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Treatment of Painful Hand Neuroma : To Make a Loop to Transpose the Nerve Ending to the Side of its Proximal Stump - Case Report -
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수부 신경종의 치료 : 고리 모양의 단.측 신경봉합술의 이용 - 증례 보고 -

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Type
Academic journal
Author
Ko, Ra-Yong (인제대학교 의과대학 성형외과학교실) Oh, Kap-Sung (인제대학교 의과대학 성형외과학교실)
Journal
대한미세수술학회 대한미세수술학회지 대한미세수술학회지 제8권 제1호
Published
1999.1
Pages
92 - 96 (5page)

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Treatment of Painful Hand Neuroma : To Make a Loop to Transpose the Nerve Ending to the Side of its Proximal Stump - Case Report -
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Neuroma is formed by abnormal, incomplete nerve regeneration after nerve injury. A painful neuroma in the hand can be psychologically and physically disabling. The goal of treating painful neuroma is to relieve pain and to restore nerve function. A numerous treatment modality was reported for alleviating the problem. These treatments include crushing the neuroma, ligating it, burying in soft tissue, bone, and muscle, injecting it with alcohol, phenol, and steroid, capping it with silicone cuff. But, none of these methods has been uniformly successful, although each has its advocates. No one technique reliably prevents formation of a painful neuroma. However, the principles of treatment is resection of neuroma and proximal stump of the nerve is transposed to appropriate adjacent tissue. Our current technique was resection of neuroma with partial normal neural tissue, and then the nerve ending was transposed and sutured to the side of the proximal stump with 10-0 nylon, so end-to-side neurorrhaphy was made. The nerve ending had to be placed and fixed into the proximal nerve epineurium like as a figure of a loop. We believe this technique is another useful method for the treatment of painful neuroma.
#Neuroma #Loop #End-to-side neurorrhaphy

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