Skip to main content
Top
Published in: HAND 3/2010

01-09-2010 | Case Reports

Functional Recovery Following an End to Side Neurorrhaphy of the Accessory Nerve to the Suprascapular Nerve: Case Report

Authors: Wilson Z. Ray, Rahul Kasukurthi, Andrew Yee, Susan E. Mackinnon

Published in: HAND | Issue 3/2010

Login to get access

Abstract

The use of end-to-side neurrorhaphy remains a controversial topic in peripheral nerve surgery. The authors report the long-term functional outcome following a modified end-to-side motor reinnervation using the spinal accessory to innervate the suprascapular nerve following a C5 to C6 avulsion injury. Additionally, functional outcomes of an end-to-end neurotization of the triceps branch to the axillary nerve and double fascicular transfer of the ulnar and medial nerve to the biceps and brachialis are presented. Excellent functional recoveries are found in respect to shoulder abduction and flexion and elbow flexion.
Appendix
Available only for authorised users
Literature
1.
go back to reference Akeda K, et al. Regenerating axons emerge far proximal to the coaptation site in end-to-side nerve coaptation without a perineurial window using a T-shaped chamber. Plast Reconstr Surg. 2006;117:1194–203. discussion 1204-1195.CrossRefPubMed Akeda K, et al. Regenerating axons emerge far proximal to the coaptation site in end-to-side nerve coaptation without a perineurial window using a T-shaped chamber. Plast Reconstr Surg. 2006;117:1194–203. discussion 1204-1195.CrossRefPubMed
2.
go back to reference Asaoka K, Sawamura Y. Hypoglossal-facial nerve side-to-end anastomosis. J Neurosurg. 1999;91:163–4.PubMed Asaoka K, Sawamura Y. Hypoglossal-facial nerve side-to-end anastomosis. J Neurosurg. 1999;91:163–4.PubMed
3.
go back to reference Asaoka K, Sawamura Y, Nagashima M, Fukushima T. Surgical anatomy for direct hypoglossal-facial nerve side-to-end "anastomosis". J Neurosurg. 1999;91:268–75.CrossRefPubMed Asaoka K, Sawamura Y, Nagashima M, Fukushima T. Surgical anatomy for direct hypoglossal-facial nerve side-to-end "anastomosis". J Neurosurg. 1999;91:268–75.CrossRefPubMed
4.
go back to reference Bertelli JA, Ghizoni MF. Nerve repair by end-to-side coaptation or fascicular transfer: a clinical study. J Reconstr Microsurg. 2003;19:313–18.CrossRefPubMed Bertelli JA, Ghizoni MF. Nerve repair by end-to-side coaptation or fascicular transfer: a clinical study. J Reconstr Microsurg. 2003;19:313–18.CrossRefPubMed
5.
go back to reference Bontioti E, Kanje M, Lundborg G, Dahlin LB. End-to-side nerve repair in the upper extremity of rat. J Peripher Nerv Syst. 2005;10:58–68.CrossRefPubMed Bontioti E, Kanje M, Lundborg G, Dahlin LB. End-to-side nerve repair in the upper extremity of rat. J Peripher Nerv Syst. 2005;10:58–68.CrossRefPubMed
6.
go back to reference Brenner MJ, Dvali L, Hunter DA, Myckatyn TM, Mackinnon SE. Motor neuron regeneration through end-to-side repairs is a function of donor nerve axotomy. Plast Reconstr Surg. 2007;120:215–23.CrossRefPubMed Brenner MJ, Dvali L, Hunter DA, Myckatyn TM, Mackinnon SE. Motor neuron regeneration through end-to-side repairs is a function of donor nerve axotomy. Plast Reconstr Surg. 2007;120:215–23.CrossRefPubMed
7.
go back to reference Colbert SH, Mackinnon S. Posterior approach for double nerve transfer for restoration of shoulder function in upper brachial plexus palsy. Hand (N Y). 2006;1:71–7. Colbert SH, Mackinnon S. Posterior approach for double nerve transfer for restoration of shoulder function in upper brachial plexus palsy. Hand (N Y). 2006;1:71–7.
