nerve VI palsy. (cdc.gov)
Samples were transferred and kept fro- nerve (cranial nerve VIII), the inner zen at -20 °C in our research laboratory. (who.int)
The posterior auricular nerve (innervating postauricular and occipital muscles) branches posteriorly cranial just below the foramen, as do 2 smaller ones to the stylohyoideus and posterior belly of the digastric muscle. (medscape.com)
Möbius syndrome is due, in part, to the loss of function of motor cranial nerves (CNs). (medscape.com)

THURSDAY, Jan. 17, 2019 (HealthDay News) - Two patients diagnosed with acute flaccid myelitis and upper-extremity neuropathy who were treated with peripheral nerve transfer continue to demonstrate functional recovery at two years, according to a case series recently published in Pediatric Neurology . (physiciansweekly.com)
BACKGROUND: It remains a surgical challenge to treat high-grade nerve injuries of the upper extremity. (uzh.ch)
Injury of the brachial plexus and peripheral nerve often result in significant upper extremity dysfunction and disability. (edu.lb)
In this review, we present a summary of the most widely accepted nerve transfers in the upper extremity described in the current literature. (edu.lb)
The motor function of the C7 nerve largely overlaps with that of the other four nerves, so severing this nerve usually results in only transient weakness and numbness in the ipsilateral upper extremity. (medscape.com)
Tendon transfers were extensively performed during World Wars I and II to patients with upper extremity injuries. (wikipedia.org)
While training at University of Washington Harborview Medical Center, he received advanced training in hand and upper extremity trauma care, lower extremity limb salvage, complex microvascular reconstruction, peripheral nerve surgery, wrist arthroscopy, and joint replacement and reconstruction for thumb and finger arthritis. (lifebridgehealth.org)

Many spinal cord injury patients still have the ability to move their shoulders, bend their elbows and expand their wrists - this means we have the nerves to these muscles at our disposal," she said. (medscape.com)
Traditionally, upper limb function has been reconstructed using tendon transfer surgery, during which muscles that still work, but are designed for another function, are surgically re-sited to do the work of muscles that are paralysed. (sciencedaily.com)
A facial plastic surgeon can use all or parts of muscles, nerves or both from other parts of the body to restore motion to the lower half of the face. (hopkinsmedicine.org)
When a facial nerve is injured, there is a period of time during which it may be possible to restore lost nerve function to (reinnervate) the muscles of the face by transferring another nerve to that area. (hopkinsmedicine.org)
If nerve function is lost, as time goes on the muscles of the face weaken and degrade. (hopkinsmedicine.org)
A small portion of this muscle, called a flap, along with its corresponding nerve and blood supply (artery and vein), can replace the facial muscles that allow the person to smile. (hopkinsmedicine.org)
Muscles require nerves in order to function, and so muscle transfers such as the gracilis transfer require two separate surgeries. (hopkinsmedicine.org)
citation needed] Preoperative evaluation of the patient is required to map out functional deficits, and determine which muscles are available for transfer. (wikipedia.org)
Power transfers are done to perform motion, and therefore requires relatively more powerful donor muscles. (wikipedia.org)
Motor root avulsion of the C5 and C6 roots results in Erb palsy, with loss of supply to muscles innervated by the suprascapular nerve, axillary nerve, and musculocutaneous nerve 3 ). (thenerve.net)
However, the importance of the brachial muscle in elbow flexion was subsequently confirmed and the technique for the transfer of double fascicular nerves to both the biceps brachii and brachialis muscles was introduced 7 ). (thenerve.net)
This type of reconstruction offers unique advantages including the potential for a faster reconnection of nerve tissue and associated re-education of the muscles. (hss.edu)
When a nerve in the hand or arm is damaged, it is not able to convey signals from the sensory receptors to the brain or to send signals from the brain to the muscles. (lu.se)

