Park Eugene, Fox Paige M, Curtin Catherine, Hentz Vincent R
Shriners Hospital for Children Philadelphia, Philadelphia, Pennsylvania.
Division of Plastic and Reconstructive Surgery, Stanford Medical Center, Stanford, California.
Semin Plast Surg. 2023 Mar 27;37(2):85-88. doi: 10.1055/s-0043-1764453. eCollection 2023 May.
The start of Stanford's brachial plexus birth palsy (BPBP) experience dates back to 1983, when Dr. Vincent Rod Hentz visited Dr. Alain Gilbert on sabbatical. Since then, our principles of care for patients with BPBP have evolved based on our group's longitudinal experience caring for children with the entire spectrum of sequelae that arise in children with BPBP. We base our clinical decision making on frequent serial examinations and use intraoperative evoked potentials to guide surgical decisions. Here, we discuss our current principles on surgical indications, timing of surgery, and preferred techniques for secondary surgery in patients with BPBP.
斯坦福大学臂丛神经产瘫(BPBP)的治疗经验始于1983年,当时文森特·罗德·亨茨博士休假期间拜访了阿兰·吉尔伯特博士。从那时起,基于我们团队长期护理患有BPBP各种后遗症儿童的经验,我们对BPBP患者的护理原则不断发展。我们的临床决策基于频繁的系列检查,并使用术中诱发电位来指导手术决策。在此,我们讨论目前关于BPBP患者手术指征、手术时机和二次手术首选技术的原则。