At the recommendation of Wenchuan Zhang, MD, PhD, Professor and Chief of Neurosurgery, A Lee Dellon, MD, PhD has been honored as a Professor in Neurosurgery at the Jiao Tong University in Shangai, China.
Dr Dellon spoke about Peripheral Nerve Problems Head to Toe at the Wine & Nerve meeting sponsored by the Association of Extremity Nerve Surgeons on Valentine's Day in Napa Valley.
Past Presidents of the Association of Extremity Nerve Surgeons, with A Lee Dellon, MD, PhD, the Founder of the AENS, are, from the left, Robert Parker, DPM of Houston, Texas, Dr Dellon, Rick Jacoby, DPM from Scottsdale, Arizona, and James Anderson, DPM from Fort Collins, Colorado.
Big Toe Pain after Bunion Surgery is a Joplin's Neuroma; Successful Treatment Reported at the American Society for Peripheral Nerve Surgery meeting January 2014 in Hawaii
A. Lee Dellon, Plastic Surgery, Johns Hopkins University, Towson, MD
Orchiectomy is done for tumor, infection, torsion, and trauma. When testicular pain persists after orchiectomy, or after other peritesticular procedures such as vasectomy or epididymectomy, the differential diagnosis must include neuroma of the genitofemoral nerve. Nine patients are presented with persistent pain after orchiectomy who were successfully treated by resecting the genitofemoral nerve, placing the proximal end below the pelvic brim. Eight of these patients would have had conservation of their testis if a neural origin had been considered prior to orchiectomy.
From July of 2009 through June of 2013, using our office computer database, nine patients were identified who had an orchiectomy but had persistent testicular pain. One man had a seminoma, but the other 8 had orchiectomy as the primary approach to treating testicular pain after vasectomy (3 men) or herniorraphy (5 men). Patient mean age was 44.3 years (range 25 to 78 years). Mean duration of pain from the index surgical procedure was 25.5 months (range 16 to 48 months). Diagnosis was demonstrated by physical examination with the trigger point being at the external inguinal ring duplicating the pain. Surgical approach exposed the external ring, retracted the spermatic cord or its remnant medially, and identified the 1 to 1.5 mm genitofemoral nerve posterior and lateral to where the spermatic cord was or would have been. The proximal end of the genitofemoral nerve was resected so that it dropped into the pelvis. Surgery was on the left side in 6 and right side in 3 men. The surgical technique will be demonstrated with intra-operative photographs. There were no post-operative complications.
Outcome data is available on 6 patients with a mean follow-up of 20.1 months (range 12 to 36 months). Three patients are less than 6 months, but are included for demographic purposes. Five of the six men had excellent relief and one good relief of their pain in the long-term group. To date, all 3 of the short-term group have excellent pain relief.
Testicular pain is transmitted via the genitofemoral nerve. Once intrinsic, organic testicular disease has been treated, persistent testicular pain should be considered as due to the genitofemoral nerve, which can be resected with high expectation of long-term pain relief. Eight of the nine patients reported here would have been sparred orchiectomy if a neural origin had been considered in the differential diagnosis.
March 26, 2014; Dr Dellon to be Visiting Professor for Sports Medicine Department, University of Washington, Seattle, Wa. Dr Kim Harmon's invitation.
March 22, 2014: Dr Dellon to present to the Rocky Mountain Rehabilitation Society on Hope for Painful Peripheral Nerve Problems: Head to Toe; Provo, Utah.
February 25, 2014; Dr Dellon to present to the Johns Hopkins Oncology group on Neurosensory Testing for patients with Chemotherapy Neuropathy ; Baltimore, Maryland
Lower Extremity Review journal article by Gary Croner appears on Dr Dellon's approach to nerve decompression in diabetics with neuropathy and chronic compression of lower extremity nerves.
At the 2014 American Society for Peripheral Nerve meeting in Hawaii, on January 11, Drs Wyndell Merritt (on the left), from the Medical College of Virginia, in Richmond, Virginia, A. Lee Dellon (center), Johns Hopins University in Baltimore and Gedge D. Rosson (on the right), also from Johns Hopkins In Baltimore participated in an Instructional Course on the treatment of Complex Regional Pain Syndrome (CRPS). This used to be called "Reflex Sympathetic Dystrophy". Dr Dellon introduced the members and presented the current concept of Central Sensitization, the underlying problem in the Central Nervous System that predisposes some people to get CRPS. Dr Merritt discussed the non-operative approaches to treating CRPS. Finally, Dr Rosson presented the outcome study on the patients that he and Dr Dellon operated on with this problem.