We have been doing this for peripheral nerve and brachial plexus injuries for many years, but its use in spinal cord injury only started recently, and before this publication there have only been single cases reported. (medscape.com)
Nerve transfers are replacing other techniques as the gold standard for brachial plexus and other proximal peripheral nerve injuries. (edu.lb)
It wasn't until recently that the method for surgical treatment of nerve injuries became more widely accepted for brachial plexus injuries. (childrenshospital.org)
Today, nerve transfers are an increasingly popular treatment for nerve injuries. (childrenshospital.org)
In this presentation, we discuss nerve transfers and reconstructive strategies for managing ulnar nerve injuries. (wustl.edu)
The anterior interosseous to ulnar motor nerve transfer is the procedure, where we utilize end-to-end repair for complete nerve injuries and end-to-side repair for incomplete or recovering nerve injuries. (wustl.edu)
Tendon transfers provide a substitute which can be permanent or temporary, when muscle function is lost either due to nerve injuries or injuries to the muscle/tendon unit. (wikipedia.org)
Tendon transfers are also performed to correct the imbalanced muscle tone due to spasticity resulting from injuries to the central nervous system. (wikipedia.org)
Treatment of brachial plexus and other complex nerve injuries often involves microsurgery, the practice of operating under a microscope with tiny tools and materials such as sutures that cannot be viewed by the naked eye. (hss.edu)
Patients with complex nerve injuries may need a combination of procedures to achieve optimal recovery of function. (hss.edu)
In the treatment of brachial plexus injuries, the sural nerve (a long nerve that extends from the ankle to the back of the knee) is often used. (hss.edu)

This contribution outlines the anatomic and histomorphometric basis for the transfer of the superficial branch of the radial nerve (SBRN) to the median nerve (MN) and the superficial branch of the ulnar nerve (SBUN). (uzh.ch)
It may also be useful to detect abnormal nerve pattern such as median-to-ulnar nerve anastomosis, which may influence the choice of transfer. (wikipedia.org)
After lesioning of the dorsal root entry zone due to painful avulsion, double fascicles (flexor carpi radialis and flexor carpi ulnaris) of the median and ulnar nerve) were transferred to the biceps brachii and brachialis branches of the musculocutaneous nerve to restore elbow flexion. (thenerve.net)
8 ) reported the technique of nerve transfer from a redundant fascicle of the ulnar nerve to the biceps brachii branch of the musculocutaneous nerve for restoration of elbow function due to upper brachial plexus avulsion. (thenerve.net)
The so-called 'double fascicular nerve transfer' entails a surgical transfer of the flexor carpi radialis (FCR) and flexor carpi ulnar (FCU) branches of the median and ulnar nerves to the biceps brachii and brachialis branches of the musculocutaneous nerve for functional restoration of elbow flexion 2 - 4 , 6 , 7 , 12 - 15 ). (thenerve.net)
The median nerve enters the forearm between the two heads of the muscle, and is separated from the ulnar artery by the ulnar head. (wikipedia.org)

I was doing a lot of brachial plexus nerve transfer surgeries and I thought it might work in spinal cord injury so we started doing it and found good results. (medscape.com)
We successfully performed this technique, combined with two other nerve transfers, on a five-month-old girl with bilateral brachial plexus birth injury. (childrenshospital.org)
The C7 spinal nerve, one of five that give rise to the brachial plexus, contains thousands of nerve fibers. (medscape.com)
We present our initial experience of double fascicular nerve transfer for upper brachial plexus avulsion. (thenerve.net)
At the HSS Center for Brachial Plexus and Traumatic Nerve Injury, patients are cared for by a multidisciplinary team with extensive experience in every aspect of their treatment, from diagnosis to long-term follow-up. (hss.edu)
Intraplexal nerve transfers are those that are done within the brachial plexus itself. (hss.edu)
Next, the signal goes down the median nerve branch of the brachial plexus and stimulates the pronator teres to contract causing the hand to pronate. (wikipedia.org)

Eliana B. Saltzman, M.D., of the Hospital for Special Surgery in New York City, and colleagues evaluated postoperative outcomes in muscle strength, range of motion, and electromyography for two pediatric patients treated with nerve transfer in three limbs. (physiciansweekly.com)
These can include bloodwork, imaging tests like CT scans and MRIs , electromyography and nerve conduction studies. (clevelandclinic.org)
Electromyography, nerve conduction studies, and analysis of cerebrospinal fluid can help confirm the diagnosis. (msdmanuals.com)

