PHRENIC NERVE RECONSTRUCTION WITH SHORT-TERM DIAPHRAGM PACING CORRECTS DIAPHRAGM PARALYSIS DUE TO INTRATHORACIC NERVE INJURY

PHRENIC NERVE RECONSTRUCTION WITH SHORT-TERM DIAPHRAGM PACING CORRECTS DIAPHRAGM PARALYSIS DUE TO INTRATHORACIC NERVE INJURY

Symptomatic diaphragm paralysis and subsequent pulmonary debilitation has been shown to occur following phrenic nerve injury within the thoracic cavity. In this study, we investigate the effectiveness of intrathoracic reconstruction of the phrenic nerve combined with short-term diaphragm pacing in r...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Plastic and reconstructive surgery (1963) 2024-11
Hauptverfasser: Kaufman, Matthew R, Bauer, Thomas, Sico, Jeannine, Jarrahy, Reza
Format: Artikel
Sprache:eng
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page
container_issue
container_start_page
container_title Plastic and reconstructive surgery (1963)
container_volume
creator Kaufman, Matthew R
Bauer, Thomas
Sico, Jeannine
Jarrahy, Reza
description Symptomatic diaphragm paralysis and subsequent pulmonary debilitation has been shown to occur following phrenic nerve injury within the thoracic cavity. In this study, we investigate the effectiveness of intrathoracic reconstruction of the phrenic nerve combined with short-term diaphragm pacing in restoring diaphragm function. A retrospective review of 34 consecutive patients who underwent intrathoracic phrenic nerve reconstruction and diaphragm pacing for symptomatic diaphragm paralysis was performed. Inclusion criteria included confirmation of diaphragm paralysis on chest fluoroscopy, BMI
doi_str_mv 10.1097/PRS.0000000000011901
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3133417188</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3133417188</sourcerecordid><originalsourceid>FETCH-LOGICAL-c1012-b6b633b224a4861b66103ef016b67e0360c05d5417ee484b1a56579fc61310ad3</originalsourceid><addsrcrecordid>eNpdkFFLwzAUhYMobk7_gUgefenMTdq0fSy1rpGtHWmq7Km0XQaTzc3GPQj-eCPbFL0vF-493zlwELoGMgQS-ndTWQzJ7wCEBE5QHzwaOi516SnqE8KoA8SjPXRhzIsV-Yx756jHQi-kENI--pymMslEjLNEPiVYJnGeFUqWsRJ5hp-FSnGR5lI5KpETfC8iq49GEzyNYpGNcJxLi6jiz0dG41kh7K1MsMqxyJSMlDWxyDFHZI-lnF2is0W9MvrqsAeofEhUnDrjfCTiaOy0QIA6DW84Yw2lbu0GHBrOgTC9IGDvviaMk5Z4c88FX2s3cBuoPe754aLlwIDUczZAt3vfbbd522nzXq2XptWrVf2qNztTMWDM0hAEVurupW23MabTi2rbLdd191EBqb57r2zv1f_eLXZzSNg1az3_gY5Fsy_Cp3I6</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3133417188</pqid></control><display><type>article</type><title>PHRENIC NERVE RECONSTRUCTION WITH SHORT-TERM DIAPHRAGM PACING CORRECTS DIAPHRAGM PARALYSIS DUE TO INTRATHORACIC NERVE INJURY</title><source>Journals@Ovid Complete</source><creator>Kaufman, Matthew R ; Bauer, Thomas ; Sico, Jeannine ; Jarrahy, Reza</creator><creatorcontrib>Kaufman, Matthew R ; Bauer, Thomas ; Sico, Jeannine ; Jarrahy, Reza</creatorcontrib><description>Symptomatic diaphragm paralysis and subsequent pulmonary debilitation has been shown to occur following phrenic nerve injury within the thoracic cavity. In this study, we investigate the effectiveness of intrathoracic reconstruction of the phrenic nerve combined with short-term diaphragm pacing in restoring diaphragm function. A retrospective review of 34 consecutive patients who underwent intrathoracic phrenic nerve reconstruction and diaphragm pacing for symptomatic diaphragm paralysis was performed. Inclusion criteria included confirmation of diaphragm paralysis on chest fluoroscopy, BMI &lt;40, Age &lt;75, and presence of functional motor units on EMG testing. Surgical treatment consisted of intrathoracic phrenic nerve reconstruction with simultaneous implantation of a diaphragm pacemaker. 