膈神经修复

The Phrenic Nerve Program is a collaboration between Reza Jarrahy医学博士 皇冠hga025大学洛杉矶分校塑料部的研究员 & 重建手术及 马修·考夫曼，医学博士 在 高级重建研究所. For more information or to schedule a consultation, please call (855) 233-3681.

Innovative new surgery repairs phrenic nerve injury, restores breathing function
 

The phrenic nerve controls function of the diaphragm muscle - the primary muscle involved in breathing.  它告诉隔膜什么时候收缩, allowing the chest cavity to expand and triggering the inhalation of air into the lungs.

Injury to the phrenic nerve can impair the ability of the nervous system to regulate breathing.  It is known risk associated with chest and neck procedures such as coronary bypass surgery (CABG), 头颈癌的颈部清扫术, 肺外科, 心脏瓣膜手术, 主动脉外科手术, 胸腺手术, 颈动脉-锁骨下搭桥手术, 还有胸廓出口综合症的手术.  The phrenic nerve can also be injured by epidural injections, 斜角肌间神经阻滞, and even chiropractic manipulation of the neck.

在过去, treatment options for phrenic nerve injury were limited to either nonsurgical therapy or diaphragm plication, neither of which attempts to restore normal function to the paralyzed diaphragm.  Patients endured chronic shortness of breath, sleep disturbances, and lower energy levels.  They were often told by their physicians th在y would simply have to live with it.

Advances in nerve decompression and transplant allow reconstructive plastic surgeons to reverse diaphragm paralysis.  The techniques used are derived from the procedures commonly used to treat arm or leg paralysis, which have allowed surgeons to restore function to previously paralyzed muscle groups.

The rarity of the condition often makes it difficult for patients with a phrenic nerve injury to find treatment.  The condition is often mis-diagnosed or viewed as insufficiently severe enough to require corrective surgery.

Patients who have undergone phrenic nerve surgery report improvements in their physical and respiratory function, and a reversal of the sleeping difficulties related to diaphragm paralysis.

If you have been diagnosed with a paralyzed diaphragm, you may be a candidate for phrenic nerve repair.  In order to expedite your inquiry, please have the following information ready:

• When were you diagnosed with a paralyzed diaphragm (month/year)?
• 你的横膈膜哪一侧瘫痪了?
• Did you have surgery or trauma that caused damage to your phrenic nerve?
• Do you experience numbness and/or tingling in your upper extremities?
• When was your most recent SNIFF (Chest Fluoroscopy) test completed?
• When was your most recent Pulmonary Function Test completed?
• Have you had an EMG nerve study completed of your phrenic nerve and diaphragm?

相关文章:

麻痹横膈膜的再神经支配 考夫曼先生 等.  胸部2011;140;191 - 197

Diaphragm Paralysis Caused by Transverse Cervical Artery Compression of the Phrenic Nerve: The Red Cross Syndrome
考夫曼先生 等.  临床神经外科(2012)，doi:10.1016/j.clineuro.2012.01.048

关于医生:

Reza Jarrahy医学博士 (left) and 马修·考夫曼，医学博士 (right)

Reza Jarrahy医学博士
Reza Jarrahy医学博士 earned his bachelor's degree from Stanford University and his medical degree from the State University of New York's Stony Brook School of the Medicine.  He completed his general surgery training at New York University and University of California, 圣地亚哥, and completed his plastic surgery residency 在 David Geffen 医学院 at UCLA.  He elected to complete an additional year of sub-specialty fellowship training in craniofacial surgery at David Geffen 医学院 at UCLA before joining the UCLA Division of Plastic & Reconstructive 手术 as an assistant professor in 2007. Dr. Jarrahy specializes in the care of pediatric patients with rare and complicated craniofacial disorders.  He travels abroad on an annual basis to assist in the care of craniofacial patients in Brazil and Guatemala.

马修·考夫曼，医学博士
Dr. Matthew Kaufman is an award-winning cosmetic and reconstructive plastic surgeon, board certified in both 整形手术 and Otolaryngology-Head and Neck 手术, and he is a Fellow of the American College of Surgeons (FACS). Dr. Kaufman embarked on his surgical training at one of the nation's top training programs for Otolaryngology - Head and Neck 手术 at The Mount Sinai Hospital in Manhattan. He continued his training in Plastic and Reconstructive 手术 在 prestigious UCLA Medical Center in Los Angeles. Among his nerve surgery expertise which he performs together with his partners 在 高级重建研究所 in Shrewsbury, NJ, Dr. Kaufman is the only known surgeon to perform specialized phrenic nerve surgery. 他的病人遍布世界各地, 包括来自澳大利亚的, 加拿大, Israel and one scheduled from Ireland; 11 is the youngest he has operated on for phrenic nerve problems, 70岁出头是最老的.