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nerve in 2 patients, median nerve in 3, ulnar nerve in Complications should be referred and dealt with promptly
5 and musculocutaneous in 1. Lower limb nerves were by experienced surgeons with adequate microsurgical
also affected: tibial in 13 patients, peroneal in 8, and training, to ensure best chances for successful outcome.
the femoral, obturator and sciatic nerve in 3 individual In addition, when nerve damage is caused by medical
patients. The degree of neurological deficit was graded intervention, legal issues may ensue. The importance of
according to persistence of symptoms. The review found preoperative counseling about the potential injury and
that 22 patients developed sensory changes resolving within precise documentation of intraoperative and postoperative
6 months (Medical Research Council [MRC] motor grading findings cannot be overemphasized. This will facilitate
system Grade 1) and 10 patients where the deficit took postoperative discussion of any surgical complication.
[16]
in excess of 6 months to recover (MRC Grade 2). After
a total of 48 months follow‑up there were 4 patients in Financial support and sponsorship
which the motor deficit or paresthesia had not recovered Nil.
(MRC Grade 3). The nerves affected in these 4 patients Conflicts of interest
included the median, ulnar and tibial. Of the 11 patients There are no conflicts of interest.
with schwannomas arising from the upper extremity nerve
three had not recovered function by the end of follow‑up. REFERENCES
Five patients with ulnar nerve damage showed Grade 3
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310 Plast Aesthet Res || Vol 2 || Issue 6 || Nov 12, 2015