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Functional Recovery After Facial and Sciatic Nerve Crush Injury in the Rat
Tessa A. Hadlock, MD;
James Heaton, PhD;
Mack Cheney, MD;
Susan E. Mackinnon, MD
Arch Facial Plast Surg. 2005;7:17-20.
Objectives To systematically record rat facial nerve recovery following crush injury to the main trunk with respect to ocular and vibrissial function and to compare the rates of facial and sciatic nerve recovery from crush injury in the same animals. This serves as a means of validating the functional parameters of facial nerve recovery against the well-known measure of hind limb function, the Sciatic Function Index.
Methods The main trunk of the facial nerve and the proximal segment of the sciatic nerve were exposed in all animals. Both nerves were subjected to standardized crush injury and subsequent daily functional testing. After a plateau of functional recovery was achieved, the animals were killed, and the distances between the sites of injury and the end musculature were measured, which allowed determination and comparison of recovery rates in both systems.
Results All crush injuries resulted in loss of electrical conductivity, as proven by intraoperative proximal nerve stimulation. Recovery of ocular and vibrissial motor function occurred starting at postoperative day (POD) 9 and continuing through POD 20. Hind limb function returned later (POD 14-34); however, when corrected for distance, the sciatic recovery rate (2.26 mm/d) appeared to match that of the facial nerve (1.5-2.4 mm/d).
Conclusions Recovery after facial nerve crush injury follows a predictable time course, and the rate of recovery is consistent with that of sciatic nerve injury. Return of the blink reflex, loss of vibrissial fibrillations, and return of vibrissial sweeping function appear to be internally consistent functional measures of facial recovery. These quantitative measures will be useful for future facial nerve manipulation studies.
Author Affiliations: Department of Otolaryngology, Massachusetts Eye and Ear Infirmary (Drs Hadlock and Cheney), Department of Surgery, Massachusetts General Hospital (Dr Heaton), Boston; and Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St Louis, Mo (Dr Mackinnon).
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