Publications 2013 by A Lee Dellon MD PhD
Peer Reviewed Journals:
Translational Research: connection of 3rd intercostal nerve to the microsurgically-transferred transverse abdominal flap improves sensation in the reconstructed breast after breast cancer surgery. Article appears in Plastic and Recosntructive Surgery Global, November 2013. view the surgery HERE
The title and authors of the paper are : Spiegel, AJ, Salazar-Reyes, H, Izaddoost, S, Menn, Z, Eldor, L, Dellon, AL, Recovery of breast sensibility: Neurotization of the DIEP flap with the anterior branch of the 3rd intercostal nerve.
The surgery was done by Dr Aldona Spiegel at Methodist Hospital in Houston, Texas.
"Applied Peripheral Nerve Anatomy: Head-to-Toe" was the lecture title on December 4, 2013. A. Lee Dellon, MD, PhD, in the lobby of Touro Medical Center, in Henderson, Nevada, where the lecture was given is standing next to Director of Anatomy, Doctor Yehia Marreez. The lecture was attended by Faculty and students of the Osteopathic Medical School. Dr. Dellon emphasized the critical nature of the knowledge of anatomy and the physical examination in identifying peripheral nerve sources of pain.
Dr Dellon presents lecture on Peripheral Nerve Surgery, December 4, 2013 to the medical students at Tuoro University in Henderson, Nevada. The lecture will be Applied Peripheral Nerve Anatomy; Head to Toe.
Dr Dellon presents lecture, November 21, 2013, on Sensory Evaluation of the Hand to the staff and fellows of the Raymond M. Curtis National Hand Center, in Baltimore, Maryland.
A Lee Dellon, MD, PhD awarded Life Time Achievement Award from the Association of Extremity Nerve Surgeons, in Houston, November 1, 2013.
At the Association of Extremity Nerve Surgeons annual meeting in Houston Texas, November 1, 2013, Dr. Dellon (right), honored as the Founder of this Society, is here with the Past-President, Rick Jacoby DPM of Scottsdale (left) and current President, Robert Parker, DPM (center).
In the following photo, Dr Dellon (left) is with his former Peripheral Nerve Fellows Ivica Ducic, MD, PhD, Professor of Plastic Surgery at Georgetown University (right) and Maria Siemionow, MD, PhD, DSc, Professor of Plastic Surgery at the Cleveland Clinic, each of whom were invited lecturers at this AENS meeting. For more information about this Society, go to AENS.us.
He is seen here at a dinner that night with Ben Cohen (head of table), Chief of Plastic Surgery at Methodist Hospital, and seated clockwise from Dr Cohen, Drs Anthony Echo, Pierre Chevray, Aldona Spiegel, Dr Dellon's wife Luiann, and Dr Dellon.
At the International Pelvic Pain Society Meeting for 2013, Drs Deborah Coady (Gynecology), A Lee Dellon (Plastic Surgery) and Dena Harris (Gynecology), from left to right, presented, at the Poster Session, their outcome research results for surgery on the pudendal nerve.
October 2013. From left to right, Drs Johannes Ebmer, Georg Furtmueller, A Lee Dellon and Johannes Mayor.
October 5, Dr Dellon participate in an Instructional Course at the American Society for Surgery of the Hand. Participating also were Dr Keizo Fukumoto from Japan and Richard A. Berger, MD, from the Mayo Clinic.
Dear Keizo and Lee,
Thank you both for all of your hard work and fantastic presentations at the Denervation Instructional Course in San Francisco. I was really happy with the results, and I believe our learners felt the same way. It was great seeing both of you and I look forward to doing the same thing next year. Thank you again.
Dick
Dellon Team of Drs Dawn LaPorte and Shar Hashemi win Kaplan Award for best anatomy research presented at the American Society for Surgery of the Hand meeting, in 2012. Dr Dellon is shown here, October 5, 2013, accepting the award from Dr. Louis Catalano, President of the New York State Hand Surgery Society, that gives the award. The research for which the prize was awarded is entitled “Innervation of the Triangular Fibrocartilage of the Wrist”.
Dr Dellon participated in an Instructional Course at the American Society for Surgery of the Hand meeting held in San Francisco, October 5, 2013. The course was entitled “Denervation of the Wrist”. Course participants included Richard A Berger, MD, from the Mayo Clinic, and Keizo Fukumoto, MD, from Japan.
