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- W2022376168 abstract "Autogenous vein grafting has been previously described as a successful method of bridging defects in the inferior alveolar and peripheral nerves.1,2 Neuronal elements are able to grow along the lumen of the vein graft. However, animal studies have shown that the contact between the endothelial cells of the transplanted venous segment and nervous tissue initiates the development of connective tissue and may cause constriction of the nerve. This process may begin before axons can regenerate and compromise full regeneration of the nerve. Collagen and laminin have been shown to promote nerve regeneration. The vein wall consists of 3 layers: the endothelial layer containing a laminin-rich basal lamina, the media containing a thin muscle layer that is also rich in laminin, and the adventitia that is rich in collagen. Turning the vein inside-out such that the adventitia forms the lumen of the conduit has been shown in animal studies to expose the regenerating axons directly to the collagen-rich adventitia, allowing permeability of external factors and trophic and neurite-promoting factors that line the adventitia.3,4 Invaginated vein grafts have been reported to significantly increase regenerative axonal counts, with greater extent of early myelination and richer blood supply compared with conventional nerve grafting and standard vein grafts.4-6 In electromyographic studies on inside-out vein grafts, Wang et al5 showed faster conduction velocities compared with nerve grafting, the gold standard of peripheral nerve gap repair. Therefore, in theory, inverting the vein may release the full potential growth of the nerve fascicles anastomosed to the vessel. The following is a method for the inversion of small-caliber veins (eg, the facial vein) that we have successfully used. An 18-gauge angiocatheter with saline syringe is" @default.
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- W2022376168 date "2003-07-01" @default.
- W2022376168 modified "2023-09-24" @default.
- W2022376168 title "A method of invaginating the facial vein for inferior alveolar nerve repair" @default.
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- W2022376168 doi "https://doi.org/10.1016/s0278-2391(03)00164-2" @default.
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