She notes that tendon transfer is already an established technique for patients with spinal cord injury, but nerve transfer gives different benefits. (medscape.com)
Tendon transfer generally gives more strength to a muscle but nerve transfer gives more natural subtle movements better for fine motor control," Van Zyl said. (medscape.com)
We often do tendon transfer in one arm and nerve transfer in the other. (medscape.com)
If they have to pick something up from the floor, patients say they would use their tendon-transfer hand to hold the wheel and stabilize their wheelchair and their nerve-transfer hand to pick up the object. (medscape.com)
The procedure also requires a smaller operative incision and a shorter recovery than tendon transfer. (medscape.com)
What's more, we have shown that nerve transfers can be successfully combined with traditional tendon transfer techniques to maximise benefits. (sciencedaily.com)
Additionally, nerve transfers can re-animate more than one muscle at a time, have a shorter period of immobilisation after surgery (10 days in a sling vs 6-12 weeks in a brace for a nerve transfer for elbow extension), and avoid the technical problems associated with of tendon transfer surgery including tendon tensioning during surgery and mechanical failure (stretch or rupture) after surgery. (sciencedaily.com)
But this is the first prospective study to use standardised functional outcome measures and combinations of multiple nerve and tendon transfer surgeries. (sciencedaily.com)
A tendon transfer is a surgical process in which the insertion of a tendon is moved, but the origin remains in the same location. (wikipedia.org)
Tendon transfer involves redistribution of muscle power, not recreation. (wikipedia.org)
In a tendon transfer procedure, a healthy tendon is connected to a damaged tendon to restore its function. (spine-health.com)

Because this nerve graft crosses the face from the normal side to the paralyzed side, it is called a cross-facial nerve graft or CFNG. (hopkinsmedicine.org)
In the case of root avulsion, the absence of proximal nerve stump prevents nerve graft reconstruction and no spontaneous recovery of the shoulder and elbow function is anticipated 13 ). (thenerve.net)
Nerve graft. (spine-health.com)
During a nerve graft, the surgeon takes a healthy piece of expendable nerve from another location on the patient's body - an autograft - and uses it to reconnect the two ends of the damaged nerve. (hss.edu)

A prospective case series of 16 patients undergoing this nerve transfer surgery at an Australian hospital has shown meaningful improvements in elbow extension and grasp-and-pinch hand functions. (medscape.com)
In some cases, the nerve transfer surgery was successfully combined with tendon transfers to maximize functional benefits. (medscape.com)
Nerve transfer surgery has enabled 13 young adults with complete paralysis to regain movement and function in their elbows and hands, according to the largest case series of this technique in people with tetraplegia (paralysis of both the upper and lower limbs). (sciencedaily.com)
During the surgery, Australian surgeons attached functioning nerves above the spinal injury to paralysed nerves below the injury. (sciencedaily.com)
The findings suggest that nerve transfers can achieve similar functional improvements to traditional tendon transfers, with the benefit of smaller incisions and shorter immobilisation times after surgery. (sciencedaily.com)
Nevertheless, four nerve transfers failed in three participants and the authors conclude that more research will be needed to determine which people are the best candidates to select for nerve transfer surgery to minimise the incidence of failure. (sciencedaily.com)
We believe that nerve transfer surgery offers an exciting new option, offering individuals with paralysis the possibility of regaining arm and hand functions to perform everyday tasks, and giving them greater independence and the ability to participate more easily in family and work life," says Dr Natasha van Zyl from Austin Health in Melbourne, Australia who led the research. (sciencedaily.com)
Previous single case reports and small retrospective studies have shown nerve transfer surgery to be feasible and safe in people with tetraplegia. (sciencedaily.com)
In 2019, the Department of Defense awarded Washington University and Dr. Ray another multi-million dollar grant to run another Nerve Transfer Surgery clinical trial. (wustl.edu)
PURPOSE: Nerve transfer (NT) surgery can improve function in people with cervical spinal cord injury (SCI). (wustl.edu)
CONCLUSIONS: Use of expendable donor nerves with redundant function to perform NT surgery has relatively little impact on strength or capacity to perform activities of daily living, even in the unique and highly vulnerable SCI population. (wustl.edu)
We reviewed the results of serial spirometry tests, which were performed before and after phrenic nerve transfer surgery. (ac.ir)
The patients were randomly assigned to undergo contralateral C7 nerve-transfer surgery followed by rehabilitation (n = 18) or to rehabilitation alone (n = 18). (medscape.com)
Therefore, nerve transfer surgery to restore elbow and shoulder function is rarely reported. (thenerve.net)
Two weeks after the first transfer surgery, the distal accessory nerve was transferred to the suprascapular nerve to ensure shoulder function. (thenerve.net)
For shoulder function, it is recommended to perform radial nerve transfer at the time of the first surgery. (thenerve.net)
At the Stanford Center for Peripheral Nerve Surgery, our goal is to capitalize on the expertise of specialists from multiple fields of medicine to develop a customized treatment plan to address the needs of each individual patient. (stanford.edu)
The Center for Peripheral Nerve Surgery utilizes a multi-faceted research approach ranging from basic/translational research to clinical trials to clinical outcomes research. (stanford.edu)
Stanford Health Care's Peripheral Nerve Surgery Program offers comprehensive diagnostic evaluation and testing, as well as leading-edge surgical techniques, provided by a highly specialized and experienced nationally-recognized team. (stanford.edu)
Recovery from nerve injury and reconstructive surgery is a lengthy process. (hss.edu)
Recovery of nerve function following surgery is very slow, with the nerve regenerating at rate of one millimeter a day. (hss.edu)
A nerve cell is sometimes so damaged that the communication to the brain is shut down completely and the person loses feeling and mobility in the hand", says Anders Björkman, adjunct professor of hand surgery and consultant in the specialised surgery unit at Skåne University Hospital in Malmö. (lu.se)

