Meyer R A
Department of Surgery, Northside Hospital, Atlanta, Georgia, USA.
Atlas Oral Maxillofac Surg Clin North Am. 2001 Sep;9(2):77-91.
Autogenous nerve grafts currently set the standard for reconstruction of motor and sensory nerve injuries that cannot be repaired by mobilization, advancement, and approximation, and suturing without tension. Donor nerves such as the GAN and SN are easily accessible and frequently used in maxillofacial microneurosurgery. Other nerves (MACN, LCNF, LTN) may serve well in special nerve reconstruction situations. In the future, availability of biodegradable nerve conduits with neurotrophic factors may render obsolete the reconstruction of the short-span nerve gap (< 3 cm) by autogenous nerve grafts.
自体神经移植目前为无法通过游离、推进、对接以及无张力缝合修复的运动和感觉神经损伤重建设定了标准。诸如腓肠神经和隐神经等供体神经易于获取，且在颌面显微神经外科手术中经常使用。其他神经（下颌缘支、面神经颊支、舌下神经）在特殊的神经重建情况下可能效果良好。未来，含有神经营养因子的可生物降解神经导管的应用可能会使自体神经移植修复短距离神经缺损（<3厘米）的方法过时。