Dr Dellon to give lecture at Methodist Hospital, Baylor University Plastic Surgery, Houston, Texas on October 30, 2013. The lecture will be on Peripheral Nerve Surgery.
Neurorsurgeons (from left to right ) Meng Feng (Beijing), Bo Zhang (Dalian), Yong Yao (Beijing) visit the Dellon Institute for Peripheral Nerve Surgery in Baltimore. A Lee Dellon, MD is accompanied by Mark Melendez, a Plastic Surgeon from Johns Hopkins University who is currently doing Peripheral Nerve training at the Institute. Yong Yao, MD, Associate Professor at Peking Medical Union College was the first to introduce into Chia Dellon's nerve decompression surgery to restore sensation and prevent ulceration in the feet of diabetics. Yong Yao trained with Dellon almost ten years previously. Bo Zhang, MD, Professor of Neurosurgery at the First Affiliated Hospital of DaLian Medical University, will introduce Peripheral Nerve Surgery into his province of China this coming year.
The meeting is in the city of Antalya, in Turkey.
Abstract of this research:
J Brachial Plex Peripher Nerve Inj. 2009 Feb 20;4:1. doi: 10.1186/1749-7221-4-1.
Dellon AL, Andonian E, Rosson GD.
Division of Plastic Surgery, Johns Hopkins University, Baltimore, Maryland 21218, USA. This email address is being protected from spambots. You need JavaScript enabled to view it. /del
The hypothesis is explored that CRPS I (the "new" RSD) persists due to undiagnosed injured joint afferents, and/or cutaneous neuromas, and/or nerve compressions, and is, therefore, a misdiagnosed form of CRPS II (the "new" causalgia). An IRB-approved, retrospective chart review on a series of 100 consecutive patients with "RSD" identified 40 upper and 30 lower extremity patients for surgery based upon their history, physical examination, neurosensory testing, and nerve blocks. Based upon decreased pain medication usage and recovery of function, outcome in the upper extremity, at a mean of 27.9 months follow-up (range of 9 to 81 months), gave results that were excellent in 40% (16 of 40 patients), good in 40% (16 of 40 patients) and failure 20% (8 of 40 patients). In the lower extremity, at a mean of 23.0 months follow-up (range of 9 to 69 months) the results were excellent in 47% (14 of 30 patients), good in 33% (10 of 30 patients) and failure 20% (6 of 30 patients). It is concluded that most patients referred with a diagnosis of CRPS I have continuing pain input from injured joint or cutaneous afferents, and/or nerve compressions, and, therefore, similar to a patient with CRPS II, they can be treated successfully with an appropriate peripheral nerve surgical strategy.
A. Lee Dellon, MD, PhD gave a lecture on Peripheral Nerve Surgery at Fujairah Hospital in the United Arab Emirates on April 29, 2013. Dr Dellon is shown with Subash C. Gautam, MD, Chief of Surgery at Fuairah Hospital at the conclusion of the lecture. Also in the photo is Dr. Gautam's wife, The Chief of Obstretrics and Gynecology at Fujairah Hospitla, and their two sons, who are Internal Medicine Specialist in the United Kingdom. Attending were the Surgical staff as well as Neurologists, and Rehabilitation Specialists.
Dr Dellon is seen here after his lecture with Dr Subash C. Guatam, Chief of Surgery and his wife, Gursrup, Chief of Obstetrics and Gynecology,both at Fujairah Hospital, with their sons Siddarth and Vikrant, both Internal Medicine Specialist in the United Kingdom.
The Plastic Surgery Educational Network filmed Doctor Dellon doing his classic "Dellon Triple" nerve decompression for restoration of sensation and relief of pain in a patient with neuropathy and superimposed nerve compressions. After editing, this movie will be available on the national PSEN website for other surgeons' educational viewing, to further the spread of this technical knowledge to help more people suffering with this problem.
Dr Dellon lectures at the 2nd International Conference on Musculoskeletal Pain in Sapporo, Japan.
Wearing traditional Japanese robes at the opening ceremony, Dr Dellon and other invited guests drink a rice wine from a wooden box.
Dr Dellon presents a lecture on Neurosensory Evaluation to the Hand Fellows at the Raymond Curtis Hand Center at Union Memorial Hospital in Baltimore; 7AM on August 1, 2012. This lecture will help these 6 new Hand Surgeons understand the value of testing sensibility, the techniques for doing these evaluations, and the interpretation of this testing in the diagnosis and management of nerve compression and nerve recovery.
From the program book at the lecture that Dr Dellon gave in Sapporo.
