Paemi Sino最新文献

{"title":"EVALUATION OF FITTING ACCURACY OF METAL FRAMEWORKS OF FIXED DENTURES DEPENDING ON THEIR LENGTH","authors":"А.N. Parkhomenko, V. I. Shemonaev","doi":"10.25005/2074-0581-2022-24-3-344-352","DOIUrl":"https://doi.org/10.25005/2074-0581-2022-24-3-344-352","url":null,"abstract":"Objective: To carry out a comparative analysis of the accuracy of the adherence of tooth-supported cast and milled cobalt chrome alloy frameworks in the shoulder area depending on the length of the prostheses. Methods: For the clinical trial 314 patients who needed metal-ceramic fixed dental prostheses (FDPs) were recruited. Metal frameworks of prostheses were made with conventional lost-wax technique (CLW) and computer aided design and manufacturing (CAD/CAM). To assess the accuracy of the adhesion of the frameworks to the ledges of the prepared teeth stumps, the silicon film between the abutment teeth and inner surface of crowns was obtained, cut into 8 pieces and measured in the shoulder area. The marginal gaps were measured using ImageJ2 application from digital photos obtained with calibrated digital microscope (250×). The data obtained were analyzed using the non-parametric Kruskal-Wallis H-test and Mann- Whitney U-test. Results: The average values of the marginal gap in the CLW group ranged from 71.9±7.6 μm in single and double crowns to 117±3.7 μm in prostheses with a length of 7-8 units. With a corresponding increase in the length of the prostheses, the average values of the marginal gap in the CAD/CAM group were from 67.1±6.8 μm to 90.8±8.3 μm. Differences in marginal clearance parameters between all groups were statistically significant (p<0.05), except for the group of single and paired crowns with milled caps. Conclusion: The values of the edge gap in all groups were within the acceptable range. However, CAD/CAM frameworks were significantly more accurate in long-length prostheses. Keywords: Teeth prep, CAD/CAM, accuracy of the fit, ledge, precision of the fit, marginal gap.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69318384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use a cu stom-mad e CAD probe holders for periodontal microcircu lation assessment by laser Doppler flowmetry","authors":"A. A. Flenkin, S. Ermolyev","doi":"10.25005/2074-0581-2022-24-1-59-65","DOIUrl":"https://doi.org/10.25005/2074-0581-2022-24-1-59-65","url":null,"abstract":"Objective: To perform laser Doppler flowmetry (LDF) periodontal microcirculation assessment using custom-made, computer-aided-designed probe holders manufactured by stereolithography (SLA). Methods: 66 young people aged 21-23 years old with clinically healthy periodontium were examined. The first group consisted of subjects where a custom-made probe holder was fabricated using a silicone impression mould technique. The second group consisted of subjects where a custom-made computer-aided-design probe holder made of a photopolymer by SLA was used. The basic microcirculation parameters were analysed to evaluate periodontal microcirculation by the LDF method: the PM – average perfusion value in periodontal tissues; δ – the average square deviation of the amplitude of blood flow fluctuations from the arithmetic mean value, Kv – coefficient of variation (%). Statistical processing of the results was carried out using the software package Statistica 13.0 (StatSoft Inc, USA). Results: Statistical analysis results indicated that the functional characteristics of the periodontal microcirculation using various custom-made fibre optic probe holders used in capillary blood flow monitoring had significant differences p<0.05. The value of the median PM when using a silicone holder in group I was 1.6 times lower than when using a photopolymer holder in group II. The median value of the σ index when using a silicone holder in group I was 2.3 times higher than when using a photopolymer holder in group II. The median value of the Kv when using a silicone holder in group I was 2.5 times higher than when using a photopolymer holder in group II. Conclusion: A photopolymer probe holder, unlike a silicone one, provides a constant fixed distance between the periodontal tissues and the LDF probe, prevents movement or probe displacement, and makes it possible to avoid pressure on the gingival tissue, ensuring high accuracy of laser diagnostics Keywords: Functional diagnostics, LDF, microcirculation, periodontium, CAD, stereolithography.