Tendon transfers for radial palsy. (wheelessonline.com)
Facial paralysis can result from nerve damage due to congenital (present at birth) conditions, trauma or disease, such as stroke , brain tumor or Bell's palsy . (hopkinsmedicine.org)
Nerve transfer was first described in 1948 by Alexander Lurje using the triceps fascicles of the radial nerve transfer to the axillary nerve in one patient with Erb's palsy. (childrenshospital.org)

The direct connection is usually made to a healthy postlesional distal portion of a non-functioning nerve or implanted directly into denervated muscle or insensitive skin. (ouhsc.edu)
Tendons are transferred at the distal attachment from lesser to more important functions so that the overall function is improved. (wikipedia.org)

Surgical reinnervation of a denervated peripheral target using a healthy donor nerve and/or its proximal stump. (ouhsc.edu)
However, the impact of donor nerve deficits remains unclear. (wustl.edu)
The donor nerve is then anastomosed directly with the C7 nerve on the paralyzed side, which has been sectioned and mobilized as proximally as possible. (medscape.com)
A nerve transfer is a procedure in which an expendable donor nerve (from another location in the patient's body) is rerouted and connected to the site of a damaged or de-innervated nerve stump to restore its function. (hss.edu)
Surgeons refer to various types of nerve transfers, based on the location of the donor nerve. (hss.edu)

The surgeon removes a sensory nerve from the lower leg (the sural nerve) and attaches it to a facial nerve branch on the person's normal side, tunneling the other end of this nerve underneath the skin to position it in the paralyzed portion of the person's face. (hopkinsmedicine.org)
Corneal sensory reconstruction was performed using a segment of the medial cutaneous branch of the sural nerve in four cases. (aaps1921.org)
This can be achieved with minimal morbidity using sural nerve grafts. (aaps1921.org)
Removal of the sural nerve from its original site does not harm the patient. (hss.edu)

In the current study, we reviewed the results of pulmonary function tests (PFT) in four patients who underwent phrenic nerve transfer. (ac.ir)

The pronator teres is innervated by the median nerve and nerve roots C6 and C7. (wikipedia.org)

18 months post-injury) cervical spinal cord injury of motor level C5 and below who underwent single or multiple nerve transfers in one or both upper limbs, sometimes combined with tendon transfers, for restoration of elbow extension, grasp, pinch, and hand opening. (medscape.com)
In 10 participants, nerve transfers were uniquely combined with tendon transfers allowing different styles of reconstruction to be performed in each hand, and enabling participants to benefit from the innate strengths of both tendon and nerve transfers. (sciencedaily.com)

Before and 3 years after nerve transfers, cross facial nerve grafts for smile and eye reanimation. (drshairozen.com)
Smile and eye restoration with nerve transfers and cross facial nerve grafts performed by Dr. Shai Rozen in Dallas, Texas in combination with skull reconstruction, upper eyelid gold weight and lower eyelid canthoplasty and fascia support. (drshairozen.com)
In operations such as nerve grafts, nerve transfers, and muscle transfers, specially trained surgeons, using customized precision instruments, work meticulously to reconnect and repair nerves. (hss.edu)
Procedures involved in reconstruction may include one or more of the following: neurolysis/nerve release, nerve repair, nerve grafts and nerve transfers. (hss.edu)

While only a small study, researchers say that nerve transfers are a major advance in the restoration of hand and arm function, and offer another safe, reliable surgical option for people living with tetraplegia. (sciencedaily.com)

