Histomorphological versus functional nerve recovery following three microsurgical repair techniques

Background and objectives: The aim of this study was to evaluate both functionally and histologically the validity of the cyanoacrylate and fibrin glue for nerve anastomosing in rat sciatic nerve.

Methods: In this study 45 healthy albino rats were used. In all rats, a unilateral right side sciatic nerve transection was performed and reanastomosed by different methods, the rats were classified into three equal groups: group I (control group): included 15 rats, the anastomosis was done by epineural microsutures using 10/0 nylon. Group II: included 15 rats, the anastomosis was done by using n-butyl-2-cyanoacrylate (Histoacryl ® ). Group III: included 15 rats, the anastomosis was done by using fibrin glue. Evaluation of recovery was done both functionally and histologically.

Results: Functional results showed that there was significant difference of the sciatic functional index (SFI) between group I and group II and between group II and group III while there was no significant difference of SFI between group I and group III at the different follow up periods. Histological results showed that after three months there was no complete axonal regeneration in the three groups. The axonal regeneration in group II was less than that in group I and group III. Group II showed foreign body inflammatory reaction and increasing degree of fibrosis. The axonal regeneration was more better in group III when compared with group I which showed mild degree of fibrosis.

Conclusions: We can conclude that Fibrin glue was better than the n-butyl-2-cyanoacrylate both functionally and histologically and could be used as an alternative technique to epineural suturing in the microsurgical repair of the transected nerves.

Key words: peripheral nerve injury; n-butyl-2-cyanoacrylate; fibrin glue

Only gold members can continue reading. Log In or Register to continue

Jan 21, 2018 | Posted by in Oral and Maxillofacial Surgery | Comments Off on Histomorphological versus functional nerve recovery following three microsurgical repair techniques
Premium Wordpress Themes by UFO Themes