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大鼠面神经切断及面部运动评估中所用技术的标准化。

Standardization of techniques used in facial nerve section and facial movement evaluation in rats.

作者信息

de Faria Simone Damasceno, Testa José Ricardo Gurgel, Borin Andrei, Toledo Ronaldo N

机构信息

Federal University of São Paulo, UNIFESP, Brazil.

出版信息

Braz J Otorhinolaryngol. 2006 May-Jun;72(3):341-7. doi: 10.1016/s1808-8694(15)30966-6.

Abstract

AIM

Standardization of the technique to section the extratemporal facial nerve in rats and creation of a scale to evaluate facial movements in these animals before and after surgery.

STUDY DESIGN

Experimental.

METHOD

twenty Wistar rats were anesthetized with ketamine xylazine and submitted to sectioning of the facial nerve near its emergence through the mastoid foramen. Eye closure and blinking reflex, vibrissae movement and positioning were observed in all animals and a scale to evaluate these parameters was then created.

RESULTS

The facial nerve trunk was found between the tendinous margin of the clavotrapezius muscle and the auricular cartilage. The trunk was proximally sectioned as it exits the mastoid foramen and the stumps were sutured with a 9-0-nylon thread. An evaluation and graduation scale of facial movements, independent for eye and vibrissae, was elaborated, together with a sum of the parameters, as a means to evaluate facial palsy. Absence of eye blinking and closure scored 1; the presence of orbicular muscle contraction, without blinking reflex, scored 2; 50% of eye closure through blinking reflex, scored 3, 75% of closure scored 4. The presence of complete eye closure and blinking reflex scored 5. The absence of movement and posterior position of the vibrissae scored 1; slight shivering and posterior position scored 2; greater shivering and posterior position, scored 3 and normal movement with posterior position, scored 4; symmetrical movement of he vibrissae, with anterior position, scored 5.

CONCLUSION

The rat anatomy allows easy access to the extratemporal facial nerve, allowing its sectioning and standardized suture. It was also possible to establish an evaluation and graduation scale of the rat facial movements with facial palsy based on the clinical observation of these animals.

摘要

目的

规范大鼠颞外面神经切断技术,并建立一个量表来评估这些动物手术前后的面部运动。

研究设计

实验性研究。

方法

20只Wistar大鼠用氯胺酮-赛拉嗪麻醉,在面神经通过乳突孔穿出附近进行面神经切断术。观察所有动物的闭眼和眨眼反射、触须运动及位置,并创建一个量表来评估这些参数。

结果

面神经干位于锁骨斜方肌肌腱边缘与耳廓软骨之间。在面神经干穿出乳突孔近端处进行切断,残端用9-0尼龙线缝合。制定了一个独立于眼睛和触须的面部运动评估及分级量表,以及参数总和,作为评估面瘫的一种方法。无眨眼和闭眼记1分;有眼轮匝肌收缩但无眨眼反射记2分;通过眨眼反射实现50%的闭眼记3分,75%的闭眼记4分。完全闭眼且有眨眼反射记5分。触须无运动且向后记1分;轻微颤动且向后记2分;颤动加剧且向后记3分,正常运动且向后记4分;触须对称运动且向前记5分。

结论

大鼠的解剖结构便于接近颞外面神经,便于进行切断和标准化缝合。还能够基于对这些动物的临床观察,建立一个评估大鼠面瘫面部运动的评估及分级量表。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f0d/9443532/ef7e65fdb641/gr1.jpg

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