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Lingual Nerve Microsurgery Outcomes Using 2 Different Conduits: A Retrospective Cohort Study.

Matthew T Wilson1, Sung-Kiang Chuang2, Vincent B Ziccardi3

  • 1Resident, Department of Oral and Maxillofacial Surgery, Rutgers School of Dental Medicine, Newark, NJ.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
|October 30, 2016
PubMed
Summary
This summary is machine-generated.

This study found no significant difference in functional sensory recovery between NeuraGen and AxoGuard nerve conduits used in lingual nerve microsurgery. Both conduits facilitated successful outcomes for patients undergoing this procedure.

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Area of Science:

  • Regenerative Medicine
  • Microsurgery
  • Neuroscience

Background:

  • Lingual nerve injuries can impair speech and taste.
  • Nerve conduits are utilized to bridge gaps in nerve repair.
  • Comparing different conduit materials is crucial for optimizing surgical outcomes.

Purpose of the Study:

  • To compare the efficacy of a type 1 collagen conduit (NeuraGen) versus a porcine small intestinal submucosa conduit (AxoGuard).
  • To evaluate differences in achieving functional sensory recovery (FSR) after lingual nerve microsurgery using these conduits.

Main Methods:

  • Retrospective review of hospital records for patients undergoing lingual nerve microsurgery between 2007 and 2014.
  • Inclusion of patients who received nerve conduit implantation.
  • Assessment of neurosensory recovery through subjective (sensory testing) and objective (2-point discrimination, von Frey fibers) measures.
  • Correlation of objective findings with Medical Research Council System scores for FSR (S3, S3+, S4).

Main Results:

  • Both NeuraGen and AxoGuard conduits demonstrated improvements in sensory function.
  • 2-point discrimination improved from >19.42 mm to 9.32 mm (NeuraGen) and 9.67 mm (AxoGuard).
  • Fine touch threshold improved significantly with both conduits, with no statistically significant difference between them.

Conclusions:

  • No meaningful differences in functional sensory recovery were observed between the NeuraGen and AxoGuard conduits.
  • All patients in the study achieved functional sensory recovery as defined by the Medical Research Council Scale.
  • Both studied nerve conduits are effective options for lingual nerve repair.