TY - JOUR
T1 - Pilot feasibility study of a simple regenerative peripheral nerve interface designed to diminish cutaneous dysesthesia after supraclavicular operations
AU - Yang, Alexander
AU - Thompson, Robert W.
N1 - Funding Information:
The present study was supported in part by the Thoracic Outlet Syndrome Research and Education Fund of the Foundation for Barnes-Jewish Hospital, BJC Healthcare, St Louis, MO. The Foundation for Barnes Jewish Hospital had no involvement in the study design; collection, analysis, or interpretation of the data; manuscript writing; or the decision to submit the report for publication. The editors and reviewers of this article have no relevant financial relationships to disclose per the Journal policy that requires reviewers to decline review of any manuscript for which they may have a conflict of interest.
Funding Information:
The present study was supported in part by the Thoracic Outlet Syndrome Research and Education Fund of the Foundation for Barnes-Jewish Hospital , BJC Healthcare , St Louis, MO. The Foundation for Barnes Jewish Hospital had no involvement in the study design; collection, analysis, or interpretation of the data; manuscript writing; or the decision to submit the report for publication.
Publisher Copyright:
© 2022 The Author(s)
PY - 2022/6
Y1 - 2022/6
N2 - Supraclavicular operations can be associated with postoperative cutaneous dysesthesia and hypersensitivity. Regenerative peripheral nerve interfaces, created by attaching the proximal end of a divided peripheral nerve into a viable muscle target, can promote neurite regrowth and neuromuscular connections to help suppress painful nerve hyperactivity. During 40 consecutive operations for neurogenic thoracic outlet syndrome, we demonstrated that division of at least one of the superficial supraclavicular cutaneous sensory nerve branches was necessary in 98% of cases. We subsequently developed a novel regenerative peripheral nerve interface for supraclavicular operations using the adjacent omohyoid muscle and have described the technical steps involved in this procedure.
AB - Supraclavicular operations can be associated with postoperative cutaneous dysesthesia and hypersensitivity. Regenerative peripheral nerve interfaces, created by attaching the proximal end of a divided peripheral nerve into a viable muscle target, can promote neurite regrowth and neuromuscular connections to help suppress painful nerve hyperactivity. During 40 consecutive operations for neurogenic thoracic outlet syndrome, we demonstrated that division of at least one of the superficial supraclavicular cutaneous sensory nerve branches was necessary in 98% of cases. We subsequently developed a novel regenerative peripheral nerve interface for supraclavicular operations using the adjacent omohyoid muscle and have described the technical steps involved in this procedure.
KW - Cutaneous dysesthesia
KW - Omohyoid muscle
KW - Regenerative peripheral nerve interface
KW - Supraclavicular nerve
KW - Surgical technique
KW - Thoracic outlet syndrome
UR - http://www.scopus.com/inward/record.url?scp=85134064527&partnerID=8YFLogxK
U2 - 10.1016/j.jvscit.2022.03.013
DO - 10.1016/j.jvscit.2022.03.013
M3 - Article
C2 - 35619944
AN - SCOPUS:85134064527
SN - 2468-4287
VL - 8
SP - 287
EP - 292
JO - Journal of Vascular Surgery Cases and Innovative Techniques
JF - Journal of Vascular Surgery Cases and Innovative Techniques
IS - 2
ER -