We utilize the latest diagnostic techniques and surgical strategies to restore function and minimize pain for patients with peripheral nerve disorders. (stanford.edu)
Someone can be born with claw hand (congenital), or they can develop it because of certain disorders, such as a nerve injury. (medlineplus.gov)

A new technique in which working nerves are rerouted to paralyzed sites in patients with spinal cord injury provides patients with significant functional improvement in upper limb and hand function and is being described as "a game changer. (medscape.com)
Nerve injury can result in severe functional consequences to the injured patient. (elsevierpure.com)
Computed tomography (CT) scanning and magnetic resonance imaging (MRI) are useful in the diagnosis of injury to intratemporal and/or intracranial affections of the facial nerve. (medscape.com)
The keystone of successful surgical treatment for facial paralysis, the details of facial nerve anatomy , is recapitulated briefly to review topographic anatomy of the facial nerve and to enable the physician to localize the suspected site of injury. (medscape.com)
Transferring the C7 nerve from the nonparalyzed to the paralyzed side in patients with a stroke or other cerebral injury resulted in improved function and reduced spasticity in the affected arm, new research has shown. (medscape.com)
In this single-center trial involving patients who had had unilateral arm paralysis due to chronic cerebral injury for more than 5 years, transfer of the C7 nerve from the nonparalyzed side to the side of the arm that was paralyzed was associated with a greater improvement in function and reduction of spasticity than rehabilitation alone over a period of 12 months," they conclude. (medscape.com)
Activation of the paralyzed arm requires both physiologic connections of the anastomosed nerve to contralateral nerves and connectivity of the cerebral hemisphere ipsilateral to the injury to the grafted nerve. (medscape.com)
These surgeries include a range of primary nerve reconstruction procedures, which are optimally performed three to six months following the injury, as well as secondary reconstructive procedures, which include free muscle transplants, pedicle muscle transfers, tendon transfers, and fusions. (hss.edu)
Nerve reconstruction is the umbrella term given to the various surgical and microsurgical techniques used to treat nerve injury. (hss.edu)
Ideally, nerve reconstruction should begin between 3 and 6 months after the injury is sustained. (hss.edu)
These images are a random sampling from a Bing search on the term "Peripheral Nerve Injury. (fpnotebook.com)
The bony canal-facial nerve diameter is an important clinical ratio, especially considering susceptibility to nerve injury. (medscape.com)
JENKINS, W.M. Reorganization of cortical representations of the hand following alterations of skin inputs induced by nerve injury, skin island transfers, and experience. (bvsalud.org)

One was proposed in 1956 by Davis et al, who investigated the different course patterns of the infratemporal facial nerve in 350 cervicofacial halves. (medscape.com)

The surgical technique used in the study involves making an incision at the superior aspect of the sternum, mobilizing the donor C7 nerve on the nonparalyzed side, sectioning it as distally as possible but proximal to the point at which it combines with other nerves, and routing it between the spinal column and esophagus. (medscape.com)

Afferent fibers from the anterior two thirds of the tongue enter the geniculate ganglion with the chorda tympani, as the greater and lesser petrosal nerve emerge from the superior part. (medscape.com)
During a nerve transfer, the surgeon is also able to separate out those fascicles (bundles of nerve fibers) that deliver the necessary information. (hss.edu)
Most nerve fibers inside and outside the brain are wrapped with many layers of tissue composed of a fat (lipoprotein) called myelin. (msdmanuals.com)

Early, temporary loss in wrist extension strength can be seen after the supinator to posterior interosseous nerve transfer. (wustl.edu)

Transfer of one tendon to restore multiple functions will compromise strength and movement. (wikipedia.org)
Part of a healthy nerve is taken from a different area of the body, such as from the leg or back, and then grafted onto the damaged nerve area to help regenerate and restore its function. (spine-health.com)
A tendon is taken from a healthy muscle and transferred to a damaged tendon in order to restore its connected muscle's function. (spine-health.com)

Van Zyl explained that the procedure involves taking a nerve that is working but is expendable (it is supplying a muscle that is also supported by other working nerves) and rerouting it to a muscle that is paralyzed. (medscape.com)

In the restoration of elbow flexion, the phrenic nerve has proven to be a good donor, but considering the role of the phrenic nerve in respiratory function, we cannot disregard the potential dangers of this method. (ac.ir)
Six months after the nerve transfers, elbow flexion recovered to Medical Research Council grade 3, but shoulder function did not show any improvement. (thenerve.net)

