nerve repair

Indications: 1) peripheral nerve disease due to trauma, surgery, or disease refractory to medical therapy 2) loss of normal neurologic function resulting in a) anesthesia b) paresthesia c) dysesthesia d) paralysis Procedure: - perineurial repair involves repairing the individual fascicles & placing sutures through the perineurium - group funicular repair involves repairing grouped fascicles with sutures placed through the intraneural epineurium, aligning groups of fascicles - epineurial repair involves aligning the nerve ends & placing sutures through the epineurium only (trigeminal nerve)

Specific

facial nerve repair nerve graft repair

General

maxillofacial surgery neurosurgery

References

Wolford LM and Stevai ELL Considerations in nerve repair Proc (Bayl Univ Med Cent). 2003 April; 16(2): 152-156 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1201001/