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Phrenic Nerve Reconstruction for Diaphragmatic Paralysis and Ventilator Dependency

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Book cover Rehabilitative Surgery

Abstract

Management of ventilator-dependent spinal cord injury requires a multidisciplinary approach involving both clinicians and surgeons to deliver comprehensive care. Traditionally, surgical options to treat respiratory deficits have been limited, with little recourse for neuromuscular junction disorders of the diaphragm and insults to the phrenic nerve. We write this chapter to bring into focus surgical options to improve outcomes and reduce ventilator dependence in this population. Here within, we review neuromuscular anatomy of the diaphragm and physiology of the respiratory system, outline new advancements in phrenic nerve surgery, and discuss the potential impact these techniques can have for this patient population.

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Authors and Affiliations

  1. The Plastic Surgery Center, Institute for Advanced Reconstruction, 535 Sycamore Ave, Shrewsbury, NJ, 07702, USA

    Matthew Kaufman MD, FACS & John Cece BAS

  2. Jersey Shore University Medical Center, 1945 NJ 33, Neptune, NJ, 07753, USA

    Thomas Bauer MD

  3. Massery Physical Therapy, 3820 Timbers Edge Lane, Glenview, IL, 60025, USA

    Mary Massery PT, DPT, DSc

Authors
  1. Matthew Kaufman MD, FACS
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  2. Thomas Bauer MD
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  3. Mary Massery PT, DPT, DSc
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  4. John Cece BAS
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Corresponding authors

Correspondence to Matthew Kaufman MD, FACS or Mary Massery PT, DPT, DSc .

Editor information

Editors and Affiliations

  1. Institute for Advanced Reconstruction, The Plastic Surgery Center, Shrewsbury, New Jersey, USA

    Andrew I. Elkwood

  2. Institute for Advanced Reconstruction, The Plastic Surgery Center, Shrewsbury, New Jersey, USA

    Matthew Kaufman

  3. Institute for Advanced Reconstruction, The Plastic Surgery Center, Shrewsbury, New Jersey, USA

    Lisa F. Schneider

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Kaufman, M., Bauer, T., Massery, M., Cece, J. (2017). Phrenic Nerve Reconstruction for Diaphragmatic Paralysis and Ventilator Dependency. In: Elkwood, A., Kaufman, M., Schneider, L. (eds) Rehabilitative Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-41406-5_10

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  • DOI: https://doi.org/10.1007/978-3-319-41406-5_10

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  • Online ISBN: 978-3-319-41406-5

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