Shibahara T, Noma H, Takasaki Y, Nomura T, Fujikawa M
First Department of Oral and Maxillofacial Surgery, Tokyo Dental College, Chiba, Japan.
Bull Tokyo Dent Coll. 1999 Feb;40(1):1-6. doi: 10.2209/tdcpublication.40.1.
In this paper, we introduce our original method of autologous nerve grafting for substitution of the mandibular nerve after mandibular resection in three subjects. The lateral cutaneous nerve of the forearm served as a donor nerve, and the graft was imbedded microsurgically at the junctures using an epineurial nerve suture technique. Oversized grafts were chosen in order to insert them without tension in a space between the stumps of the recipient nerve and the regeneration zone of the bone. In all three subjects, sensibility of the lower lip and chin recovered completely after about ten months.
在本文中，我们介绍了针对三名患者在下颌骨切除术后采用自体神经移植替代下颌神经的原始方法。前臂外侧皮神经作为供体神经，通过神经外膜缝合技术将移植神经显微外科植入接合处。选择尺寸较大的移植神经，以便在无张力的情况下将其插入受体神经残端与骨再生区域之间的间隙。在所有三名患者中，下唇和下巴的感觉在大约十个月后完全恢复。
