(10.) Andersen KG, Aasvang EK, Kroman N, Kehlet H Intercostobrachial nerve handling and pain after axillary lymph node dissection for breast cancer.
Axillary dissection may lead to damage to the thoracodorsal, long thoracic, intercostobrachial nerves and axillary soft tissue, which causes acute and chronic postoperative pain after mastectomy (10, 11).
MPN, medial pectoral nerve; LPN, lateral pectoral nerve; MBCN, medial brachial cutaneous nerve; ICBN, intercostobrachial nerve
; LTN, long thoracic nerve.
The variant musculocutaneous muscle was covering all neurovascular bundle (F) and especially seen to compress intercostobrachial nerve
The remaining 2ml was diluted to 4ml and used for intercostobrachial nerve
block to prevent tourniquet pain.
For some cases requiring an axillary lymph node dissection, intercostobrachial nerve
sacrifice was necessary for surgical reasons but the nerve itself was not infiltrated with LA.
Intercostobrachial nerve (ICBN) enters the axilla and passes through with considerable variability to the posteromedial border of the upper arm .
Holdman, "The gross anatomy of the extrathoracic course of the intercostobrachial nerve," Clinical Anatomy, vol.
The variant gave off five arteries from the second part, a thoracoacromial artery, two separate long thoracic arteries each with a branch that ran along the intercostobrachial nerve
to the arm, and two posterior branches.
Remember that the skin on the inner aspect of the arm is supplied by the intercostobrachial nerve
, T2, which is outside the brachial plexus.
INTRODUCTION: Normally the undivided lateral cutaneous branch of second intercostal nerve leaves the second intercostal space by piercing the lateral thoracic wall at midaxillary plane, passes along the base of axilla within the central group of axillary lymph nodes, reaches the upper and medial part of arm where it joins with medial cutaneous nerve of arm to form intercostobrachial nerve
to supply the skin of upper and medial parts of arm.