Direct muscle neurotization: Previous advancements in animal models.

Autor: Millesi E; Division of Plastic and Reconstructive Surgery, Mayo Clinic, 55905 Rochester, MN, USA; Division of Plastic, Reconstructive and Aesthetic Surgery, Medical University of Vienna, 1090 Vienna, Austria., Wang H; Department of Neurologic Surgery, Mayo Clinic, 55905 Rochester, MN, USA., Radtke C; Division of Plastic, Reconstructive and Aesthetic Surgery, Medical University of Vienna, 1090 Vienna, Austria. Electronic address: christine.radtke@meduniwien.ac.at., Mardini S; Division of Plastic and Reconstructive Surgery, Mayo Clinic, 55905 Rochester, MN, USA.
Jazyk: angličtina
Zdroj: Journal of plastic, reconstructive & aesthetic surgery : JPRAS [J Plast Reconstr Aesthet Surg] 2024 Nov; Vol. 98, pp. 112-121. Date of Electronic Publication: 2024 Aug 16.
DOI: 10.1016/j.bjps.2024.08.046
Abstrakt: Peripheral nerve repair is daily activity for several microsurgeons. Numerous nerve repair techniques are applied, including neurorrhaphy, nerve grafting and nerve transfer, depending on the nature and extent of the injury. However, these techniques become unfeasible when the distal nerve end is not preserved during the peripheral nerve injury or a segment of the muscle is transferred without the nerve supplying it. However, direct muscle neurotization (DMN) achieves muscle reinnervation by suturing the nerve directly into the muscle tissue, without requiring a distal nerve end for coaptation. Despite promising results in the literature, DMN is not widely adopted in clinical practice. Animal models may help in advancing novel therapeutic approaches, due to their anatomic and physiologic similarities to humans. This review highlights the current scientific understanding and recent advancements in DMN as well as the animal models and target muscle that have been used in the past to investigate the basic principles behind this surgical technique. The presented information should aid in establishing the clinical importance of DMN in peripheral nerve injury.
(Copyright © 2024. Published by Elsevier Ltd.)
Databáze: MEDLINE
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