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69318395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"IMPLEMENTATION STUDY IN PREVENTION AND CONTROL OF DRUG-RESISTANT TUBERCULOSIS DURING THE COVID-19 PANDEMIC IN DUSHANBE","authors":"Z. Tilloeva","doi":"10.25005/2074-0581-2022-24-2-204-217","DOIUrl":"https://doi.org/10.25005/2074-0581-2022-24-2-204-217","url":null,"abstract":"Objective: To assess an implementation study (IS) aimed at improving the epidemiological surveillance of tuberculosis (TB) and drug-resistant TB (DRTB) in Dushanbe during the COVID-19 pandemic. Methods: IS assessment was carried out according to the RE-AIM framework and WHO recommendations for reporting on IS. To assess the effectiveness of the action taken, official statistics and reports from the City Center for Protection of Population from Tuberculosis were used. Results: IS was a qualitative study. The study was supported by the WHO Special Program for Research and Training in Tropical Diseases (TDR). A multidisciplinary team led by the Dushanbe City Health Department has undertaken the following measures: introduction of a system of weekly epidemiological surveillance for TB at the primary health care (PHC) level from the second week of 2021; involvement of students of basic and advanced field epidemiology programs (FETP) in the assessment of the TB epidemiological surveillance system; tracking of registered patients with laboratory confirmation of TB; application of data from the quarterly reports in tracking the diagnostic trends and evaluation of the effectiveness of DR-TB treatment. All materials received were documented and used to train TB doctors and PHC workers. Only 66% of TB doctors were involved in capacity building in Dushanbe PHC: 24.4% of PHC workers were trained in the basics of TB diagnosis and treatment. Stabilization of TB and DR-TB rate was achieved in 2021 compared to 2020 (morbidity growth rates were 2.7% and 11.9%, respectively); effectiveness of treatment of TB with preserved sensitivity of M. tuberculosis (MBT) to anti-TB drugs in the 2020 cohort increased, but efficacy of DR-TB treatment in the 2019 cohort decreased. Conclusion: IS has identified major barriers to achieving the TB elimination goals. Although the data indicate stabilization of TB and DR-TB incidence rates and increased effectiveness of drug-sensitive TB treatment in Dushanbe, further monitoring and achievement of sustainable results are required. Keywords: COVID-19, tuberculosis, drug resistance, implementation study, TDR.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69318048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"GIANT FRONTOETHMOIDAL OSTEOMAS: A RATIONAL APPROACH TO THE SURGICAL REMOVAL AND THE IMMEDIATE RECONSTRUCTION OF THE ANTERIOR WALL OF THE FRONTAL SINUS","authors":"M. K. Ikromov","doi":"10.25005/2074-0581-2022-24-2-254-264","DOIUrl":"https://doi.org/10.25005/2074-0581-2022-24-2-254-264","url":null,"abstract":"Objective: To develop an appropriate method for removing giant frontoethmoidal osteomas and the immediate reconstruction of the anterior wall of the frontal sinus. Methods: Between 2016 and 2020, five patients (4 men and 1 woman) were admitted with an osteoma of the paranasal sinuses, of which three (2 men and 1 woman) were diagnosed with giant osteomas of the frontal and ethmoid region. The patients were aged 28 to 49 years. Routine clinical examinations were carried out, including collecting patient history and a CT scan of the paranasal sinuses. The giant osteomas were removed by minimally invasive transnasal endoscopic surgery with a combined anterior wall approach to the frontal sinus. The tumour size was reduced by excision with a surgical drill before removal to minimise the defect in the frontal sinus's anterior wall. The procedure was completed with the immediate reconstruction of the anterior wall of the frontal sinus using titanium nickelide mesh. Results: The length of hospital stay was 10 days. Wound healing occurred by primary intention, and the sutures were removed on the 8th day. Followup periods were between 1 month and 1 year. Follow-up examinations were carried out 1 week, 1, 6 and 12 months after hospital discharge. On the follow-up CT scans performed a year after the operation, the implanted titanium nickelide mesh was stable, the aeration of the frontal sinus was normal, and satisfactory cosmetic outcomes were reported. Conclusion: CT is the gold standard in determining the size of the osteoma, its spread, and the state of the walls of the paranasal sinuses. A combined surgical approach and debulking of the giant osteomas using a surgical drill with the immediate reconstruction of the anterior wall of the frontal sinus by titanium nickelide mesh produce favourable outcomes. Keywords: Osteoma, benign tumour, frontal sinus, surgical treatment, frontal recess, titanium nickelide mesh.