Surgical anatomy of the ovine sural nerve for facial nerve regeneration and reconstruction research.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
22 07 2019
Historique:
received: 17 01 2019
accepted: 02 07 2019
entrez: 24 7 2019
pubmed: 25 7 2019
medline: 27 10 2020
Statut: epublish

Résumé

The lack of a clinically relevant animal models for research in facial nerve reconstruction is challenging. In this study, we investigated the surgical anatomy of the ovine sural nerve as a potential candidate for facial nerve reconstruction, and performed its histological quantitative analysis in comparison to the buccal branch (BB) of the facial nerve using cadaver and anesthetized sheep. The ovine sural nerve descended to the lower leg along the short saphenous vein. The length of the sural nerve was 14.3 ± 0.5 cm. The distance from the posterior edge of the lateral malleolus to the sural nerve was 7.8 ± 1.8 mm. The mean number of myelinated fibers in the sural nerve was significantly lower than that of the BB (2,311 ± 381vs. 5,022 ± 433, respectively. p = 0.003). The number of fascicles in the sural nerve was also significantly lower than in the BB (10.5 ± 1.7 vs. 21.3 ± 2.7, respectively. p = 0.007). The sural nerve was grafted to the BB with end-to-end neurorrhaphy under surgical microscopy in cadaver sheep. The surgical anatomy and the number of fascicles of the ovine sural nerve were similar of those reported in humans. The results suggest that the sural nerve can be successfully used for facial nerve reconstruction research in a clinically relevant ovine model.

Identifiants

pubmed: 31332199
doi: 10.1038/s41598-019-46661-3
pii: 10.1038/s41598-019-46661-3
pmc: PMC6646377
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

10564

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Auteurs

Yosuke Niimi (Y)

Department of Anesthesiology, University of Texas Medical Branch, Galveston, Texas, 77555, USA.
Department of Plastic and Reconstructive Surgery, Tokyo Women's Medical University, Shinjuku-ku, Tokyo, 162-8666, Japan.

Satoshi Fukuda (S)

Department of Anesthesiology, University of Texas Medical Branch, Galveston, Texas, 77555, USA.

Ryan S Gilbert (RS)

Department of Pathology, Shriners Hospitals for Children, Galveston, Texas, 77550, USA.

Tuvshintugs Baljinnyam (T)

Department of Anesthesiology, University of Texas Medical Branch, Galveston, Texas, 77555, USA.

Yu Niimi (Y)

Center for Multiphasic Health Testing and Services, Mitsui Memorial Hospital, Chiyoda-ku, Tokyo, 101-8043, Japan.

Hajime Matsumine (H)

Department of Plastic and Reconstructive Surgery, Tokyo Women's Medical University, Shinjuku-ku, Tokyo, 162-8666, Japan.

Keibun Liu (K)

Department of Anesthesiology, University of Texas Medical Branch, Galveston, Texas, 77555, USA.

Sam Jacob (S)

Department of Pathology, Shriners Hospitals for Children, Galveston, Texas, 77550, USA.

Hal K Hawkins (HK)

Department of Pathology, University of Texas Medical Branch, Galveston, Texas, 77555, USA.

Robert A Cox (RA)

Department of Pathology, Shriners Hospitals for Children, Galveston, Texas, 77550, USA.

David N Herndon (DN)

Department of Surgery, Shriners Hospitals for Children, Galveston, Texas, 77550, USA.

Donald S Prough (DS)

Department of Anesthesiology, University of Texas Medical Branch, Galveston, Texas, 77555, USA.

Perenlei Enkhbaatar (P)

Department of Anesthesiology, University of Texas Medical Branch, Galveston, Texas, 77555, USA. peenkhba@utmb.edu.
Shriners Hospital for Children, Galveston, Texas, 77550, USA. peenkhba@utmb.edu.

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