Smith K G, Robinson P P
Department of Oral and Maxillofacial Surgery, University of Sheffield, School of Clinical Dentistry, U.K.
Arch Oral Biol. 1995 May;40(5):373-83. doi: 10.1016/0003-9969(94)00189-i.
The recovery of fibres in the chorda tympani after repair by epineurial suture or entubulation was investigated. The combined trunk of the chorda tympani and lingual branch of the trigeminal nerve was sectioned unilaterally, repaired using either epineurial sutures or entubulation, and allowed to recover for 12 weeks. The properties of gustatory, thermosensitive and mechanosensitive units, and the return of vasomotor and secretomotor responses were then investigated. After repair by epineurial suture, integrated whole-nerve activity recorded from the chorda tympani during stimulation of the tongue with gustatory or thermal stimuli was reduced in all areas of the tongue when compared to controls. After entubulation repair, little or no activity could be recorded. Recordings made from 57 single units in the chorda tympani after repair by epineurial suture revealed a greater proportion of purely mechanosensitive units and fewer gustatory units than in the controls. Fewer units were spontaneously active, they had lower maximum discharge frequencies, and produced fewer impulses when stimulated. Recordings made from 61 single units after repair by entubulation revealed receptor characteristics with greater differences from controls than after epineurial suture and there was only one gustatory and one thermosensitive unit. Vasomotor responses were completely restored after repair by epineurial suture, but some responses were smaller after entubulation repair. Secretomotor responses were significantly smaller after both methods of repair and there was no difference between the two groups.