8.
go back to reference Dvali LT, Myckatyn TM. End-to-side nerve repair: review of the literature and clinical indications. Hand Clin. 2008;24:455–60.CrossRefPubMed Dvali LT, Myckatyn TM. End-to-side nerve repair: review of the literature and clinical indications. Hand Clin. 2008;24:455–60.CrossRefPubMed
9.
go back to reference Godefroy WP, Malessy MJ, Tromp AA, van der Mey AG. Intratemporal facial nerve transfer with direct coaptation to the hypoglossal nerve. Otol Neurotol. 2007;28:546–50.CrossRefPubMed Godefroy WP, Malessy MJ, Tromp AA, van der Mey AG. Intratemporal facial nerve transfer with direct coaptation to the hypoglossal nerve. Otol Neurotol. 2007;28:546–50.CrossRefPubMed
10.
go back to reference Goheen-Robillard B, Myckatyn TM, Mackinnon SE, Hunter DA. End-to-side neurorrhaphy and lateral axonal sprouting in a long graft rat model. Laryngoscope. 2002;112:899–905.CrossRefPubMed Goheen-Robillard B, Myckatyn TM, Mackinnon SE, Hunter DA. End-to-side neurorrhaphy and lateral axonal sprouting in a long graft rat model. Laryngoscope. 2002;112:899–905.CrossRefPubMed
11.
go back to reference Hayashi A, et al. Collateral sprouting occurs following end-to-side neurorrhaphy. Plast Reconstr Surg. 2004;114:129–37.CrossRefPubMed Hayashi A, et al. Collateral sprouting occurs following end-to-side neurorrhaphy. Plast Reconstr Surg. 2004;114:129–37.CrossRefPubMed
12.
go back to reference Hayashi A, et al. Axotomy or compression is required for axonal sprouting following end-to-side neurorrhaphy. Exp Neurol. 2008;211:539–50.CrossRefPubMed Hayashi A, et al. Axotomy or compression is required for axonal sprouting following end-to-side neurorrhaphy. Exp Neurol. 2008;211:539–50.CrossRefPubMed
13.
go back to reference Hess JR, Brenner MJ, Myckatyn TM, Hunter DA, Mackinnon SE. Influence of aging on regeneration in end-to-side neurorrhaphy. Ann Plast Surg. 2006;57:217–22.CrossRefPubMed Hess JR, Brenner MJ, Myckatyn TM, Hunter DA, Mackinnon SE. Influence of aging on regeneration in end-to-side neurorrhaphy. Ann Plast Surg. 2006;57:217–22.CrossRefPubMed
14.
go back to reference Liverneaux PA, Diaz LC, Beaulieu JY, Durand S, Oberlin C. Preliminary results of double nerve transfer to restore elbow flexion in upper type brachial plexus palsies. Plast Reconstr Surg. 2006;117:915–19.CrossRefPubMed Liverneaux PA, Diaz LC, Beaulieu JY, Durand S, Oberlin C. Preliminary results of double nerve transfer to restore elbow flexion in upper type brachial plexus palsies. Plast Reconstr Surg. 2006;117:915–19.CrossRefPubMed
15.
go back to reference Lundborg G, Zhao Q, Kanje M, Danielsen N, Kerns JM. Can sensory and motor collateral sprouting be induced from intact peripheral nerve by end-to-side anastomosis? J Hand Surg Br. 1994;19:277–82.CrossRefPubMed Lundborg G, Zhao Q, Kanje M, Danielsen N, Kerns JM. Can sensory and motor collateral sprouting be induced from intact peripheral nerve by end-to-side anastomosis? J Hand Surg Br. 1994;19:277–82.CrossRefPubMed
16.
go back to reference Mackinnon SE. Preliminary results of double nerve transfer to restore elbow flexion in upper type brachial plexus palsies. Plast Reconstr Surg. 2006;118:1273. author reply 1274. Mackinnon SE. Preliminary results of double nerve transfer to restore elbow flexion in upper type brachial plexus palsies. Plast Reconstr Surg. 2006;118:1273. author reply 1274.
17.
go back to reference Mackinnon SE, Colbert SH. Nerve transfers in the hand and upper extremity surgery. Tech Hand Up Extrem Surg. 2008;12:20–33.CrossRefPubMed Mackinnon SE, Colbert SH. Nerve transfers in the hand and upper extremity surgery. Tech Hand Up Extrem Surg. 2008;12:20–33.CrossRefPubMed
