Axon numbers and landmarks of trigeminal donor nerves for corneal neurotization

Corneal anesthesia leads to chronic corneal injury. This anatomical study characterizes the donor nerve branches of the supratrochlear and supraorbital nerves used for corneal neurotization. In 13 non-embalmed cadavers, the supratrochlear and supraorbital nerves were dissected and distances to anato...

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Veröffentlicht in:PloS one 2018-10, Vol.13 (10), p.e0206642-e0206642
Hauptverfasser: Györi, Eva, Tzou, Chieh-Han John, Weninger, Wolfgang J, Reissig, Lukas, Schmidt-Erfurth, Ursula, Radtke, Christine, Dunavoelgyi, Roman
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container_issue 10
container_start_page e0206642
container_title PloS one
container_volume 13
creator Györi, Eva
Tzou, Chieh-Han John
Weninger, Wolfgang J
Reissig, Lukas
Schmidt-Erfurth, Ursula
Radtke, Christine
Dunavoelgyi, Roman
description Corneal anesthesia leads to chronic corneal injury. This anatomical study characterizes the donor nerve branches of the supratrochlear and supraorbital nerves used for corneal neurotization. In 13 non-embalmed cadavers, the supratrochlear and supraorbital nerves were dissected and distances to anatomical landmarks measured. Cross-sections of supratrochlear and supraorbital donor nerves were harvested and histomorphometrically analyzed to assess the number of myelinated axons. The donor axon counts were 3146 ± 1069.9 for the supratrochlear and 1882 ± 903 for the supraorbital nerve distal to the supraorbital notch. The supratrochlear nerve was dissected on the medial upper eyelid 2 cm lateral to the facial midline and the branch of the supraorbital nerve 1 cm medial to the mid-pupillary line. The supraorbital and supratrochlear branches of the trigeminal nerve are potent donor nerves for corneal neurotization in the treatment of neuropathic keratopathy and can be reliably dissected using anatomical landmarks.
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subjects Anatomy
Anesthesia
Axons
Biology and Life Sciences
Cadavers
Cornea
Donation of organs, tissues, etc
Endoscopy
Eyelid
Feasibility studies
Health aspects
Medicine and Health Sciences
Microscopy
Nerves
Plastic surgery
Transplantation
Trigeminal nerve
title Axon numbers and landmarks of trigeminal donor nerves for corneal neurotization
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