Hale Eva S, Tadisina Kashyap Komarraju, Jose Jean, Xu Kyle Y
From the Division of Plastic Surgery, University of Miami Miller School of Medicine, Miami, Fla.
Department of Radiology, University of Miami Miller School of Medicine, Miami, Fla.
Plast Reconstr Surg Glob Open. 2024 Aug 9;12(8):e6058. doi: 10.1097/GOX.0000000000006058. eCollection 2024 Aug.
Neuroma management has gained significant attention in the peripheral nerve literature in the past decade. Alongside techniques such as targeted muscle reinnervation and regenerative peripheral nerve interface, another technique known as the "allograft to nowhere" has emerged. This approach involves the placement of an extended allograft at the end of a nerve, creating a regrowth zone in cases where muscle or nerve targets are not available. Although technique and outcomes research has been performed regarding the above techniques, there is a lack of imaging studies to examine postoperative outcomes. The authors present a case of recurrent neuroma management using a combined nerve allograft to nowhere + muscle target, supported by postoperative imaging.
在过去十年中,神经瘤的治疗在周围神经文献中受到了广泛关注。除了靶向肌肉再支配和再生周围神经接口等技术外,另一种被称为“无处移植的同种异体移植”的技术也应运而生。这种方法是在神经末端放置一段延长的同种异体移植,在没有肌肉或神经靶点的情况下创造一个再生区域。虽然已经对上述技术进行了技术和结果研究,但缺乏用于检查术后结果的影像学研究。作者报告了一例使用联合无处移植的同种异体神经+肌肉靶点治疗复发性神经瘤的病例,并辅以术后影像学检查。