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利鲁唑全身应用于创伤后面神经再生的评估:兔实验研究

Evaluation of the systemic use of riluzole in post-traumatic facial nerve regeneration: experimental study in rabbits.

作者信息

Costa Heloisa Juliana Zabeu Rossi, da Silva Ciro Ferreira, Costa Marcio Paulino, Lazarini Paulo Roberto

机构信息

University Hospital, University of São Paulo School of Medicine, São Paulo, SP, Brazil.

出版信息

Acta Otolaryngol. 2007 Nov;127(11):1222-5. doi: 10.1080/00016480701203982.

Abstract

CONCLUSIONS

Riluzole promoted increase and/or preservation of axon density in the animals treated with this drug as compared to the control group; it did not increase the mean diameter of facial nerve fibres as compared to the non-treated group; and it did not provide a better functional motor recovery than in the control group.

OBJECTIVE

Traumatic peripheral facial paralysis is a frequent affection. In incomplete nerve injuries, systemic drugs acting on regeneration may decrease the patient's period of morbidity. This study aimed to determine the effect of the drug riluzole on regeneration of the facial nerve of rabbits submitted to post-traumatic facial paralysis.

MATERIALS AND METHODS

Eighteen rabbits were submitted to compression of the facial nerve and divided into control (A) and treated (B) groups. The animals were sacrificed 4 weeks after the injury and their nerves were studied regarding density of myelinated axons and measure of external axon diameters.

RESULTS

Partial functional recovery was observed within 2 weeks and complete recovery 5 weeks after injury. Mean neural density was 12,679.7 axons/mm2 (SD+/-237.5) in group A, and 19,073.8 axons/mm2 (SD+/-3549.9) in group B. Group A presented less than two-thirds the density of group B. There was no statistical difference in axon diameters between the studied groups.

摘要

结论

与对照组相比,用利鲁唑治疗的动物中,该药促进了轴突密度的增加和/或保存;与未治疗组相比,它没有增加面神经纤维的平均直径;并且它没有比对照组提供更好的功能性运动恢复。

目的

创伤性周围性面瘫是一种常见病症。在不完全神经损伤中,作用于再生的全身性药物可能会缩短患者的发病期。本研究旨在确定药物利鲁唑对创伤后面瘫家兔面神经再生的影响。

材料和方法

18只家兔接受面神经压迫,并分为对照组(A)和治疗组(B)。在损伤后4周处死动物,并对其神经进行有髓轴突密度和轴突外径测量的研究。

结果

损伤后2周内观察到部分功能恢复,5周后完全恢复。A组的平均神经密度为12,679.7个轴突/mm²(标准差±237.5),B组为19,073.8个轴突/mm²(标准差±3549.9)。A组的密度不到B组的三分之二。研究组之间的轴突直径没有统计学差异。

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