18.
go back to reference Mackinnon SE, Roque B, Tung TH. Median to radial nerve transfer for treatment of radial nerve palsy. case report. J Neurosurg. 2007;107:666–71.CrossRefPubMed Mackinnon SE, Roque B, Tung TH. Median to radial nerve transfer for treatment of radial nerve palsy. case report. J Neurosurg. 2007;107:666–71.CrossRefPubMed
19.
go back to reference Noah EM, Williams A, Fortes W, Terzis JK. A new animal model to investigate axonal sprouting after end-to-side neurorrhaphy. J Reconstr Microsurg. 1997;13:317–25.CrossRefPubMed Noah EM, Williams A, Fortes W, Terzis JK. A new animal model to investigate axonal sprouting after end-to-side neurorrhaphy. J Reconstr Microsurg. 1997;13:317–25.CrossRefPubMed
20.
go back to reference Noah EM, Williams A, Jorgenson C, Skoulis TG, Terzis JK. End-to-side neurorrhaphy: a histologic and morphometric study of axonal sprouting into an end-to-side nerve graft. J Reconstr Microsurg. 1997;13:99–106.CrossRefPubMed Noah EM, Williams A, Jorgenson C, Skoulis TG, Terzis JK. End-to-side neurorrhaphy: a histologic and morphometric study of axonal sprouting into an end-to-side nerve graft. J Reconstr Microsurg. 1997;13:99–106.CrossRefPubMed
21.
go back to reference Novak CB, Mackinnon SE. Treatment of a proximal accessory nerve injury with nerve transfer. Laryngoscope. 2004;114:1482–4.CrossRefPubMed Novak CB, Mackinnon SE. Treatment of a proximal accessory nerve injury with nerve transfer. Laryngoscope. 2004;114:1482–4.CrossRefPubMed
22.
go back to reference Novak CB, Mackinnon SE, Tung TH. Patient outcome following a thoracodorsal to musculocutaneous nerve transfer for reconstruction of elbow flexion. Br J Plast Surg. 2002;55:416–19.CrossRefPubMed Novak CB, Mackinnon SE, Tung TH. Patient outcome following a thoracodorsal to musculocutaneous nerve transfer for reconstruction of elbow flexion. Br J Plast Surg. 2002;55:416–19.CrossRefPubMed
23.
go back to reference Okajima S, Terzis JK. Ultrastructure of early axonal regeneration in an end-to-side neurorrhaphy model. J Reconstr Microsurg. 2000;16:313–23. discussion 323-316.CrossRefPubMed Okajima S, Terzis JK. Ultrastructure of early axonal regeneration in an end-to-side neurorrhaphy model. J Reconstr Microsurg. 2000;16:313–23. discussion 323-316.CrossRefPubMed
24.
go back to reference Papalia I, Geuna S, D'Alcontres FS, Tos P. Origin and history of end-to-side neurorrhaphy. Microsurgery. 2007;27:56–61.CrossRefPubMed Papalia I, Geuna S, D'Alcontres FS, Tos P. Origin and history of end-to-side neurorrhaphy. Microsurgery. 2007;27:56–61.CrossRefPubMed
26.
go back to reference Rovak JM, Cederna PS, Kuzon WM Jr. Terminolateral neurorrhaphy: a review of the literature. J Reconstr Microsurg. 2001;17:615–24.CrossRefPubMed Rovak JM, Cederna PS, Kuzon WM Jr. Terminolateral neurorrhaphy: a review of the literature. J Reconstr Microsurg. 2001;17:615–24.CrossRefPubMed
27.
go back to reference Singh N, Robertson B, Dellon L. Use of an innervated tongue flap to rehabilitate the tongue after hypoglossal-to-facial nerve transfer. Plast Reconstr Surg. 2002;109:2439–42.CrossRefPubMed Singh N, Robertson B, Dellon L. Use of an innervated tongue flap to rehabilitate the tongue after hypoglossal-to-facial nerve transfer. Plast Reconstr Surg. 2002;109:2439–42.CrossRefPubMed
28.
go back to reference Tarasidis G, et al. End-to-side neurorrhaphy resulting in limited sensory axonal regeneration in a rat model. Ann Otol Rhinol Laryngol. 1997;106:506–12.PubMed Tarasidis G, et al. End-to-side neurorrhaphy resulting in limited sensory axonal regeneration in a rat model. Ann Otol Rhinol Laryngol. 1997;106:506–12.PubMed
