Sekundäre Nervenrekonstruktionen View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2017-08

AUTHORS

T. Al-Malat, D. Schreier, H. H. Homann, L. Mannil

ABSTRACT

Bei peripheren Nervenschäden ist aus unterschiedlichen Gründen nicht immer eine primäre Rekonstruktion möglich. Dennoch sollte eine schnellstmögliche Reinnervation der Zielorgane angestrebt werden. Das Zeitfenster für die Rekonstruktion motorischer Zielorgane beträgt 18 Monate, für sensible Zielorgane ca. 3 Jahre. Nach Ablauf von 12 Wochen ohne klinische oder neurophysiologische Reinnervationszeichen unter konservativer Therapie sollten daher operative Revisionen erwogen werden. Im Rahmen sekundärer Rekonstruktionen können kleinere Defektstrecken mit resorbierbaren Conduits oder azellulären Allografts überbrückt werden. Bei größeren Defektstrecken >5 cm bleibt der Goldstandard das autologe Nerveninterponat. Durch handgelenknahe Nerventranspositionen lassen sich die Zielorgane früher erreichen und deren irreversible Degeneration vermeiden. Als Rettungsoperationen für funktionslose Muskelgruppen stehen motorische Ersatzplastiken und funktionelle Muskeltransfers zur Verfügung. More... »

PAGES

209-213

Journal

TITLE

Trauma und Berufskrankheit

ISSUE

Suppl 2

VOLUME

19

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10039-017-0265-7

DOI

http://dx.doi.org/10.1007/s10039-017-0265-7

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1085760477


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