There are simple methods such as ice packs, elevation, and rest to reduce swelling. If the two ends cannot be rejoined (amputation), it is common to bury the nerve or suture it onto muscle to help prevent neuroma formation this is called targeted muscle reinnervation.įor an already formed neuroma, there is also a range of treatments. If there is a gap, it is common to sacrifice a less crucial sensory nerve to provide a nerve graft for the repair, which can be multi-stranded. Careful and minimal debridement is also accepted. Generally accepted principal surgical aims are: repair should not be under tension, in a theatre environment with loupe or microscope magnification, align nerve so that same axon can reconnect. Neurorraphy significantly reduces neuroma formation to 1% from 7.8% untreated or amputated. Many different surgical strategies exist to prevent neuroma formation after trauma, none of which are superior to each other. Following injuries where the nerve damage is suspected, patients must seek medical attention in centers where usually plastic surgeons can diagnose, explore, and treat nerve damage. Following injuries or during elective operations after transection of a nerve is transected, the surgeon should reconnect the two nerve endings where possible. Prevention is essential as this condition affects the quality of life. There is no consensus on how to best treat an already formed neuroma. Multiple endocrine neoplasia 2B (MEN2B) is a genetic syndrome consisting of medullary thyroid carcinoma, pheochromocytoma, and mucosal neuromas. There is no known cure surgery has a role in symptom control. They can present as skin lesions, can cause hearing and balance issues or pain. Neurofibroma (or neurofibromatosis) is a genetic condition in which multiple neuromas form in various places of the central and peripheral nervous system. Neuromas can be part of a syndrome such as neurofibromatosis or MEN2B. The symptoms they produce should not be confused with phantom limb pain. Neuromas can develop after amputation called stump neuroma. It is common to see neuroma formation following elective hand surgery, especially the superficial radial nerve is susceptible, or after knee arthroplasty, the saphenous nerve is vulnerable. Elective surgery is also a significant cause of traumatic neuromas. Mortons neuroma(localized interdigital neuroma) is a traumatic neuroma of the third metatarsal interspace. A Pacinian neuroma is a unique tumor consists entirely or partly of Pacinian corpuscles, which are dermal tactile receptors. Traumatic neuromas can develop after blunt or sharp trauma or traction injury. Neurothekeoma and nerve sheath myxoma are both perineural tumors. Ganglionneuroma is a sympathetic autonomic nervous tumor commonly arising in the abdomen, which can produce hormones. Acoustic neuroma or vestibular schwannoma is an intracranial tumor presenting with tinnitus hearing loss and vertigo. Neural fibrolipoma is a sausage-shaped localized expansion of epineurial adipose and fibrous tissue of a segment of a major nerve. True neoplasms include neural fibrolipoma, acoustic neuroma, ganglioneuroma, neurothekeoma, nerve sheath myxoma. Neuromas can divide into true neoplasms, traumatic neuromas, and neuromas as part of a syndrome.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |