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Laser-Assisted Nerve Repair: Laser Trimming of Nerve Ends With Epineural Suture Anastomosis
CRAIG L. CUPP, MD
San Diego, Calif
Arch Otolaryngol Head Neck Surg. 1991;117(10):1083.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Thomas C. Huang, MD, Roger Crumley, MD, and Robert Blanks, PhD, presented their research on laser-assisted nerve repair in the rat model at the spring meeting of the American Academy of Facial Plastic and Reconstructive Surgery in Hawaii. Dr Huang's report was one of a series of investigations on nerve repair from the University of California at Irvine.
Conventional nerve repair techniques using 10-0 nylon sutures suffer from "mushrooming" at the anastomotic site, according to Dr Huang, due to bending of axons at the nerve end as well as axoplasmic leak. Typically, about 25% of axons are correctly aligned.
Past attempts to improve nerve alignment have included a "snap" freezing technique with trimming of nerve ends and anastomosis. This approach results in correct alignment in 70% of axons. While results are superior to conventional techniques, the equipment involved is a major limiting factor.
Dr Huang then described a new "laser-assisted"
. . . [Full Text PDF of this Article]
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