The pedicled serratus anterior muscle wrap-around flap: A treatment option in the management of posttraumatic axillary neuroma and neuropathic pain.
A new field of application of the pedicled serratus anterior muscle flap is presented. Severe axillary neuropathic pain and distress due to neuroma formation were treated by wrapping the pedicled serratus anterior muscle flap around the brachial plexus. Covering the fascicles by well vascularized muscle tissue results in significant postoperative pain relief. We describe a new method in the treatment of severe neuropathic pain syndromes originating from the brachial plexus, with good result.
Patrick
Jaminet
J
Department of Hand, Plastic and Reconstructive Surgery, Burn Center, Eberhard-Karl University of Tübingen, Germany. patrickjaminet@gmx.de
Frank
Werdin
W
Theodora
Manoli
M
Armin
Kraus
K
Hans-Eberhard
Schaller
S
Nektarios
Sinis
S
D000671:Amputation, Surgical; D001134:Arm Injuries / Q000150:complications* / Q000601:surgery; D001365:Axilla / Q000473:pathology / Q000601:surgery*; D001917:Brachial Plexus / Q000601:surgery*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000637:transplantation*; D009437:Neuralgia / Q000209:etiology* / Q000601:surgery*; D009463:Neuroma / Q000150:complications* / Q000601:surgery*; D010147:Pain Measurement; D019651:Plastic Surgery Procedures / Q000379:methods*; D012208:Rhabdomyosarcoma / Q000150:complications* / Q000601:surgery; D013524:Surgical Flaps