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When nerve repair cannot be performed without tension, nerve grafting can be used and is considered the most suitable treatment of peripheral nerve injuries, injuries to nerves outside of the brain and spinal cord. Nerve grafts are used to avoid tension at the proximal and distal ends, to reduce the likelihood of postoperative distraction.
A common surgical procedure to repair a torn nerve via the epineurium is termed an epineurial repair. [6] Schwannomas often remain completely encapsulated by the epineurium as they grow. [7] Epineurial barriers can be used to limit the formation of neuromas after neurotmesis. [8] The epineurium is an effective barrier against axon growth. [8]
Here it is less aponeurotic, and is continued over the temporal fascia to the zygomatic arch as a layer of laminated areolar tissue. It is closely connected to the integument by the firm, dense, fibro-fatty layer which forms the superficial fascia of the scalp .
Currently, autologous nerve grafting, or a nerve autograft, is known as the gold standard for clinical treatments used to repair large lesion gaps in the peripheral nervous system. It is important that nerves are not repaired under tension, [ 13 ] which could otherwise happen if cut ends are reapproximated across a gap.
These nerves are typically cutaneous nerves, but other nerves have been researched as well with encouraging results. These autologous nerve grafts are the current gold standard for PNS nerve grafting because of the highly biocompatible nature of the autologous nerve graft, but there are issues concerning harvesting the nerve from the patients ...
When a patient loses nerve function, PMR can interfere with (or help) the different methods of repair that physicians use. Physicians understanding of natural nerve repair processes will allow for overall improvement in surgery, because they will be able to better interface their repair efforts with natural ones.
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The use of a nerve decompression or neurectomy to treat nerve pain along the lateral femoral cutaneous nerve is a firmly established surgical treatment. [ 24 ] [ 25 ] However, the more effective treatment between a decompression and neurectomy is still being researched.
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