6533b823fe1ef96bd127e1c8
RESEARCH PRODUCT
Indication and technique for the reconstruction of nerve defects in head and neck.
Ralf SchmidsederJarg-erich HausamenM. Samiisubject
Malemedicine.medical_specialtyMicrosurgeryAccessory nerveAdolescentmedicine.medical_treatmentAccessory Nerve InjuriesMandibular NerveLingual NerveInferior alveolar nerveAnastomosisTransplantation AutologousAmeloblastomaLingual Nerve InjuriesAccessory NerveSural NervemedicineHumansLingual nerveCervical PlexusFacial Nerve Injuriesbusiness.industryCranial nervesCranial NervesPeripheral Nervous System DiseasesGeneral MedicineMicrosurgeryFacial nerveSurgeryFacial NerveMandibular NeoplasmsSpinal NervesAnesthesiaTooth ExtractionNeck DissectionSurgeryTrigeminal Nerve InjuriesEpineurial repairbusinessdescription
Summary Although the results of peripheral nerve repair have been greatly improved in the last years following the introduction of microsurgery and increased application of free autologous nerve transplants, the use of restorative neuroplasty in maxillofacial surgery has been limited. Prompted by the successful reports on modern neuroplasty, we have introduced the use of autologous nerve transplant to bridge lesions of various cranial nerves. Our experience is based on the treatment of traumatic and tumour-induced defects of the facial nerve, inferior alveolar nerve, accessory and lingual nerve. The anastomosis of nerve was accomplished exclusively under the surgical microscope and microsurgical conditions with the interfascicular, perineural suture technique. The greater auricular and sural nerves served as donor. Several clinical cases have been included to illustrate our surgical technique and the results of treatment. In conclusion, the indication for nerve transplant and possible sources of error have been outlined.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 1974-12-01 | Journal of maxillofacial surgery |