The measurements show feasibility of this procedure and shall help in planning this sensory nerve transfer. (uzh.ch)
Two patients with unilateral trigeminal nerve anesthesia, one following basal skull fracture and another following large posterior fossa tumor resection underwent corneal sensory reconstruction using the contralateral supratrochlear nerve as the donor sensory nerve. (aaps1921.org)

Intratemporally, the facial and vestibular cochlear nerves split, entering the fallopian canal of the temporal bone. (medscape.com)
The facial nerve exits the fallopian canal through the stylomastoid foramen, afterward taking its extratemporal course anteriorly, inferiorly, and laterally. (medscape.com)

I just wanted to ask if any of you are familiar with nerve transfer after being left with weakness on one side. (avmsurvivors.org)
Electrodiagnostics are done to assess how much of the weakness in the shoulder, arm, or hand is caused by denervation (loss of nerve supply). (spine-health.com)

They are responsible for the formation of the fat-rich myelin sheath that surrounds the nerve fibres as an insulating layer. (sciencedaily.com)
Chronic inflammatory demyelinating polyneuropathy is thought to be caused by an autoimmune reaction that damages the myelin sheath around nerves. (msdmanuals.com)
The body's immune system attacks the myelin sheath, which surrounds the nerve and enables nerve impulses to travel quickly. (msdmanuals.com)
Much like the insulation around an electrical wire, the myelin sheath enables nerve signals (electrical impulses) to be conducted along the nerve fiber with speed and accuracy. (msdmanuals.com)
When the myelin sheath is damaged (called demyelination), nerves do not conduct electrical impulses normally. (msdmanuals.com)

One of the most popular methods is the transfer of radial nerve fascicles to the axillary nerve. (childrenshospital.org)
Targeting the anterior branch of the axillary nerve maximizes restoration of shoulder abduction. (childrenshospital.org)
The Anterior Approach for Transfer of Radial Nerve Triceps Fascicles to the Axillary Nerve. (childrenshospital.org)
An additional nerve transfer (triceps branch of the radial nerve to the axillary nerve) was planned for shoulder function. (thenerve.net)

One patient with a history of cerebellar hypoplasia and bilateral congenital corneal anesthesia underwent bilateral corneal sensory reconstruction using the respective ipsilateral supratrochlear nerves as the sensory donor nerves. (aaps1921.org)

Nerve Transfer for Restoration of Lower Motor Neuron-Lesioned Bladder," by Nagat Frara, Mary F. Barbe et al. (jefferson.edu)
Nerve Transfer for Restoration of Lower Motor Neuron-Lesioned Bladder, Urethral, and Anal Sphincter Function in a Dog Model. (jefferson.edu)
Therefore, nerve transfer should be considered for restoration of the elbow and shoulder function. (thenerve.net)

The improvements in hand function we have achieved with nerve transfer have allowed patients to do their own personal care, handle money, feed themselves with normal utensils, hold a cup or glass and drink independently, and go to the toilet themselves. (medscape.com)
Nerve transfer can also allow elbow extension so patients can reach out to perform tasks such as propel their wheelchair, turn off lights, or wash their hair, Van Zyl reported. (medscape.com)
As the pathogen's epidemiologic circulation pattern and disease mechanism is better understood, peripheral nerve transfer may play an important role in prevention of long-term impairment, disfigurement, and limb dysfunction in patients for whom conservative therapies have failed," the authors write. (physiciansweekly.com)
Many of the lower extremity tendon transfers were performed during the nineteenth century to improve ambulation in polio patients due to post-poliomyelitis paralysis. (wikipedia.org)
Our goal is to improve the treatments available to patients with peripheral nerve pathologies. (stanford.edu)

Epineural End-to-End Nerve Anastomosis Fascicular End-to-End Suturing End-to-Side Nerve Repair Conventional Nerve Grafting Vascularized Nerve Grafting Arterial and Venous anastomosis in the head and neck region on request. (clevelandclinic.org)
Dissection and Anastomosis of nerves and vessels in the head and neck on request. (clevelandclinic.org)

In terms of topography, the facial and intermedius nerves course from the posterior pontine area ventrally, passing through the facial canal together with the vestibulocochlear nerve. (medscape.com)

