An experimental study of lingual nerve repair using epineurial sutures or entubulation.
The recovery of the mechanosensitive afferent fibres in the lingual branch of the trigeminal nerve has been studied using electrophysiological techniques in cats, after two methods of nerve repair. After nerve section the lingual nerve was repaired by either epineurial sutures or by entubulation. 12 weeks after either method of repair the properties of the regenerated fibres were significantly different from normal, but following repair with epineurial suture they were closer to normal than after repair by entubulation. After entubulation the fibres had a greater reduction in conduction velocity, a greater increase in force threshold, and the adaptation times were faster. The results suggest that epineurial suture should be preferred clinically.
Smith
K G
KG
Department of Oral and Maxillofacial Surgery, University of Sheffield, School of Clinical Dentistry.
Robinson
P P
PP
D000818:Animals; D002415:Cats; D016009:Chi-Square Distribution; D008036:Lingual Nerve / Q000601:surgery*; D061222:Lingual Nerve Injuries; D008465:Mechanoreceptors / Q000502:physiology; D009416:Nerve Regeneration; D009431:Neural Conduction; D009493:Neurosurgery / Q000379:methods*; D019736:Prostheses and Implants; D011930:Reaction Time; D012684:Sensory Thresholds; D018709:Statistics, Nonparametric; D013536:Suture Techniques; D013697:Thermosensing