Administration of botulinum toxin a and vascular endhotelial growth factor reduce norepinephrine levels and increase viability of modified mcfarlane flap in wistar rat

Autor: I Gusti Ayu Putri Purwanthi, Agus Roy Rusly Hariantana Hamid, Tjokorda Gde Bagus Mahadewa, I Made Suka Adnyana, I Gusti Putu Hendra Sanjaya, Sianny Herawati, Gede Wara Samsarga
Rok vydání: 2022
Předmět:
Zdroj: International journal of health sciences. :48435-48451
ISSN: 2550-696X
2550-6978
DOI: 10.53730/ijhs.v6ns7.13618
Popis: Local hyperadrenergic states after a random flap elevation mediated by humoral vasoconstrictors can lead to flap necrosis. This study aimed to evaluate the effect of Botulinum Toxin A (BoNT-A) on reducing levels of Norepinephrine (NE) as the main humoral vasoactive substance, as well as its additive effect with Vascular Endothelial Growth Factor (VEGF) in increasing the viability of random flap. 28 Wistar Rats with Caudally Based Modified McFarlane Flap were divided into four groups. Group I received BoNT-A 3 days before flap elevation, group II received VEGF immediately after flap elevation, group III received a combination of BoNT-A and VEGF, group IV was a control group. Result in this study NE levels lowest was found in the BoNT-A+VEGF combination group (94.63 ± 5 .25 ng/ml, p
Databáze: OpenAIRE