What is the role of surgery in the treatment of bilateral diaphragmatic paralysis?

Updated: Oct 10, 2018
  • Author: Justina Gamache, MD; Chief Editor: Guy W Soo Hoo, MD, MPH  more...
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Answer

In a select group of patients, nerve surgery may be used to restore function to the paralyzed hemidiaphragm. [27, 28] Neurolysis, nerve grafting, and neurotization have demonstrated promise in returning function to unilateral phrenic nerve injury that occurred as a result of anesthetic procedures and operative and nonoperative trauma to the neck. With microscopic neurolysis, fibrous tissue from the compressed portion of the phrenic nerve is removed.


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