Neural tubes in neurosurgery. Current situation and future

被引:2
作者
Siemers, F. [1 ]
机构
[1] BG Kliniken Bergmannstrost, Brandverletztenzentrum, Klin Plast & Handchirurg, Merseburger Str 165, D-06112 Halle, Germany
关键词
Nerve transplantation; Morbidity; Tubulization; Microsurgery; Reconstruction;
D O I
10.1007/s10039-015-0078-5
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
If in the case of injuries to neural structures a tension-free microsurgical coaptation of nerve endings is not possible, the gold standard for reconstruction is autologous nerve transplantation. The disadvantages are the limited amount of available resources in addition to donor site morbidity. An alternative procedure is the tubulization with veins (with or without the insertion of muscle strips) or bridging the defect by means of established procedures with artificial tubes. New materials, such as chitosan tubes, provide new aspects for the bridging of neural defects.
引用
收藏
页码:S260 / S263
页数:4
相关论文
共 19 条
[1]   A prospective clinical evaluation of biodegradable neurolac nerve guides for sensory nerve repair in the hand [J].
Bertleff, MJOE ;
Meek, MF ;
Nicolai, JPA .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 2005, 30A (03) :513-518
[2]   Experience of using the bioresorbable copolyester poly(DL-lactide-ε-caprolactone) nerve conduit guide Neurolac™ for nerve repair in peripheral nerve defects: Report on a series of 28 lesions [J].
Chiriac, S. ;
Facca, S. ;
Diaconu, M. ;
Gouzou, S. ;
Liverneaux, P. .
JOURNAL OF HAND SURGERY-EUROPEAN VOLUME, 2012, 37E (04) :342-349
[3]   PERCENTAGE OF NERVE INJURIES IN WHICH PRIMARY REPAIR CAN BE ACHIEVED BY END-TO-END APPROXIMATION - REVIEW OF 2,181 NERVE LESIONS [J].
DEMEDINACELI, L ;
PRAYON, M ;
MERLE, M .
MICROSURGERY, 1993, 14 (04) :244-246
[4]   Chitosan tubes of varying degrees of acetylation for bridging peripheral nerve defects [J].
Haastert-Talini, Kirsten ;
Geuna, Stefano ;
Dahlin, Lars B. ;
Meyer, Cora ;
Stenberg, Lena ;
Freier, Thomas ;
Heimann, Claudia ;
Barwig, Christina ;
Pinto, Luis F. V. ;
Raimondo, Stefania ;
Gambarotta, Giovanna ;
Samy, Silvina Ribeiro ;
Sousa, Nuno ;
Salgado, Antonio J. ;
Ratzka, Andreas ;
Wrobel, Sandra ;
Grothe, Claudia .
BIOMATERIALS, 2013, 34 (38) :9886-9904
[5]   Sensory Recovery 1 Year After Bridging Digital Nerve Defects With Collagen Tubes [J].
Haug, Adina ;
Bartels, Antje ;
Kotas, Jacek ;
Kunesch, Erwin .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 2013, 38A (01) :90-97
[6]   The Clinical Use of Artificial Nerve Conduits for Digital Nerve Repair: A Prospective Cohort Study and Literature Review [J].
Lohmeyer, Joern A. ;
Siemers, Frank ;
Machens, Hans-Guenther ;
Mailaender, Peter .
JOURNAL OF RECONSTRUCTIVE MICROSURGERY, 2009, 25 (01) :55-61
[7]   Prospective Clinical Study on Digital Nerve Repair with Collagen Nerve Conduits and Review of Literature [J].
Lohmeyer, Joern Andreas ;
Kern, Yasmin ;
Schmauss, Daniel ;
Paprottka, Felix ;
Stang, Felix ;
Siemers, Frank ;
Mailaender, Peter ;
Machens, Hans-Guenther .
JOURNAL OF RECONSTRUCTIVE MICROSURGERY, 2014, 30 (04) :227-233
[8]   CLINICAL NERVE RECONSTRUCTION WITH A BIOABSORBABLE POLYGLYCOLIC ACID TUBE [J].
MACKINNON, SE ;
DELLON, AL .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1990, 85 (03) :419-424
[9]   The epidemiology and management of upper limb peripheral nerve injuries in modern practice [J].
McAllister, RMR ;
Gilbert, SEA ;
Calder, JS ;
Smith, PJ .
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 1996, 21B (01) :4-13
[10]  
Meek MF, 2007, BIO-MED MATER ENG, V17, P329