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69318147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"THE LATISSIMUS DORSI MUSCLE FLAP TRANSFER IN SURGICAL CORRECTION OF POST-TRAUMATIC UPPER LIMB DYSFUNCTION","authors":"M. Malikov, A. Davlatov, D. Dzhononov, N. A. Makhmadkulova, G. D. Karim-zade, B. Odinaev","doi":"10.25005/2074-0581-2022-24-2-265-274","DOIUrl":"https://doi.org/10.25005/2074-0581-2022-24-2-265-274","url":null,"abstract":"Objective: To improve the outcomes of surgical correction of upper limb dysfunction (ULD) using the latissimus dorsi flap (LDF). Methods: ULD occurred in 76 patients with Volkmann's ischemic contracture (VIC), post-traumatic soft tissue defects, and brachial plexitis in 57, 11, and 8 cases, respectively. Out of 57 patients with VIC, in 30 cases, a skin defect was observed along with severe degenerative changes in soft tissues, neurovascular bundles (NVBs) and tendons. Post-traumatic forearm defects (n=11) in 5 cases were accompanied by damage to the NVBs and tendons. In brachial plexitis, isolated injury to the musculocutaneous nerve occurred in 6 patients, and a combination of nerve lesions with radial nerve palsy – in 2 patients. Results: Transposition of LDF to the biceps brachii for the treatment of brachial plexitis, free muscle transplantation for the treatment of VIC and forearm soft tissue defects were performed in 8, 57, and 11 cases, respectively. Active forearm flexion after the muscle flap transposition was noted after 4 weeks. In contrast, after graft transplantation in VIC, the grip function restoration began after 6 months and improved within 1 year and beyond. Conclusion: Using the LDF in surgical correction of post-traumatic ULD allowed restoring the lost functions of the crushing grip and forearm flexion. For the forearm, only free flap transplantation with a relatively long period of limb function recovery is possible. In contrast, the traspositioned LDF to the biceps allows achieving the desired functional outcomes in the shortest possible time. Keywords: Upper limb, latissimus dorsi flap, Volkmann's contracture, soft-tissue defect, brachial plexitis.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69318155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"DYSLIPIDEMIA AND SEVERITY OF ATHEROSCLEROTIC CORONARY ARTERY DISEASE IN PATIENTS WITH ACUTE CORONARY SYNDROME AND SUBCLINICAL HYPOTHYROIDISM","authors":"E. Petrova, O. Shishko, T. Statkevich, A. A. Pleshko, N. Mitkovskaya","doi":"10.25005/2074-0581-2022-24-3-306-316","DOIUrl":"https://doi.org/10.25005/2074-0581-2022-24-3-306-316","url":null,"abstract":"Objective: To assess the derangements in lipid metabolism and the severity of atherosclerotic disease of the coronary arteries in patients with the acute coronary syndrome (ACS) and subclinical hypothyroidism (SHT). Methods: 146 medical records of inpatients of working age with newly developed ACS and various thyroid hormonal statuses were analysed. The lipid profile, high-sensitivity C-reactive protein (hs-CRP), thyroid-stimulating hormone (TSH), and free thyroid hormones (free thyroxine, FT4, and free triiodothyronine, FT3) levels were investigated. Coronary angiography results were used to assess coronary atherosclerotic plaque burden. The study group comprised 67 patients with ACS and SHT (TSH level >4.0 mIU/l with normal thyroid hormone levels), and the control group included 79 ACS patients without thyroid hormonal abnormalities. The groups were matched for the presence of unhealthy habits, gender, age, and severity of arterial hypertension. Before admission to the hospital, patients did not receive preventive therapy for coronary artery disease (CAD) or hormone replacement therapy. Results: In SHT patients, in comparison with the group of patients with normal thyroid function, the proportion of individuals with type IIa hyperlipidemia was higher – 82.0% (n=55) and 46.8% (n=37), respectively (χ2=19.33; p<0.001). A medium strength direct correlation was established between laboratory confirmed SHT and atherogenic dyslipidemia (r=0.62; p<0.01), an increase in the level of hs-CRP (r=0.74; p<0.01), and multivessel CAD (r=0.58; p<0.05). Conclusion: In patients with CHT, the proportion of individuals with multivessel coronary artery stenosis is higher, and CAD occurs in the presence of hs-CRP and atherogenic dyslipidemia. Keywords: Acute coronary syndrome, coronary artery disease, atherosclerosis, hyperlipidemia, subclinical hypothyroidism, thyroid gland.