Great Occipital Nerve as Donor Nerve for Neurotization With Suprascapular Nerve in Total Braqchial Plexus Injuries: Nerve Transfer Technique

Complete brachial plexus injuries continue to be a technical and strategic challenge in surgical reconstruction to restore function and sensitivity in a paralyzed and insensitive limb. The use of donor's nerves to perform neurotizations is limited, and, in reconstructions for preganglionic lesions, these techniques have gained prominence, even leaving comorbidities in the donor sites. The purpose of this paper is to present the great suboccipital nerve as a new donor nerve bases on our anatomic research with the transfer technique from the great occipital nerve to the suprascapular nerve.