In the operating room, Dr Dellon draws upon the glove on his hand the surgery he proposes to do on this patient. In this way, he passes down the teaching from his teacher, Dr Raymond Curtis, who used similar teaching techniques.
Dr Dellon is seen examining new patients with peripheral nerve problems in the Hand Surgery Clinic. The young girl suffered a brachial plexus injury at birth, was not previously operated on, and now has her scapula in the wrong position with a dislocated humeral head, as demonstrated by Dr Dellon, which can be corrected by shoulder surgery. The second patient is seen after a motor cycle accident with a new brachial plexus paralysis and a broken wrist.
PAIN SOLUTIONS, the book of hope for people in pain, written by Dr Dellon in 2007, was translated into Chinese and appears for the first time in July, 2012. Dr Dellon is shown at the "book signing", here giving a copy to Professor, Major, Rui Cong, Chief of Hand Surgery.
Dr. Pei, the Chief of the Department of Orthopedic Surgery, who translated Dr Dellon's book into Chinese, is given gifts that celebrate Dr Pei's farovite American sports team, the Miami Heat, winning the National Basketball Association championship the month before Dr. Dellon's visit to Xi'an, the city most famous for its "Terra Cotta Soldiers"
The Hand Surgery staff of the 4th People's Military University and Zixiang Hospital In Xi'an welcome Doctor Dellon upon his arrival at the hospital, July 16, 2012
On Friday, July 13, after traveling from Shanghai to Beijing, Dr Dellon spoke at Peking Union Medical College. Dr Dellon presented his work on his basic science and clinical experience with restoring sensation and relieving pain in diabetics with neuropathy and nerve compression. Here he is with the Department of Endocrinology, the leading group in all of China, after his presentation. To Dr Dellon's right is Yong Yao, MD, Associate Professor of Neurosurgery who was the first to do the Dellon Procedure in China. To Dr. Dellon's left is the Chief of Endocrinology, Xiaoping Xing.
Dr Dellon stands between Dr Feng Zhang (to Dr Dellon's right), the new Chief of Department of Orthopedic Surgery at Fudan University in Shanghai, China, and Doctor Gao Xin (to Dr Dellon's left), the Chief of the Department of Endocrinology at Fudan University following Dr Dellon's lecture on Preventing Ulceration & Amputation in Diabetics by Decompression of Lower Extremity Nerves. This will mark the initiation of these two Departments to introduce Dr Dellon's translational research into clinical practice at Fudan University in the future.
PAIN SOLUTIONS will have its Chinese translated edition preview in Xi'an, China on July 12, 2012. Dr Dellon will be there for a "book signing" ceremony, and then give a lecture on Partial Joint Denervation in the Upper and Lower Extremities. Following which he will be teaching surgery in the Department of Orthopedic Surgery, whose Chairman, Dr Pei, was the primary translator of Dr Dellon's book. Dr Dellon will be given an Honorary Professorship in Orthopedic Surgery at the 4th Military Hospital in Xi'an.
Before going to Xi'an, Dr Dellon will be in Shanghai and then in Beijing (Peking). In Shanghai, he will be Visiting Professor in the Department of Orthopedic Surgery at Fudan University in Shanghai, where he will speak on his work with neurolysis for diabetics with neuropathy and nerve compression. He has trained surgeons from this University and they will begin peripheral nerve surgery at their hospital. Dr Dellon will receive an Honorary Professorship in Orthopedic Surgery at Fudan University, where Dr Professor Feng Zhang is Chairman of Orthopedic Surgery. Dr Zhang is also the Editor of the journal, Microsurgery.
In Beijing, Dr Dellon will lecture at Peking Medical Union College, where he will be hosted by Dr Wang, the Chairman of Neurosurgery, and Yong Yao, Associate Professor of Neurosurgery. Dr Yao has trained previously with Dr Dellon and has published in the Chinese Medical Journal his results with Dr Dellon's technique for lower extremity nerve decompressions in people with diabetes.
This is the Master's Degree Project of Courtney McKenna from the Department of Art as Applied to Medicine at Johns Hopkins University
A. Lee Dellon, MD, PhD thesis advisor
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The Budapest Times
University of Minnesota Health
MY LIFE IS BACK
Pelvic Pain Physical Therapist interviews Dr Dellon
Biblical curse, modern mutilation:
The plastic surgeon's role in Leprosy
The Sensational Breast
DIEP Flap
Scandinavian Diabetes Center
International Pelvic Pain Society
Dr. Dellon with Elisabeth Oas on Pelvic Pain Messenger Talk Blog
PSSD bibliography
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