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69318264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AGENESIS OF THE DIAPHRAGM: A CASE REPORT AND A BRIEF LITERATURE REVIEW","authors":"F. A. Turakulov, A. Baratov","doi":"10.25005/2074-0581-2022-24-1-132-139","DOIUrl":"https://doi.org/10.25005/2074-0581-2022-24-1-132-139","url":null,"abstract":"Objective: Agenesis of the diaphragm (AD) in adults is an extremely rare congenital malformation. To date, only a few descriptions of this pathology have been published in the scientific literature. The article presents a case of detection of a left-sided AD in a 25-year-old patient operated on for diaphragmatic relaxation. Additional examination methods, including echocardiography and ultrasonography of the abdominal organs and retroperitoneal space, did not reveal any other malformations in this patient. Due to the lack of plastic material of the appropriate size and type, plastic replacement of the diaphragm was postponed to the second stage of surgery. Keywords: Congenital malformations, anomalies of the diaphragm, aplasia of the diaphragm, agenesis of the diaphragm, agenesis of the diaphragm in adults, diaphragmatic hernia, plastic surgery of the diaphragm.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69318301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"THE ROLE OF KNEE OSTEOARTHRITIS IN THE DEVELOPMENT OF VARICOSE VEINS IN THE LOWER EXTREMITIES","authors":"O. Nematzoda, A. Gaibov, S. Kurbanov, KH.A. Toshpulotov, S. Ali-Zade, A. Baratov","doi":"10.25005/2074-0581-2022-24-2-193-203","DOIUrl":"https://doi.org/10.25005/2074-0581-2022-24-2-193-203","url":null,"abstract":"Objective: To evaluate the role of arthritis of the knee joint in the development and progression of varicose veins of the lower extremities. Methods: An observational cross-sectional cohort study was conducted on 180 patients. There were 56 (31.1%) males and 124 (68.9%) females with VVs of the lower extremities. The VVs' clinical features were studied according to the presence or absence of knee osteoarthritis. The study group (SG) included 88 patients with KOA in combination with VVs. The control group (CG) comprised 92 people suffering from VVs and not having a degenerative joint disease of the knee. Both groups of patients were comparable in terms of basic demographic parameters, disease duration and body mass index. Results: In the SG, oedema and skin trophic changes of the lower limbs (lipodermatosclerosis, eczema) were observed in 39 and 21 cases, respectively. The number amounts to 68.2%, which was 33.4% more compared to the percentage of the CG cases (34.8%, n=32). In the presence of KOA, a varicose transformation of both saphenous veins and their tributaries was more often noted in 36 (40.9%) cases, whereas in CG patients, VVs development occurred only in 6 (6.5%) cases. On the contrary, an isolated varicose transformation of the great saphenous vein (GSV) and its tributaries was more common among CG compared to SG patients, at 93.5% and 55.7%, respectively. Among the examined cohort, the incidence of isolated disease of the small saphenous vein (SSV) and insufficiency of its ostial valve had no significant difference between SG and CG patients and occurred in 3.4% and 6.5% of cases, respectively. In SG patients, concurrent incompetence of the ostial valves of the GSV and SSV (n=39; 44.3%) and insufficiency of leg perforating veins (n=60; 68.2%) were more often noted. In the CG, perforator reflux and incompetence of the communicating veins were present only in 6 (6.5%) and 32 (34.8%) patients, respectively. The mean GSV ostial diameter in SG and CG patients was significantly different and amounted to 12.1±1.4 mm and 8.2±0.9 mm, respectively. Varicose dilatation of the superficial veins of both lower extremities was most often noted in the SG than in CG, 90.9% and 39.1% of the patients, respectively. There was a direct correlation between the KOA stage and such factors as VVs class (r=0.58; p<0.001), the laterality of lower limbs involvement (r=0.63; p<0.001) and disease recurrence (r= 0.59; p<0.001). Conclusion: Degenerative joint disease of the knee, in which the locomotor function of the limb is impaired, can act as one of the risk factors for the development or progression of varicose transformation of the superficial veins of the lower extremities. Therefore, further research is needed to study the lower limb biomechanics in patients with VV, with and without KOA. Keywords: Varicose veins, knee osteoarthritis, venous hypertension, ostial valve incompetence.