Schultes G, Gaggl A, Kärcher H
Klinische Abteilung für Mund-, Kiefer- und Gesichtschirurgie, Universität Graz.
Mund Kiefer Gesichtschir. 1999 Jan;3(1):1-5. doi: 10.1007/s100060050083.
In the last few years microvascular techniques have improved the morphologic and functional results of reconstructive facial surgery. A main advantage is that neuronal rehabilitation can be achieved after tumor surgery. In this study the vascularized thoracic long nerve transplant was used for neuronal reconstruction of the alveolar inferior nerve after resection during tumor surgery. Five patients were examined for recurrence of neuronal function in the mental nerve and lip region after surgery in monthly control intervals. Sensation of pressure and pain was recorded for 3 months, sensation of contact and vibration feeling for 5 months and temperature sensation for 7 months after neuronal reconstruction. Nine months after surgery the mental nerve and lip sensitivity were the same on both sides--the reconstructed and the healthy side--in four patients. Thus, the vascularized thoracic long nerve seems to be a good nerve transplant for bridging defects of the alveolar inferior nerve after resection during tumor surgery.
在过去几年中，微血管技术改善了面部重建手术的形态学和功能效果。一个主要优点是肿瘤手术后能够实现神经功能恢复。在本研究中，带血管蒂的胸长神经移植被用于肿瘤手术切除后下牙槽神经的神经重建。五名患者在术后每月定期接受检查，以评估颏神经和唇部区域神经功能的恢复情况。神经重建后，分别在3个月内记录压力和疼痛感觉，5个月内记录触觉和振动感觉，7个月内记录温度感觉。术后9个月，四名患者重建侧和健康侧的颏神经及唇部感觉相同。因此，带血管蒂的胸长神经似乎是肿瘤手术切除后桥接下牙槽神经缺损的良好神经移植材料。
