title: Comparison of nerve, vessel, and cartilage grafts in promoting peripheral nerve regeneration.
abstract: Peripheral nerve injury primarily occurs due to trauma as well as factors such as tumors, inflammatory diseases, congenital deformities, infections, and surgical interventions. The surgical procedure to be performed as treatment depends on the etiology, type of injury, and the anatomic region. The goal of treatment is to minimize loss of function due to motor and sensory nerve loss at the distal part of the injury. Regardless of the cause of the injury, the abnormal nerve regeneration due to incomplete nerve regeneration, optimal treatment of peripheral nerve injuries should provide adequate coaptation of proximal and distal sides without tension, preserving the neurotrophic factors within the repair line. The gold standard for the treatment of nerve defects is the autograft; however, due to denervation of the donor site, scarring, and neuroma formation, many studies have aimed to develop simpler methods, better functional results, and less morbidity. In this study, a defect 1 cm in length was created on the sciatic nerve of rats. The rats were treated with the following procedures: group 1, autograft; group 2, allogeneic aorta graft; group 3, diced cartilage graft in allogeneic aorta graft; and group 4, tubularized cartilage graft in allogeneic aorta graft. Group 5 was the control group. The effects of cartilage tissue in nerve regeneration were evaluated by functional and histomorphological methods.Group 1, for which the repair was performed with an autograft, was evaluated to be the most similar to the control group. There was not a statistically significant difference in myelination and Schwann cell rates between group 2, in which an allogeneic aorta graft was used, and group 3, in which diced cartilage in an allogeneic aorta graft was used. In group 4, myelination and Schwann cell formation were observed; however, they were scattered and irregular, likely due to increased fibrosis.In all of the groups, nerve regeneration at various rates was observed both functionally and histomorphologically. This study demonstrates that cartilage tissue has promoting effects in nerve regeneration.
authors.affiliation: From the Departments of *Plastic Surgery, †Histology and Embryology, and ‡Neurology, Inonu University School of Medicine, Malatya, Turkey.
authors.forename: Cemal
authors.initials: C
authors.lastname: Firat
authors.forename: Ylmaz
authors.initials: Y
authors.lastname: Geyik
authors.forename: Ahmet Hamdi
authors.initials: AH
authors.lastname: Aytekin
authors.forename: Mehmet
authors.initials: M
authors.lastname: Gül
authors.forename: Suat
authors.initials: S
authors.lastname: Kamşl
authors.forename: Birgül
authors.initials: B
authors.lastname: Yiğitcan
authors.forename: Cemal
authors.initials: C
authors.lastname: Ozcan
mesh_terms: D000714:Anastomosis, Surgical; D000818:Animals; D001011:Aorta / Q000637:transplantation*; D002356:Cartilage / Q000473:pathology / Q000637:transplantation*; D009416:Nerve Regeneration; D059348:Peripheral Nerve Injuries / Q000473:pathology / Q000601:surgery*; D051381:Rats; D012584:Sciatic Nerve / Q000293:injuries / Q000601:surgery