Yang Alexander, Thompson Robert W
Center for Thoracic Outlet Syndrome, Department of Surgery, Washington University School of Medicine, St Louis, MO.
Division of Plastic and Reconstructive Surgery, Department of Surgery, Washington University School of Medicine, St Louis, MO.
J Vasc Surg Cases Innov Tech. 2022 Apr 11;8(2):287-292. doi: 10.1016/j.jvscit.2022.03.013. eCollection 2022 Jun.
Supraclavicular operations can be associated with postoperative cutaneous dysesthesia and hypersensitivity. Regenerative peripheral nerve interfaces, created by attaching the proximal end of a divided peripheral nerve into a viable muscle target, can promote neurite regrowth and neuromuscular connections to help suppress painful nerve hyperactivity. During 40 consecutive operations for neurogenic thoracic outlet syndrome, we demonstrated that division of at least one of the superficial supraclavicular cutaneous sensory nerve branches was necessary in 98% of cases. We subsequently developed a novel regenerative peripheral nerve interface for supraclavicular operations using the adjacent omohyoid muscle and have described the technical steps involved in this procedure.
锁骨上手术可能会伴有术后皮肤感觉异常和超敏反应。通过将离断的周围神经近端连接到有活力的肌肉靶点而创建的再生周围神经接口，可促进神经突再生和神经肌肉连接，以帮助抑制疼痛性神经活动亢进。在连续40例治疗神经源性胸廓出口综合征的手术中，我们发现98%的病例有必要至少切断一支锁骨上浅表皮肤感觉神经分支。随后，我们利用相邻的肩胛舌骨肌为锁骨上手术开发了一种新型的再生周围神经接口，并描述了该手术的技术步骤。
