CC BY-NC-ND 4.0 · Indian J Plast Surg 2016; 49(02): 144-150
DOI: 10.4103/0970-0358.191295
Prof. Mira Sen (Banerjee) CME Article
Association of Plastic Surgeons of India

Debates to personal conclusion in peripheral nerve injury and reconstruction: A 30-year experience at Chang Gung Memorial Hospital

David Chwei-Chin Chuang
Department of Plastic Surgery, Chang Gung Memorial Hospital, Taipei Linkou, Taiwan
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Address for correspondence:

Prof. David Chwei-Chin Chuang
199, Tun-Hwa N. Road, Taipei
Taiwan   

Publikationsverlauf

Publikationsdatum:
13. August 2019 (online)

 

ABSTRACT

Significant progress has been achieved in the science and management of peripheral nerve injuries over the past 40 years. Yet there are many questions and few answers. The author, with 30 years of experience in treating them at the Chang Gung Memorial Hospital, addresses debates on various issues with personal conclusions. These include: (1) Degree of peripheral nerve injury, (2) Timing of nerve repair, (3)Technique of nerve repair, (4) Level of brachial plexus injury,(5) Level of radialnerve injury,(6) Traction avulsion amputation of major limb, (7) Proximal Vs distal nerve transfers in brachial plexus injuries and (8) Post paralysis facial synkinesis.


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Conflicts of interest

There are no conflicts of interest.

  • REFERENCES

  • 1 Chuang DC. Brachial plexus injuries: Adult and pediatric. In: Naligan PC, Chang J, Van Beek AL. editors. Plastic Surgery. 3rd ed.. Vol. 6 London: Elsevier; 2013
  • 2 Pan CH, Chuang DC, Rodríguez-Lorenzo A. Outcomes of nerve reconstruction for radial nerve injuries based on the level of injury in 244 operative cases. J Hand Surg Eur Vol 2010; 35: 385-91
  • 3 Chuang DCC, Lai JB, Cheng SL, Jain V, Lin CH, Chen HC. Traction avulsion amputation of the major upper limb: a proposed new classification, guidelines for acute management, and strategies for secondary reconstruction. Plast Reconstr Surg 2001; 108: 1624-38
  • 4 Chuang DC, Chang TN, Lu JC. Postparalysis facial synkinesis: clinical classification and surgical strategies. Plast Reconstr Surg Glob Open 2015; 3: e320

Address for correspondence:

Prof. David Chwei-Chin Chuang
199, Tun-Hwa N. Road, Taipei
Taiwan   

  • REFERENCES

  • 1 Chuang DC. Brachial plexus injuries: Adult and pediatric. In: Naligan PC, Chang J, Van Beek AL. editors. Plastic Surgery. 3rd ed.. Vol. 6 London: Elsevier; 2013
  • 2 Pan CH, Chuang DC, Rodríguez-Lorenzo A. Outcomes of nerve reconstruction for radial nerve injuries based on the level of injury in 244 operative cases. J Hand Surg Eur Vol 2010; 35: 385-91
  • 3 Chuang DCC, Lai JB, Cheng SL, Jain V, Lin CH, Chen HC. Traction avulsion amputation of the major upper limb: a proposed new classification, guidelines for acute management, and strategies for secondary reconstruction. Plast Reconstr Surg 2001; 108: 1624-38
  • 4 Chuang DC, Chang TN, Lu JC. Postparalysis facial synkinesis: clinical classification and surgical strategies. Plast Reconstr Surg Glob Open 2015; 3: e320