Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-26T04:36:16.619Z Has data issue: false hasContentIssue false

Experimental studies on traumatic facial nerve injury

Published online by Cambridge University Press:  29 June 2007

Zhigang Cai*
Affiliation:
Department of Oral and Maxillofacial Surgery, Beijing Medical University, 100081 Beijing, People's Republic of China.
Guangyan Yu
Affiliation:
Department of Oral and Maxillofacial Surgery, Beijing Medical University, 100081 Beijing, People's Republic of China.
Daquan Ma
Affiliation:
Department of Oral and Maxillofacial Surgery, Beijing Medical University, 100081 Beijing, People's Republic of China.
Jing Tan
Affiliation:
Department of Oral Physiological Institute School of Stomatology, Beijing Medical University, 100081 Beijing, People's Republic of China.
Zhaohui Yang
Affiliation:
Department of Oral Physiological Institute School of Stomatology, Beijing Medical University, 100081 Beijing, People's Republic of China.
Xiaoming Zhang
Affiliation:
Department of Neuropathological Institute, 301 Hospital, 100853 Beijing, People's Republic of China.
*
Address for correspondence: Dr Cai Zhigang, Department of Oral and Maxillofacial Surgery, School of Stomatology, Beijing Medical University, Bai Shi Qiao Road 38#, Hai Dian District, 100081 Beijing, People's Republic of China. Fax: 00-86-10-62173402.

Abstract

Purpose The purpose of this study was to investigate the outcome of different injuries to the facial nerve.

Materials and methods Six patterns of injuries (exposure, compression, crushing, stretching, division and post-division anastomosis) were produced in the buccal branches of the facial nerve in 60 rabbits. Electroneuronography (ENoG) and histology at definite time were used to evaluate the results.

Results and conclusions Exposure and compression injuries produced a neuropraxic injury and rapid recovery. Crushing and stretching injuries resulted in axonotmesis and whilst complete recovery can take place it may be very slow. Division and post-division anastomosis fall into neurotmesis injury and do not completely recover within six months; the former recovers slower and later than the latter.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1998

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Conly, J. (1985) New concepts in facial palsy. In Proceedings of the Fifth International Symposium on the Facial Nerve. (Portmann, M., ed.). Masson Publishing,New York, pp 564566.Google Scholar
Devriese, P. P. (1985) Prognosis of paralysis. In: Proceedings of the Fifth International Symposium on the Facial Nerve. (Portmann, M., ed.). Masson Publishing,New York, pp 2730.Google Scholar
May, M. (1986) Differential diagnosis by history, physical findings, and laboratory results. In The Facial Nerve. (May, M., ed.). Thieme Inc., New York, pp 181219.Google Scholar
Labella, T. (1990) Etiology and pathogens of facial palsy. In Proceedings of the XIV World Congress of Otorhinolaryngology, Head and Neck Surgery, (Sacristan, , ed.). Kugler and Ghedini,Amsterdam, pp 655657.Google Scholar
Seddon, H. J. (1943) Three types of nerve injury. Brain 66: 237.CrossRefGoogle Scholar
Sunderland, S. (1991) Causes of nerve injury. Terminology. Compression nerve injury. In Nerve Injuries and their Repair: A Critical Appraisal. 3rd Edition. (Sunderland, S., ed.) Churchill Livingstone, London, pp 129146.Google Scholar
May, M., Schlaepfer, W. W. (1975) Bell's palsy and the chorda tympani nerve: A clinical and electron microscopic study. Laryngoscope 85: 1957.CrossRefGoogle ScholarPubMed