변형 근치적 림프절 곽청술 시행 중 발생한 상완신경총 손상에 대한 신경봉합술 치료 1례A Case of Brachial Plexus Neurorrhaphy During Revisional Modified Radical Neck Dissection
- Other Titles
- A Case of Brachial Plexus Neurorrhaphy During Revisional Modified Radical Neck Dissection
- Authors
- 이민기; 강현택; 김신영; 이승원
- Issue Date
- 2020
- Publisher
- 대한갑상선학회
- Keywords
- 상완신경총 손상; 변형 근치적 경부 림프절 곽청술; 신경봉합술; Brachial plexus injury; Modified radical neck dissection; Neurorrhaphy
- Citation
- International Journal of Thyroidology, v.13, no.1, pp.43 - 46
- Journal Title
- International Journal of Thyroidology
- Volume
- 13
- Number
- 1
- Start Page
- 43
- End Page
- 46
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/3554
- DOI
- 10.11106/ijt.2020.13.1.43
- ISSN
- 2384-3799
- Abstract
- The brachial plexus originates from the ventral rami of spinal nerves C5–T1 and lies between the anterior and middle scalene muscles. Brachial plexus injury can occur as a rare complication of neck dissection or in association with trauma, malignancy, or radiotherapy. We performed modified radical neck dissection in a female with cervical lymph node metastasis of a recurrent papillary thyroid carcinoma. Brachial plexus injury occurred because of severe adhesion and anatomical distortion during the surgical revision and was immediately treated via end-to-end neurorrhaphy. After surgery, the patient felt pain and numbness in her right shoulder and arm. Motor function was grade 0 on right shoulder flexion, arm abduction and elbow flexion.
After 1 year of follow-up, both motor and sensory function had fully recovered. This is the first reported case of complete motor function restoration after brachial plexus neurorrhaphy in a patient treated in the Republic of Korea.
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Collections - College of Medicine > Department of Otorhinolaryngology > 1. Journal Articles
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