Peripheral Nerve Healing: So Near and Yet So Far

Aslan Baradaran; Hassan El-Hawary; Johnny Ionut Efanov; Liqin Xu

doi:10.1055/s-0041-1731630

Seminars in Plastic Surgery, Table of Contents

Semin Plast Surg 2021; 35(03): 204-210
DOI: 10.1055/s-0041-1731630

Review Article

Peripheral Nerve Healing: So Near and Yet So Far

Aslan Baradaran

¹Division of Plastic and Reconstructive Surgery, Montreal General Hospital, McGill University, Montreal, Quebec, Canada

,

Hassan El-Hawary

¹Division of Plastic and Reconstructive Surgery, Montreal General Hospital, McGill University, Montreal, Quebec, Canada

,

Johnny Ionut Efanov

²Division of Plastic and Reconstructive Surgery, Centre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada

,

Liqin Xu

¹Division of Plastic and Reconstructive Surgery, Montreal General Hospital, McGill University, Montreal, Quebec, Canada

› Author Affiliations

Abstract

Peripheral nerve injuries represent a considerable portion of chronic disability that especially affects the younger population. Prerequisites of proper peripheral nerve injury treatment include in-depth knowledge of the anatomy, pathophysiology, and options in surgical reconstruction. Our greater appreciation of nerve healing mechanisms and the development of different microsurgical techniques have significantly refined the outcomes in treatment for the past four decades. This work reviews the peripheral nerve regeneration process after an injury, provides an overview of various coaptation methods, and compares other available treatments such as autologous nerve graft, acellular nerve allograft, and synthetic nerve conduits. Furthermore, the formation of neuromas as well as their latest treatment options are discussed.

Keywords

peripheral nerve - injury - repair - review

Full Text

References

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