Current Issues in Nerve Repair

David J Terris, Willard E. Fee

Research output: Contribution to journalArticle

57 Citations (Scopus)

Abstract

Although accepted surgical techniques for peripheral nerve repair remain largely unchanged over the past three decades, much progress has been made toward understanding the mechanisms involved in nerve regeneration, and consequently toward providing adjunctive measures to enhance this regenerative process. We present a comprehensive review of the significant advances made in several aspects of nerve repair over the past decade, and particularly the past few years, and provide a few examples of facial nerve repair using the standard neurorrhaphy techniques recommended today. Several conclusions were drawn after thorough review of the literature. Early repair of injured nerves is preferred, and there appears to be no benefit to waiting for 3 weeks. Severed nerves should be repaired with monofilament 9-0 nylon suture placed in epineurial fashion. Fibrin glue confers no benefit in reattaching injured nerves. Likewise, theoretical advantages of laser neurorrhaphy have not resulted in improved nerve regeneration. Finally, trophic factors, such as apolipoproteins and nerve growth factor, and tubulization both appear to offer promise for future experimental and clinical progress in nerve repair. However, further work must be done to prove their efficacy.

Original languageEnglish (US)
Pages (from-to)725-731
Number of pages7
JournalArchives of Otolaryngology--Head and Neck Surgery
Volume119
Issue number7
DOIs
StatePublished - Jan 1 1993

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Nerve Regeneration
Fibrin Tissue Adhesive
Apolipoproteins
Nylons
Facial Nerve
Nerve Growth Factor
Peripheral Nerves
Sutures
Lasers

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

Cite this

Current Issues in Nerve Repair. / Terris, David J; Fee, Willard E.

In: Archives of Otolaryngology--Head and Neck Surgery, Vol. 119, No. 7, 01.01.1993, p. 725-731.

Research output: Contribution to journalArticle

Terris, David J ; Fee, Willard E. / Current Issues in Nerve Repair. In: Archives of Otolaryngology--Head and Neck Surgery. 1993 ; Vol. 119, No. 7. pp. 725-731.
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