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A Novel Method of Spinal Accessory Nerve Banking Using Silicone Catheter for Functioning Free Muscle Transfer.

Mithun Pai GAnil K BhatAshwath M Acharya
Published in: Techniques in hand & upper extremity surgery (2023)
In secondary brachial plexus reconstruction, exploring an area that has already been operated on is challenging and time-consuming for a surgeon, especially in centers with a single-team approach. Due to their inertness and lack of adverse effects, silicone Foley catheters were used successfully during the reconstruction of flexor tendons. Based on the concept, we have achieved an acceptable functional outcome by banking the spinal accessory nerve in a silicon catheter for gracilis reanimation, which permits smooth dissection, maintains the length, and shortens the operating time for subsequent reconstruction. Level of Evidence: Level V.
Keyphrases
  • spinal cord
  • peripheral nerve
  • skeletal muscle
  • ultrasound guided
  • palliative care
  • quality improvement
  • spinal cord injury