29.
go back to reference Tarasidis G, et al. End-to-side neurorraphy: a long-term study of neural regeneration in a rat model. Otolaryngol Head Neck Surg. 1998;119:337–41.CrossRefPubMed Tarasidis G, et al. End-to-side neurorraphy: a long-term study of neural regeneration in a rat model. Otolaryngol Head Neck Surg. 1998;119:337–41.CrossRefPubMed
30.
go back to reference Tung TH, Liu DZ, Mackinnon SE. Nerve transfer for elbow flexion in radiation-induced brachial plexopathy: a case report. Hand (N Y). 2009;4:123–8. Tung TH, Liu DZ, Mackinnon SE. Nerve transfer for elbow flexion in radiation-induced brachial plexopathy: a case report. Hand (N Y). 2009;4:123–8.
31.
go back to reference Ueda K, et al. Combination of hypoglossal-facial nerve jump graft by end-to-side neurorrhaphy and cross-face nerve graft for the treatment of facial paralysis. J Reconstr Microsurg. 2007;23:181–7.CrossRefPubMed Ueda K, et al. Combination of hypoglossal-facial nerve jump graft by end-to-side neurorrhaphy and cross-face nerve graft for the treatment of facial paralysis. J Reconstr Microsurg. 2007;23:181–7.CrossRefPubMed
32.
go back to reference Venail F, et al. Outcomes and complications of direct end-to-side facial-hypoglossal nerve anastomosis according to the modified May technique. J Neurosurg. 2009;110:786–91.CrossRefPubMed Venail F, et al. Outcomes and complications of direct end-to-side facial-hypoglossal nerve anastomosis according to the modified May technique. J Neurosurg. 2009;110:786–91.CrossRefPubMed
33.
go back to reference Viterbo F, Trindade JC, Hoshino K, Mazzoni A. Two end-to-side neurorrhaphies and nerve graft with removal of the epineural sheath: experimental study in rats. Br J Plast Surg. 1994;47:75–80.CrossRefPubMed Viterbo F, Trindade JC, Hoshino K, Mazzoni A. Two end-to-side neurorrhaphies and nerve graft with removal of the epineural sheath: experimental study in rats. Br J Plast Surg. 1994;47:75–80.CrossRefPubMed
34.
go back to reference Voche P, Ouattara D. End-to-side neurorrhaphy for defects of palmar sensory digital nerves. Br J Plast Surg. 2005;58:239–44.CrossRefPubMed Voche P, Ouattara D. End-to-side neurorrhaphy for defects of palmar sensory digital nerves. Br J Plast Surg. 2005;58:239–44.CrossRefPubMed
36.
go back to reference Zhang Z, et al. Repair of the main nerve trunk of the upper limb with end-to-side neurorrhaphy: an experimental study in rabbits. Microsurgery. 2006;26:245–52.CrossRefPubMed Zhang Z, et al. Repair of the main nerve trunk of the upper limb with end-to-side neurorrhaphy: an experimental study in rabbits. Microsurgery. 2006;26:245–52.CrossRefPubMed
37.
go back to reference Zhu QT, Zhu JK, Chen GY. Location of collateral sprouting of donor nerve following end-to-side neurorrhaphy. Muscle Nerve. 2008;38:1506–9.CrossRefPubMed Zhu QT, Zhu JK, Chen GY. Location of collateral sprouting of donor nerve following end-to-side neurorrhaphy. Muscle Nerve. 2008;38:1506–9.CrossRefPubMed
Metadata
Title
Functional Recovery Following an End to Side Neurorrhaphy of the Accessory Nerve to the Suprascapular Nerve: Case Report
Authors
Wilson Z. Ray
Rahul Kasukurthi
Andrew Yee
Susan E. Mackinnon
Publication date
01-09-2010
Publisher
Springer-Verlag
Published in
HAND / Issue 3/2010
Print ISSN: 1558-9447
Electronic ISSN: 1558-9455
DOI
https://doi.org/10.1007/s11552-009-9242-3

Other articles of this Issue 3/2010

HAND 3/2010 Go to the issue