Neuro Reconstructive Surgery

Department of Plastic & Neuro Reconstructive Surgery

Plastic Surgeon
Dr. S.Balasubramaniyan, Mch
Plastic Surgeon
Dr. S. Sureshkumar, Mch

Why our Plastic Surgeons are Best?

Our Neuro Surgeons excel with over 20 years expertise and vast knowledge in neurosurgery. Renowned for precise diagnoses and innovative treatments, they ensure optimal patient care and outcomes, making them leaders in their field.

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Precision Surgery
Minimally Invasive
Integrated Care

Introduction

Injuries to the brachial plexus, the network of nerves controlling movement and sensation in the upper limb, can result in varying degrees of dysfunction. Our Neuro Reconstructive Surgery Department specializes in treating such injuries and offers a range of surgical options tailored to each patient's specific needs.

The Neuro Reconstructive Surgery Department at Neuro Foundation Hospital specializes in the intricate and highly specialized treatment of nerve injuries and related conditions. Our team of expert surgeons and multidisciplinary professionals is dedicated to restoring function and enhancing the quality of life for patients with complex neurological injuries. By employing advanced surgical techniques and personalized care protocols, we strive to achieve the best possible outcomes for our patients.

Brachial Plexus Injuries

The brachial plexus is a network of nerves that control movement and sensation in the upper limb. Injuries to these nerves can lead to varying degrees of upper limb dysfunction. Each patient presents a unique case, necessitating a tailored treatment approach. Some brachial plexus injuries may heal spontaneously within 2-3 months, while others require surgical intervention if no recovery is observed after this period. The goal of surgery is to promote nerve recovery and improve the function of the affected limb. Surgical options include primary nerve repair, nerve grafting, nerve transfers, neurolysis, muscle transfers, and tendon transfers. Unfortunately, complete recovery is not possible in certain types of injuries, such as global plexus palsy. Prognosis depends on the site and type of nerve injury, timely surgical intervention, and comprehensive post-surgery physiotherapy by an efficient team.

Obstetric Brachial Plexus Palsy (OBPP)

Brachial plexus injury during childbirth, known as OBPP, can result in varying degrees of upper limb dysfunction. Many children injured during birth improve or recover completely by 3-4 months of age. If there is no significant improvement after 4 months, surgical intervention becomes necessary. Beyond this age, physiotherapy alone is unlikely to yield further improvement. Our department specializes in the timely and effective surgical treatment of OBPP to optimize recovery and function.

Facial Palsy

Facial palsy results in varying degrees of paralysis on one side of the face, causing difficulty in closing the eye completely and deviation of the mouth’s angle. Mild cases can be managed with steroids, electrical stimulation, and physiotherapy. However, severe or permanent cases require surgical intervention to restore facial function and appearance. Surgical options include direct nerve repair, nerve grafting, crossover nerve transfers, and facial reanimation procedures such as masseter muscle transfer, temporalis muscle transfer, and micro neurovascular procedures like gracilis muscle transfer.

Facial reanimation procedures are highly successful, although full results can take up to two years to manifest. Patients with facial palsy benefit from a multidisciplinary team approach, involving plastic surgeons, neurosurgeons, ophthalmic surgeons, and physiotherapists, to achieve the best possible outcome.

At Neuro Foundation Hospital, our Neuro Reconstructive Surgery Department is committed to delivering exceptional care for patients with brachial plexus injuries and facial palsy. Through cutting-edge surgical techniques and a collaborative, multidisciplinary approach, we strive to restore function and improve the quality of life for our patients. Our dedicated team is here to support every step of the recovery journey, ensuring each patient receives personalized and effective treatment.

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