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Titolo:
CURRENT ISSUES IN NERVE REPAIR
Autore:
TERRIS DJ; FEE WE;
Indirizzi:
STANFORD UNIV,MED CTR,DIV OTOLARYNGOL HEAD & NECK SURG,R135,300 PASTEUR DR STANFORD CA 94305
Titolo Testata:
Archives of otolaryngology, head & neck surgery
fascicolo: 7, volume: 119, anno: 1993,
pagine: 725 - 731
SICI:
0886-4470(1993)119:7<725:CIINR>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
AUTOGENOUS VEIN GRAFT; PERIPHERAL-NERVE; FACIAL-NERVE; GROWTH-FACTOR; SILICONE CHAMBERS; SCIATIC-NERVE; MOTOR-NERVE; REGENERATION; SUTURE; RECONNECTION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
101
Recensione:
Indirizzi per estratti:
Citazione:
D.J. Terris e W.E. Fee, "CURRENT ISSUES IN NERVE REPAIR", Archives of otolaryngology, head & neck surgery, 119(7), 1993, pp. 725-731

Abstract

Although accepted surgical techniques for peripheral nerve repair remain largely unchanged over the past three decades, much progress has been made toward understanding the mechanisms involved in nerve regeneration, and consequently toward providing adjunctive measures to enhance this regenerative process. We present a comprehensive review of the significant advances made in several aspects of nerve repair over the past decade, and particularly the past few years, and provide a few examples of facial nerve repair using the standard neurorrhaphy techniques recommended today. Several conclusions were drawn after thorough review of the literature. Early repair of injured nerves is preferred, and there appears to be no benefit to waiting for 3 weeks. Severed nerves should be repaired with monofilament 9-0 nylon suture placed in epineurial fashion. Fibrin glue confers no benefit in reattaching injurednerves. Likewise, theoretical advantages of laser neurorrhaphy have not resulted in improved nerve regeneration. Finally, trophic factors, such as apolipoproteins and nerve growth factor, and tubulization bothappear to offer promise for future experimental and clinical progressin nerve repair. However, further work must be done to prove their efficacy.

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Documento generato il 30/11/20 alle ore 16:48:05