Surgical anatomy of the platysma motor branch as a donor for transfer in brachial plexus repair

Object: Nerve transfers have become a major weapon in the battle against brachial plexus lesions. Recently, a case involving the successful use of the platysma motor branch to re-innervate the pectoralis major muscle was reported. The present anatomical study was conducted to clarify the surgical an...

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Autor principal: Socolovsky, M.P
Otros Autores: Bertelli, J.A, Masi, G.D, Campero, A., Garategui, L., Conesa, H., Ghizoni, M.F
Formato: Capítulo de libro
Lenguaje:Inglés
Publicado: 2008
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100 1 |a Socolovsky, M.P. 
245 1 0 |a Surgical anatomy of the platysma motor branch as a donor for transfer in brachial plexus repair 
260 |c 2008 
270 1 0 |m Socolovsky, M.P.La Pampa 1175 Torre II, Buenos Aires 1428, Argentina; email: socolovsky@fibertel.com.ar 
506 |2 openaire  |e Política editorial 
504 |a Asfazadourian, H., Tramond, B., Dauge, M.C., Oberlin, C., Morphometric study of the upper intercostal nerves: Practical application for neurotizations in traumatic brachial plexus palsies (1999) Chir Main, 18 (4), pp. 243-253 
504 |a Bertelli, J.A., Ghizoni, M.F., Concepts of nerve regeneration and repair applied to brachial plexus reconstruction (2006) Microsurgery, 26, pp. 230-244 
504 |a Bertelli, J.A., Ghizoni, M.F., Contralateral motor rootlets and ipsilateral nerve transfers in brachial plexus reconstruction (2004) J Neurosurg, 101, pp. 770-778 
504 |a Bertelli, J.A., Taleb, M., Mira, J.C., Ghizoni, M.F., Variation in nerve autograft length increases fiber misdirection and decreases pruning effectiveness: An experimental study in the rat median nerve (2005) Neurol Res, 27 (6), pp. 657-665 
504 |a Bertelli, J.A., Platysma motor branch transfer in brachial plexus repair: Report of the first case (2007) J Brachial Plexus Peripheral Nerv Inj, 2, p. 12. , http://www.jbppni.com/content/2/1/12, (accessed 24 October, 2007) 
504 |a Chickering, G.J., Sokoloff, A.J., Innervation of propatagial musculature in a flying squirrel, Glaucomys Volans (Rodentia Sciuridae) (1996) Brain Behav Evol, 47, pp. 1-7 
504 |a Chuang, D.C., Neurotization procedures for brachial plexus injuries (1995) Hand Clin, 11, pp. 663-665 
504 |a Cruveilhier, J., Anatomie descriptive (1863) Béchet Jeune, pp. 943-950. , In: Tome IV Paris 
504 |a Daane, S.P., Owsley, J.Q., Incidence of cervical branch injury with "marginal mandibular nerve pseudo-paralysis" in patients undergoing facial nerve lift (2003) Plast Reconstr Surg, 111, pp. 2414-2418 
504 |a Davis, R.A., Anson, B.J., Budinger, J.M., Kurth, L.R., Surgical anatomy of the facial nerve and parotid gland based upon a study of 350 cervicofacial halves (1956) Surg Gynecol Obstet, 102, pp. 382-412 
504 |a de Sèze, M.P., Rezzouk, J., de Sèze, M., Uzel, M., Lavignolle, B., Midy, D., Durandeau, A., Does the motor branch of the long head of the triceps brachii arise from the radial nerve? An anatomic and electromyographic study (2004) Surg Radiol Anat, 26, pp. 459-461 
504 |a Narakas, A.O., Brachial plexus lesions (1995) Microsurgery in Orthopedic Practice, pp. 188-254. , In: Leung PC, Gu YD, Ykuta Y, Narakas A, Landi A, Weiland AJ (eds) World Scientific, Singapore 
504 |a Narakas, A.O., Hentz, V.R., Neurotization in brachial plexus injuries. Indication and results (1988) Clin Orthop Relat Res, 237, pp. 43-56 
504 |a Oberlin, C., Béal, D., Leechavengvongs, S., Salon, A., Dauge, M.C., Sarcy, J.J., Nerve transfer to biceps muscle using a part of ulnar nerve for C5-C6 avulsion of the brachial plexus: Anatomical study and report of four cases (1994) J Hand Surg [Am], 19 (2), pp. 232-237 
504 |a Ogawa, Y., Sakakibara, R., Platysma sign in high cervical lesion (2005) J Neurol Neurosurg Psychiatry, 76, p. 735 
504 |a Rohen, J., Yokochi, C.H., (1988) Color Atlas of Anatomy, pp. 72-75. , 2nd edn edn. Igaku-Shoin, New York 
504 |a Rouviére, H., Delmas, A., (1999) Anatomía Humana, pp. 286-287. , 10th edn edn. Masson, Barcelona 
504 |a Savary, V., Robert, R., Rogez, J.M., Armstrong, O., Leborgne, J., The mandibular marginal ramus of the facial nerve: An anatomic and clinical study (1997) Surg Radiol Anat, 19, pp. 69-72 