34 patients met inclusion criteria, including: 23 males and 11 females with an average age of 46 and average BMI of 28.5 kg/m2. Thirty patients (88%) reported improvement in respiratory function. FVC and FEV1 values improved by 15% (p=0.02) and 14% (p=0.049), respectively. A 375% increase in diaphragm motor amplitude was observed, from 0.04mV to 0.19mV (p=0.02). Radiographic improvement in resting diaphragm position and contraction was demonstrated in 71% of patients. Complications included pacemaker site infection (5%), cardiac arrythmia (5%), and asymptomatic abdominal bulge (3%). Intrathoracic phrenic nerve reconstruction with short-term diaphragm pacing is a safe and effective surgical treatment that improves diaphragm function and alleviates symptoms of respiratory insufficiency in patients with diaphragmatic paralysis following intrathoracic phrenic nerve injury. This approach should be considered as part of the treatment algorithm for this patient population.</description><identifier>ISSN: 0032-1052</identifier><identifier>ISSN: 1529-4242</identifier><identifier>EISSN: 1529-4242</identifier><identifier>DOI: 10.1097/PRS.0000000000011901</identifier><identifier>PMID: 39592192</identifier><language>eng</language><publisher>United States</publisher><ispartof>Plastic and reconstructive surgery (1963), 2024-11</ispartof><rights>Copyright © 2024 by the American Society of Plastic Surgeons.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39592192$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kaufman, Matthew R</creatorcontrib><creatorcontrib>Bauer, Thomas</creatorcontrib><creatorcontrib>Sico, Jeannine</creatorcontrib><creatorcontrib>Jarrahy, Reza</creatorcontrib><title>PHRENIC NERVE RECONSTRUCTION WITH SHORT-TERM DIAPHRAGM PACING CORRECTS DIAPHRAGM PARALYSIS DUE TO INTRATHORACIC NERVE INJURY</title><title>Plastic and reconstructive surgery (1963)</title><addtitle>Plast Reconstr Surg</addtitle><description>Symptomatic diaphragm paralysis and subsequent pulmonary debilitation has been shown to occur following phrenic nerve injury within the thoracic cavity. In this study, we investigate the effectiveness of intrathoracic reconstruction of the phrenic nerve combined with short-term diaphragm pacing in restoring diaphragm function. A retrospective review of 34 consecutive patients who underwent intrathoracic phrenic nerve reconstruction and diaphragm pacing for symptomatic diaphragm paralysis was performed. Inclusion criteria included confirmation of diaphragm paralysis on chest fluoroscopy, BMI &lt;40, Age &lt;75, and presence of functional motor units on EMG testing. Surgical treatment consisted of intrathoracic phrenic nerve reconstruction with simultaneous implantation of a diaphragm pacemaker. 34 patients met inclusion criteria, including: 23 males and 11 females with an average age of 46 and average BMI of 28.5 kg/m2. Thirty patients (88%) reported improvement in respiratory function. FVC and FEV1 values improved by 15% (p=0.02) and 14% (p=0.049), respectively. A 375% increase in diaphragm motor amplitude was observed, from 0.04mV to 0.19mV (p=0.02). Radiographic improvement in resting diaphragm position and contraction was demonstrated in 71% of patients. Complications included pacemaker site infection (5%), cardiac arrythmia (5%), and asymptomatic abdominal bulge (3%). Intrathoracic phrenic nerve reconstruction with short-term diaphragm pacing is a safe and effective surgical treatment that improves diaphragm function and alleviates symptoms of respiratory insufficiency in patients with diaphragmatic paralysis following intrathoracic phrenic nerve injury. This approach should be considered as part of the treatment algorithm for this patient population.</description><issn>0032-1052</issn><issn>1529-4242</issn><issn>1529-4242</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNpdkFFLwzAUhYMobk7_gUgefenMTdq0fSy1rpGtHWmq7Km0XQaTzc3GPQj-eCPbFL0vF-493zlwELoGMgQS-ndTWQzJ7wCEBE5QHzwaOi516SnqE8KoA8SjPXRhzIsV-Yx756jHQi-kENI--pymMslEjLNEPiVYJnGeFUqWsRJ5hp-FSnGR5lI5KpETfC8iq49GEzyNYpGNcJxLi6jiz0dG41kh7K1MsMqxyJSMlDWxyDFHZI-lnF2is0W9MvrqsAeofEhUnDrjfCTiaOy0QIA6DW84Yw2lbu0GHBrOgTC9IGDvviaMk5Z4c88FX2s3cBuoPe754aLlwIDUczZAt3vfbbd522nzXq2XptWrVf2qNztTMWDM0hAEVurupW23MabTi2rbLdd191EBqb57r2zv1f_eLXZzSNg1az3_gY5Fsy_Cp3I6</recordid><startdate>20241126</startdate><enddate>20241126</enddate><creator>Kaufman, Matthew R</creator><creator>Bauer, Thomas</creator><creator>Sico, Jeannine</creator><creator>Jarrahy, Reza</creator><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20241126</creationdate><title>PHRENIC