Comparison of Nerve, Vessel, and Cartilage Grafts in Promoting Peripheral Nerve Regeneration


FIRAT C. , Geyik Y., Aytekin A. H. , GÜL M. , KAMIŞLI S. , Yigitcan B., ...Daha Fazla

ANNALS OF PLASTIC SURGERY, cilt.73, ss.54-61, 2014 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 73 Konu: 1
  • Basım Tarihi: 2014
  • Doi Numarası: 10.1097/sap.0b013e31829fd2be
  • Dergi Adı: ANNALS OF PLASTIC SURGERY
  • Sayfa Sayıları: ss.54-61

Özet

Peripheral nerve injury primarily occurs due to trauma as well as factors such as tumors, inflammatory diseases, congenital deformities, infections, and surgical interventions. The surgical procedure to be performed as treatment depends on the etiology, type of injury, and the anatomic region. The goal of treatment is to minimize loss of function due to motor and sensory nerve loss at the distal part of the injury. Regardless of the cause of the injury, the abnormal nerve regeneration due to incomplete nerve regeneration, optimal treatment of peripheral nerve injuries should provide adequate coaptation of proximal and distal sides without tension, preserving the neurotrophic factors within the repair line. The gold standard for the treatment of nerve defects is the autograft; however, due to denervation of the donor site, scarring, and neuroma formation, many studies have aimed to develop simpler methods, better functional results, and less morbidity. In this study, a defect 1 cm in length was created on the sciatic nerve of rats. The rats were treated with the following procedures: group 1, autograft; group 2, allogeneic aorta graft; group 3, diced cartilage graft in allogeneic aorta graft; and group 4, tubularized cartilage graft in allogeneic aorta graft. Group 5 was the control group. The effects of cartilage tissue in nerve regeneration were evaluated by functional and histomorphological methods.