504 |a Songcharoen, P., Mahaisavariya, B., Chotigavanich, C., Spinal accessory neurotization for restoration of elbow flexion in avulsion injuries of the brachial plexus (1996) J Hand Surg [Am], 21 (A), pp. 387-390 
504 |a Testut-Latarjet, (1988) Anatomía Humana, pp. 140-143. , 9th edn. In: Tomo III, Salvat, Barcelona 
504 |a Waikanul, S., Wongtragul, S., Vanadurongwan, V., Restoration of elbow flexion in brachial plexus avulsion injury: Comparing spinal accessory nerve transfer with intercostals nerve transfer (1999) J Hand Surg, 24 (A), pp. 571-577 
504 |a Wang, T.M., Lin, C.L., Kuo, K.J., Shih, C., Surgical anatomy of the mandibular ramus of the facial nerve in Chinese adults (1991) Acta Anat (Basel), 142 (2), pp. 126-131 
504 |a Williams-Warwick, (1998) Anatomía De Gray, pp. 1246-1248. , 38th edn. Harcourt Brace, Madrid 
504 |a Ziarah, H.A., Atkinson, M.E., The surgical anatomy of the mandibular distribution of the facial nerve (1981) Br J Oral Surg, 19 (3), pp. 159-179 
520 3 |a Object: Nerve transfers have become a major weapon in the battle against brachial plexus lesions. Recently, a case involving the successful use of the platysma motor branch to re-innervate the pectoralis major muscle was reported. The present anatomical study was conducted to clarify the surgical anatomy of the platysma motor nerve, in view of its potential use as a donor for transfer. Methods: Microsurgical dissections of the facial nerve and its terminal branches were performed bilaterally in five formaldehyde-fixed cadavers, thereby yielding ten samples for study. The relationships between the platysma motor branch and adjacent structures were studied and measurements performed. Specimens were removed and histologically studied. Results: The platysma branch of the facial nerve was found to a rise from the cervicofacial trunk. In five instances, one main nerve innervated the platysma muscle, and there was a smaller accessory nerve; in four cases, there was just a single branch to the muscle; and in one case, there was a main branch and two accessory branches. The distance between the gonion and the platysma motor branch averaged 0.8 cm (range 0.4-1.1 cm). The platysma branch received thin anastomotic rami from the transverse superficial cervical plexus. The neural surface of the platysma motor branch, on average, was 76% the surface area of the medial pectoral nerve. Conclusion: The anatomy of the platysma motor branch is predictable. Contraction of the platysma muscle is under voluntary control, which is an important quality for a donor nerve selected for transfer. The clinical usefulness of platysma motor branch transfer still must be elucidated. © Springer-Verlag 2008.  |l eng 
593 |a Department of Neurosurgery, Hospital de Clínicas, University of Buenos Aires, Buenos Aires, Argentina 
593 |a Instituto de Morfología J.J. Naon, University of Buenos Aires, Buenos Aires, Argentina 
593 |a Department of Orthopedic Surgery, Center of Biological and Health Sciences, University of the South of Santa Catarina (Unisul), Praça Getulio Vargas, 322 Florianopolis, 88020030 Tubarão, SC, Brazil 
593 |a Center of Biological and Health Sciences, University of Southern Santa Catarina (Unisul), Tubarão, SC, Brazil 
593 |a La Pampa 1175 Torre II, Buenos Aires 1428, Argentina 
690 1 0 |a BRACHIAL PLEXUS 
690 1 0 |a FACIAL NERVE 
690 1 0 |a NERVE GRAFTING 
690 1 0 |a NERVE TRANSFER 
690 1 0 |a NEUROTIZATION 
690 1 0 |a ACCESSORY NERVE 
690 1 0 |a ARTICLE 
690 1 0 |a BRACHIAL PLEXUS 
690 1 0 |a CERVICAL PLEXUS 
690 1 0 |a DONOR SELECTION 
690 1 0 |a FACIAL NERVE 
690 1 0 |a HUMAN 
690 1 0 |a HUMAN TISSUE 
690 1 0 |a INNERVATION 
690 1 0 |a MICROSURGERY 
690 1 0 |a NERVE TRANSPLANTATION 
690 1 0 |a PLATYSMA MUSCLE 
690 1 0 |a PRIORITY JOURNAL 
690 1 0 |a SURGICAL ANATOMY 
690 1 0 |a BRACHIAL PLEXUS 
690 1 0 |a CERVICAL PLEXUS 
690 1 0 |a FACIAL NERVE 
690 1 0 |a HUMANS 
690 1 0 |a NECK MUSCLES 
690 1 0 |a NERVE TRANSFER 
650 1 7 |2 spines  |a CADAVER 
650 1 7 |2 spines  |a CADAVER 
700 1 |a Bertelli, J.A. 
700 1 |a Masi, G.D. 
700 1 |a Campero, A. 
700 1 |a Garategui, L. 
700 1 |a Conesa, H. 
700 1 |a Ghizoni, M.F. 
773 0 |d 2008  |g v. 30  |h pp. 669-674  |k n. 8  |p Surg. Radiol. Anat.  |x 09301038  |t Surgical and Radiologic Anatomy 
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