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The vascularized saphenous nerve as cross-face nerve graft |
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| Authors: | Ass Prof Dr H Kärcher R Kleinert F Anderhuber G Stöffler |
| Institution: | (1) Department of Maxillofacial Surgery, University of Graz, Auenbruggerplatz 12, A-8036 Graz, Austria;(2) Institute of Pathology, University of Graz, Auenbruggerplatz 12, A-8036 Graz, Austria;(3) Institute of Anatomy, University of Graz, Auenbruggerplatz 12, A-8036 Graz, Austria;(4) Institute of Radiology, University of Graz, Auenbruggerplatz 12, A-8036 Graz, Austria;(5) Department of Maxillofacial Surgery, Auenbruggerplatz 12, A-8036 Graz, Austria |
| Abstract: | Summary The vascular anatomy of the saphenous nerve was studied by cadaver preparation, Indian ink and micropaque injection. A constant vascularized nerve graft with a good pedicle and suitable length for a cross-face anastomosis was found. The vascularized saphenous nerve was used for the first time as a cross-face graft in 8 patients with facial palsy. The Tinel-sign was followed-up and a biopsy of the nerve graft at the time of the muscle transplantation was carried out to compare the morphological results of the vascularized nerve graft with two free sural nerve grafts which were used in two patients at the same time. The functional results are demonstrated. |
| Keywords: | Vascularized saphenous nerve Cross-face nerve graft |
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