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69318507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"THE IMPACT OF INTRAOPERATIVE NEUROPHYSIOLOGICAL MONITORING IN THYROID SURGERY ON THE CHOICE OF ANAESTHETIC AND RESUSCITATION OPTIONS","authors":"E. V. Volkov, L. K. Batchaeva, V. V. Fisher, S. Chernyshyova","doi":"10.25005/2074-0581-2022-24-3-298-305","DOIUrl":"https://doi.org/10.25005/2074-0581-2022-24-3-298-305","url":null,"abstract":"Objective: To assess the effect of intraoperative neurophysiological monitoring (IONM) on the incidence of life-threatening complications of the surgical treatment of thyroid diseases in the operating room and intensive care unit. Methods: A retrospective analysis of the medical records of 212 patients aged 31 to 72 was carried out. Depending on the treatment modality, they were divided into two groups. In group I (study group, n=96), IONM was used during surgery, and in group II (control group, n=116) – the surgery was performed without IONM. The effectiveness of IONM was assessed based on the number of complications and tracheal reintubation in the postoperative period. Results: IONM contributed to a statistically significant decrease in the number of postoperative complications. Thus, injury to the recurrent laryngeal nerve (RLN) was noted in 1 (1.0%) patient in the study group versus 17 (14.6%) in the control group (p<0.05); hoarseness was present in 3 (3.1%) and 35 (30.1%) cases in the study and control groups, respectively (p<0.05). In addition, although statistically insignificant, there was a reduced rate of tracheal reintubation: in two (2.1%) and (6.0%) patients in the study and the control groups, respectively (p>0.05). Of these, 5 (4.3%) patients needed surgeries due to bilateral injury to the RLN. The decrease in the incidence of complications, in turn, contributed to a reduction in both the average lengths of stays in the intensive care unit (6.2±0.5 days and 7.4±0.3 days in the study and the control groups, respectively, p>0.05) and the overall treatment time (59.1±1.7 and 121.3±4.8 patient days in the study and the control groups, respectively, p<0.05). Conclusion: IONM in thyroid surgery can reduce the number of complications, such as damage to the recurrent laryngeal nerve, although it does not exclude them entirely. The data obtained allow us to recommend using IONM in everyday practice. Keywords: Recurrent laryngeal nerve paralysis, the thyroid gland, neurophysiological monitoring, thyroidectomy, postoperative complications, tracheal reintubation.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69318216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"NERVE TRANSFER IN IRREVERSIBLE INJURIES OF UPPER LIMB NERVE: CURRENT KNOWLEDGE AND FUTURE PERSPECTIVE","authors":"G. Khodzhamuradov, R. Berdiev, A. Davlatov, KH.I. Sattorov, M. F. Odinaev, B. Odinaev","doi":"10.25005/2074-0581-2022-24-1-123-131","DOIUrl":"https://doi.org/10.25005/2074-0581-2022-24-1-123-131","url":null,"abstract":"Objective: To share the experience of using nerve transfer in the irreparable upper limb nerve damage. Methods: An analysis was made of various transfers (neurotization surgery) in 32 patients with upper limb nerve damage aged 22 to 59 years (27 males, 5 females). Nerve injuries were localised at the level of the forearm (18), shoulder (11) and brachial plexus (3). Surgical repair was aimed at restoring sensitivity and movement in 22 and 10 cases, respectively. For sensitive neurotization, the cutaneous branches of the radial nerve (RN), the dorsal branch of the ulnar nerve (UN), the superficial branch of the UN, and the cutaneous nerves of the forearm were more often used. Motor neurotization was achieved using the branches of the anterior interosseous nerve (AIN), thoracodorsal nerve (TDN), muscular branches of the UN, intercostal nerves (ICNs), and terminal and muscular branches of the brachial and cervical plexuses, respectively. Results: Long-term outcomes were evaluated between years 1 and 8. Sensitivity was restored to S3 grade (protective sensitivity), and motor strength reached M3-M4 grades according to British Medical Research Council (MRC) scale. Conclusion: Nerve transfer in irreparable nerve damage allows expanding the boundaries of reconstructive surgery. Furthermore, it opens new horizons for future scientific research to improve modern surgical treatment concepts of peripheral nerve injuries. Keywords: Upper limb nerve injury, irreparable damage to the upper limb nerves, neurotization, nerve displacement, nerve transfer.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69318248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}