The first procedure involves moving a nerve to the facial area. (hopkinsmedicine.org)
They develop a fully disseminated disease which involves their internal organs as well as their nerves, and they can manifest massive numbers of bacilli in their tissues. (cdc.gov)
2. Nuclear transfer is a technique used to duplicate genetic material by creating an embryo through the transfer and fusion of a diploid cell in an enucleated female oocyte.2 Cloning has a broader meaning than nuclear transfer as it also involves gene replication and natural or induced embryo splitting (see Annex 1). (who.int)

For example, a branch of the nerve responsible for chewing can be released and attached to one or more branches of the facial nerve. (hopkinsmedicine.org)
Because speech, mastication, and expression of moods and emotions are based on the ability to move facial musculature-be it voluntary or involuntary-successful treatment of facial nerve paralysis is a vital concern. (medscape.com)
This article informs the reader about the extracranial etiology of facial nerve paralysis and its current reconstructive options. (medscape.com)
[ 1 ] The diagram below presents a treatment algorithm for facial nerve paralysis according to facial region involvement. (medscape.com)
Facial nerve anatomy. (medscape.com)
[ 5 ] The inferior anterior cerebellar artery and venous drainage enter the auditory canal together with the facial nerve. (medscape.com)
Topographically, the further course of the facial nerve is subdivided in 3 segments. (medscape.com)
Initially, the facial nerve runs anterior obliquely, remaining separate from the intermedius nerve and unifying at the next level, the geniculate ganglion. (medscape.com)
Trivector gracilis free tissue transfer procedure for facial paralysis. (clevelandclinic.org)
This article informs the reader about the extracranial etiology of facial nerve paralysis and its current reconstructive options.The diagram below presents a treatment algorithm for facial nerve paralysis according to facial region involvement. (medscape.com)
[ 3 ] Here, the facial nerve runs horizontally at the medial wall of the cavum tympani. (medscape.com)
The stylomastoid branch of the posterior auricular artery provides vascular supply to the facial nerve during its intrafallopian course. (medscape.com)
Most often, the facial nerve takes up approximately 25-50% of the canal diameter. (medscape.com)
The facial nerve runs laterally to the styloid process. (medscape.com)
The facial nerve then enters the parotid gland between the stylohyoid and digastric muscle. (medscape.com)
A diverse number of classifications of the extratemporal course of the facial nerve are found in literature. (medscape.com)
Von Graefe and Möbius accepted only cases with congenital facial diplegia and bilateral abducens nerve palsies as constituting Möbius syndrome. (medscape.com)

The most common nerve injured with a knee dislocation is the peroneal nerve. (elsevierpure.com)

M. leprae have the unique ability to invade peripheral nerves, especially Schwann Cells, where they bring about really extensive neuritis and damage to the nerves. (cdc.gov)

Major applications of echogenic catheters include ultrasound-guided continuous peripheral nerve blocks, ultrasound guided embryo transfer, intravascular ultrasound, intracardiac echocardiography, etc. (pharmiweb.com)
We have 3 frozen embryos that have been genetically tested and our plan moving forward was to do a FET (frozen embryo transfer) to expand our family. (eatsleepwear.com)
It's wild what these meds can do to help prepare for an embryo transfer. (eatsleepwear.com)

In contrast, nerve transfers allow the direct reanimation of the paralysed muscle itself. (sciencedaily.com)

These transfers require an intimate knowledge of nerve topography, a technically demanding Intraneural dissection and require extensive physical therapy for retraining. (edu.lb)

Anatomy14

Diseases4

Analytical, Diagnostic and Therapeutic Techniques and Equipment1

Phenomena and Processes2

Named Groups1

Health Care1

Cranial6

Upper-extremity7

Muscles13

Injuries11

Ulnar6

Brachial7

Electromyography3

Tendon transfer11

Graft4

Surgery22

Palsy3

Distal2

Donor nerve5

Sural nerve4

Phrenic nerve transfer1

Median nerve1

Combined with tendon transfers2

Grafts4

Tetraplegia1

Disorders2

Injury13

Infratemporal facial nerve1

Surgical1

Fibers3

Wrist1

Restore3

Expendable1

Elbow flexion2

Sensory nerve2

Fallopian canal2

Weakness2

Myelin sheath5

Axillary nerve4

Reconstruction1

Restoration3

Patients5

Anastomosis2

Vestibulocochlear1

Involves3

Facial17

Knee Dislocation1

Neuritis1

Embryo transfer3

Reanimation1

Topography1