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Karl H. Siedentop, MD; Arthur Loewy, MD

Arch Otolaryngol. 1979;105(7):423-426.

Abstract
• The facial nerve in dogs was exposed, transected, and repaired by either of two methods. Suture and a Silastic sheath was the control method, since a review of the literature suggests it gives the highest rate of success. A tissue adhesive (Histoacryl) was used as the experimental method. In both techniques, the surgical microscope was used. Thirteen nerves were repaired: seven with the adhesive and six with suture and Silastic sheath. Success was judged on two criteria: (1) observation of motion in the muscles that were innervated after electrical stimulation of the nerve proximal to the repair site and (2) evaluation of microanatomical continuity after removal of the repair site and preparation of slides and tissue staining. The two repair methods produced statistically equal results. The "adhesive" method can be performed with greater ease and is less time-consuming. The number of studies required for statistical reliability was determined by means of sequential analysis.

(Arch Otolaryngol 105:423-426, 1979)

Author Affiliations
From the Department of Otolaryngology, Abraham Lincoln School of Medicine, University of Illinois, Chicago.

Footnotes
Accepted for publication Oct 11, 1978.

Read before the meeting of the American Academy of Facial Plastic and Reconstructive Surgery, Palm Beach, Fla, April 28, 1978.

Reprint requests to Department of Otolaryngology, Abraham Lincoln School of Medicine, University of Illinois, PO Box 6998, Chicago, IL 60680 (Dr Siedentop).

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