Preliminary study of microsurgical repairs of the inferior alveolar nerve in rats using primary suturing and laser weld techniques

A comparison of primary suturing and a new laser weld technique is described for the microsurgical repair of the inferior alveolar nerve in Wistar rats. A reliable method of exposure of the inferior alveolar nerve has been developed in order to allow intraosseous repairs of the nerve involving sutur...

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Veröffentlicht in:International journal of oral and maxillofacial surgery 1998-12, Vol.27 (6), p.476-481
Hauptverfasser: Curtis, N.J., Lauto, A., Trickett, R., Owen, E., Walker, D.M.
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container_end_page 481
container_issue 6
container_start_page 476
container_title International journal of oral and maxillofacial surgery
container_volume 27
creator Curtis, N.J.
Lauto, A.
Trickett, R.
Owen, E.
Walker, D.M.
description A comparison of primary suturing and a new laser weld technique is described for the microsurgical repair of the inferior alveolar nerve in Wistar rats. A reliable method of exposure of the inferior alveolar nerve has been developed in order to allow intraosseous repairs of the nerve involving suturing with 10:0 nylon and a laser weld technique using an albumin-based solder, containing indocynine cardiogreen, plus an infrared (810 nm wavelength) diode laser. Seven cases of microsuture and laser weld repairs were performed with a 29.4% reduction in total operating time in the laser weld group. Histochemical analysis showed comparable mean neuron counts and mean tracer uptake by neurons for the microsuture and laser weld groups. Giant cell reactions were identified in two of the primary suture cases and axon deflection in three cases demonstrating possible advantages of the laser weld technique which showed no adverse reactions by axons or epineurium to the coagulative repair with the solder. The technique of laser weld repair, on inititial analysis, therefore appears comparable with traditional suture repairs and indeed may possess several advantages. Further studies are recommended.
doi_str_mv 10.1016/S0901-5027(98)80042-8
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A reliable method of exposure of the inferior alveolar nerve has been developed in order to allow intraosseous repairs of the nerve involving suturing with 10:0 nylon and a laser weld technique using an albumin-based solder, containing indocynine cardiogreen, plus an infrared (810 nm wavelength) diode laser. Seven cases of microsuture and laser weld repairs were performed with a 29.4% reduction in total operating time in the laser weld group. Histochemical analysis showed comparable mean neuron counts and mean tracer uptake by neurons for the microsuture and laser weld groups. Giant cell reactions were identified in two of the primary suture cases and axon deflection in three cases demonstrating possible advantages of the laser weld technique which showed no adverse reactions by axons or epineurium to the coagulative repair with the solder. 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subjects Animals
Biological and medical sciences
Blood Loss, Surgical - prevention & control
Cranial nerves. Peripheral nerves. Autonomic nervous system
Dentistry
Hemostatics - therapeutic use
inferior alveolar nerve
Laser Coagulation - methods
laser weld
Mandibular Nerve - surgery
Medical sciences
Microsurgery - methods
microsurgical
Neurosurgery
Ornipressin - therapeutic use
Rats
Rats, Wistar
Serum Albumin, Bovine - administration & dosage
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Suture Techniques
trigeminal ganglion
Trigeminal Nerve Injuries
title Preliminary study of microsurgical repairs of the inferior alveolar nerve in rats using primary suturing and laser weld techniques
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