End-to-side nerve graft for facial nerve reconstruction
End-to-side nerve graft for facial nerve reconstruction
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DOI：
10.1097/01.sap.0000116283.76872.de
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发表时间：
2004-11-01
影响因子：
1.5
通讯作者：
Sakagami, M
中科院分区：
文献类型：
--
作者：
Kakibuchi, M;Tuji, K;Sakagami, M
本文报告一例晚期腮腺肿瘤病人，以腓肠神经端侧缝合移植重建多支面神经。在这项技术中，移植神经的一端以端对端的方式与面神经干的残端缝合。在神经移植物上制作神经外膜窗，并将面神经分支（颞支、颧支和颊支）的远端残端以端侧方式与移植物缝合。术后2年内所有分支功能恢复，面部表情满意。通过移植物的轴突再生被电诊断证实。再生通过吻合在残端的面神经干使用这种技术是更有效的比传统的电缆移植，所需的神经的长度是最小的。这项技术可能是一个有用的选择面神经重建管理多个分支。
Reconstruction of multiple branches of the facial nerve by sural nerve graft using end-to-side nerve suture was performed successfully on a patient with advanced parotid tumor. In this technique, one end of the grafted nerve is sutured with the stump of the facial nerve trunk in an end-to-end manner. Epineural windows are made on the nerve graft, and the distal stumps of the facial nerve branches (temporal, zygomatic, and buccal branches) are sutured with the graft in an end-to-side manner. Functional recovery of all branches and satisfactory facial expression were obtained within 2 years postoperatively. Axonal regeneration through the graft was confirmed by electrodiagnosis. Regeneration through the anastomosis at the stump of the facial nerve trunk using this technique is more efficient than conventional cable grafting, and the length of the nerve required is minimal. This technique may be a useful option for facial nerve reconstruction managing multiple branches.