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The effect of unilateral intercostal nerve transfer upon lung function
G E Giddins1, N Kakkar, J Alltree
1Peripheral Nerve Injury Unit, Royal National Orthopaedic Hospital, Stanmore, Middlesex, UK.
Journal of Hand Surgery (Edinburgh, Scotland)
|October 1, 1995
Summary
Intercostal nerve transfers are safe for adults with brachial plexus injuries, even with phrenic nerve palsy. Lung function remains stable post-procedure, indicating no significant respiratory compromise.
Area of Science:
- Neurosurgery
- Thoracic Surgery
- Respiratory Medicine
Background:
- Intercostal nerve transfer is a recognized treatment for severe brachial plexus injuries in adults.
- Concerns exist regarding potential respiratory compromise when combined with ipsilateral phrenic nerve palsy.
Purpose of the Study:
- To evaluate the impact of intercostal nerve transfer on respiratory function in adults with brachial plexus injuries.
- To assess the safety of this procedure in the presence of ipsilateral phrenic nerve palsy.
Main Methods:
- Prospective study involving 20 adult patients undergoing intercostal nerve transfer.
- Lung function was assessed pre-operatively and 6 weeks post-operatively.
- Patients were surveyed for symptoms of respiratory dysfunction.
Main Results:
- No significant reduction in respiratory function was observed post-operatively.
- No patient reported significant symptoms of respiratory dysfunction attributable to the nerve transfer.
Conclusions:
- Intercostal nerve transfer appears safe for adults with brachial plexus injuries.
- The procedure does not lead to significant respiratory compromise, even with coexisting ipsilateral phrenic nerve palsy.