Management of Brachial Plexus Birth Palsies: The Stanford Experience.

IF 2.3 3区 医学 Q2 SURGERY Seminars in Plastic Surgery Pub Date : 2023-03-27 eCollection Date: 2023-05-01 DOI:10.1055/s-0043-1764453
Eugene Park, Paige M Fox, Catherine Curtin, Vincent R Hentz
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Abstract

The start of Stanford's brachial plexus birth palsy (BPBP) experience dates back to 1983, when Dr. Vincent Rod Hentz visited Dr. Alain Gilbert on sabbatical. Since then, our principles of care for patients with BPBP have evolved based on our group's longitudinal experience caring for children with the entire spectrum of sequelae that arise in children with BPBP. We base our clinical decision making on frequent serial examinations and use intraoperative evoked potentials to guide surgical decisions. Here, we discuss our current principles on surgical indications, timing of surgery, and preferred techniques for secondary surgery in patients with BPBP.

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臂丛神经产瘫的处理:斯坦福大学的经验。
斯坦福大学臂丛神经出生麻痹(BPBP)治疗经验的起点可追溯到1983年,当时文森特-罗德-亨茨(Vincent Rod Hentz)医生在休假期间拜访了阿兰-吉尔伯特(Alain Gilbert)医生。从那时起,我们对臂丛神经先天性麻痹患者的治疗原则就根据我们团队对患有臂丛神经先天性麻痹的儿童的各种后遗症的纵向治疗经验而不断发展。我们的临床决策基于频繁的序列检查,并使用术中诱发电位来指导手术决策。在此,我们将讨论我们目前在 BPBP 患者二次手术的手术适应症、手术时机和首选技术方面的原则。
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来源期刊
CiteScore
4.10
自引率
5.00%
发文量
27
期刊介绍: Seminars in Plastic Surgery is a quarterly review journal that publishes topic-specific issues covering all areas of aesthetic and reconstructive plastic surgery. The journal''s scope includes issues devoted to breast reconstruction, rhinoplasty, lipogenesis and lipoplasty, craniomaxillofacial trauma, and all other major plastic surgery procedures. The journal also covers such emerging areas as free tissue transfer, lasers, endoscopic facial plastic procedures, as well as all the related technologies associated with these techniques.
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