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Nerve Cable Graft Interposition in Patients with Brachial Plexus Schwannoma: Case Reports

  • Han, Changsung (Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Ahn, Hyo Yeong (Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Kim, Yeong Dae (Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Lee, Chung Won (Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Pusan National University School of Medicine)
  • Received : 2021.05.04
  • Accepted : 2021.07.02
  • Published : 2021.12.05

Abstract

Schwannomas are rare benign tumors that develop in Schwann cells lining peripheral nerves. Schwannomas of the brachial plexus are especially rare, accounting for 5% of all cases. Although several treatments can be considered, the exact method of treatment is unclear owing to the scarcity and sporadic occurrence of schwannomas. Tumor resection is performed in most cases, and nerve damage is inevitable in cases of neuroinvasive schwannoma. In this case series, we present our successful use of transposition of cable-grafted nerves for the treatment of schwannomas. We performed cable-grafted nerve interposition in addition to tumor resection, leading to increased recovery of nerve damage. To relieve postoperative symptoms and minimize sequelae, precise surgical tumor resection followed by nerve interposition using a cable-grafted nerve may be recommended.

Keywords

Acknowledgement

This work was supported by a 2-year research grant from Pusan National University.

References

  1. Vucemilo L, Lajtman Z, Mihalj J, et al. Brachial plexus schwannoma: case report and literature review. Acta Clin Croat 2018;57:366-71. https://doi.org/10.20471/acc.2018.57.02.19
  2. Lee HJ, Kim JH, Rhee SH, Gong HS, Baek GH. Is surgery for brachial plexus schwannomas safe and effective? Clin Orthop Relat Res 2014;472:1893-8. https://doi.org/10.1007/s11999-014-3525-x
  3. Rashid M, Salahuddin O, Yousaf S, Qazi UA, Yousaf K. Schwannoma of the brachial plexus; report of two cases involving the C7 root. J Brachial Plex Peripher Nerve Inj 2013;8:12.
  4. Huang JH, Samadani U, Zager EL. Brachial plexus region tumors: a review of their history, classification, surgical management, and outcomes. Neurosurg Q 2003;13:151-61. https://doi.org/10.1097/00013414-200309000-00001
  5. Ducic I, Yoon J, Buncke G. Chronic postoperative complications and donor site morbidity after sural nerve autograft harvest or biopsy. Microsurgery 2020;40:710-6. https://doi.org/10.1002/micr.30588
  6. Ng SS, Kwan MK, Ahmad TS. Quantitative and qualitative evaluation of sural nerve graft donor site. Med J Malaysia 2006;61 Suppl B:13-7.