NERVE RECONSTRUCTION WITH SHORT-TERM DIAPHRAGM PACING CORRECTS DIAPHRAGM PARALYSIS DUE TO INTRATHORACIC NERVE INJURY</title><author>Kaufman, Matthew R ; Bauer, Thomas ; Sico, Jeannine ; Jarrahy, Reza</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1012-b6b633b224a4861b66103ef016b67e0360c05d5417ee484b1a56579fc61310ad3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kaufman, Matthew R</creatorcontrib><creatorcontrib>Bauer, Thomas</creatorcontrib><creatorcontrib>Sico, Jeannine</creatorcontrib><creatorcontrib>Jarrahy, Reza</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Plastic and reconstructive surgery (1963)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kaufman, Matthew R</au><au>Bauer, Thomas</au><au>Sico, Jeannine</au><au>Jarrahy, Reza</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>PHRENIC NERVE RECONSTRUCTION WITH SHORT-TERM DIAPHRAGM PACING CORRECTS DIAPHRAGM PARALYSIS DUE TO INTRATHORACIC NERVE INJURY</atitle><jtitle>Plastic and reconstructive surgery (1963)</jtitle><addtitle>Plast Reconstr Surg</addtitle><date>2024-11-26</date><risdate>2024</risdate><issn>0032-1052</issn><issn>1529-4242</issn><eissn>1529-4242</eissn><abstract>Symptomatic diaphragm paralysis and subsequent pulmonary debilitation has been shown to occur following phrenic nerve injury within the thoracic cavity. In this study, we investigate the effectiveness of intrathoracic reconstruction of the phrenic nerve combined with short-term diaphragm pacing in restoring diaphragm function. A retrospective review of 34 consecutive patients who underwent intrathoracic phrenic nerve reconstruction and diaphragm pacing for symptomatic diaphragm paralysis was performed. Inclusion criteria included confirmation of diaphragm paralysis on chest fluoroscopy, BMI &lt;40, Age &lt;75, and presence of functional motor units on EMG testing. Surgical treatment consisted of intrathoracic phrenic nerve reconstruction with simultaneous implantation of a diaphragm pacemaker. 34 patients met inclusion criteria, including: 23 males and 11 females with an average age of 46 and average BMI of 28.5 kg/m2. Thirty patients (88%) reported improvement in respiratory function. FVC and FEV1 values improved by 15% (p=0.02) and 14% (p=0.049), respectively. A 375% increase in diaphragm motor amplitude was observed, from 0.04mV to 0.19mV (p=0.02). Radiographic improvement in resting diaphragm position and contraction was demonstrated in 71% of patients. Complications included pacemaker site infection (5%), cardiac arrythmia (5%), and asymptomatic abdominal bulge (3%). Intrathoracic phrenic nerve reconstruction with short-term diaphragm pacing is a safe and effective surgical treatment that improves diaphragm function and alleviates symptoms of respiratory insufficiency in patients with diaphragmatic paralysis following intrathoracic phrenic nerve injury. This approach should be considered as part of the treatment algorithm for this patient population.</abstract><cop>United States</cop><pmid>39592192</pmid><doi>10.1097/PRS.0000000000011901</doi></addata></record>
fulltext fulltext
identifier ISSN: 0032-1052
ispartof Plastic and reconstructive surgery (1963), 2024-11
issn 0032-1052
1529-4242
1529-4242
language eng
recordid cdi_proquest_miscellaneous_3133417188
source Journals@Ovid Complete
title PHRENIC NERVE RECONSTRUCTION WITH SHORT-TERM DIAPHRAGM PACING CORRECTS DIAPHRAGM PARALYSIS DUE TO INTRATHORACIC NERVE INJURY
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-01T05%3A55%3A37IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=PHRENIC%20NERVE%20RECONSTRUCTION%20WITH%20SHORT-TERM%20DIAPHRAGM%20PACING%20CORRECTS%20DIAPHRAGM%20PARALYSIS%20DUE%20TO%20INTRATHORACIC%20NERVE%20INJURY&rft.jtitle=Plastic%20and%20reconstructive%20surgery%20(1963)&rft.au=Kaufman,%20Matthew%20R&rft.date=2024-11-26&rft.issn=0032-1052&rft.eissn=1529-4242&rft_id=info:doi/10.1097/PRS.0000000000011901&rft_dat=%3Cproquest_cross%3E3133417188%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3133417188&rft_id=info:pmid/39592192&rfr_iscdi=true