Abstract
End-to-side coaptation is still a controversial procedure. Many authors reported surprisingly good results; others showed mediocre results only. There are also reports of complete failures. Apparently all authors are right. According to our experience the results depend on the level of endto-side coaptation and on the nerve fiber composition. End-to-side coaptation between mixed nerves do have very poor expectations. The chances are much better if e.g. a small denervated pure motor nerve is coapted to a functioning small pure motor nerve. The same procedure may produce opposite results according to the circumstances. In our experience endto-side coaptation is a reliable procedure of great use in selected cases. Main field of application are thin nerves with a well defined function and synergistic terminal motor branches.
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References
Adelson PD, Bonaroti EA, Thompson TP, Tran M, Nystrom NA (2004) End-to-side neurorrhaphies in a rodent model of peripheral nerve injury: a preliminary report of a novel technique. J Neurosurg 101 Suppl 1: 78–84
Al-Qattan MM (2001) Terminolateral neurorrhaphy: review of experimental and clinical studies. J Reconstr Microsurg 17: 99–108
Bontioti E, Kanje M, Lundborg G, Dahlin LB (2005) End-to-side nerve repair in the upper extremity of rat. J Peripher Nerv Syst 10: 58–68
Cederna PS, Kalliainen LK, Urbanchek MG, Rovak JM, Kuzon WM Jr (2001) “Donor” muscle structure and function after end-toside neurorrhaphy. Plast Reconstr Surg 107: 789–796
Dellon AL (1996) Nerve grafting and end-to-side neurorrhaphies connecting phrenic nerve to the brachial plexus. Plast Reconstr Surg 98(5): 905
Goheen-Robillard B, Myckatyn TM, Mackinnon SE, Hunter DA (2002) End-to-side neurorrhaphy and lateral axonal sprouting in a long graft rat model. Laryngoscope 112: 899–905
Liu K, Chen LE, Seaber AV, Goldner RV, Urbaniak JR ( 1999) Motor functional and morphological findings following end-to-side neurorrhaphy in the rat model. J Orthop Res 17: 293–300
Lundborg G, Zhao Q, Kanje M, Danielsen N, Kerns JM (1994) Can sensory and motor collateral sprouting be induced from intact peripheral nerve by end-to-side anastomosis? J Hand Surg [Br] 19(3): 277–282
Lutz BS, Chuang DC, Hsu JC, Ma SF, Wei FC (2000) Selection of donor nerves — an important factor in end-to-side neurorrhaphy. Br J Plast Surg 53: 149–154
Matsuda K, Kakibuchi M, Fukuda K, Kubo T, Madura T, Kawai K, Yano K, Hosokawa K (2005) End-to-side nerve grafts: experimental study in rats. J Reconstr Microsurg 21(8): 581–591
McCallister WV, Tang P, Trumble TE (1999) Is end-to-side neurorrhaphy effective? A study of axonal sprouting stimulated from intact nerves. J Reconstr Microsurg 15: 597–603
Mersa B, Tiangco DA, Terzis JK (2000) Efficacy of the “babysitter” procedure after prolonged denervation. J Reconstr Microsurg 16(1): 27–35
Noah EM, Williams A, Jorgenson C, Skoulis TG, Terzis JK (1997) End-to-side neurorrhaphy: a histologic and morphometric study of axonal sprouting into an end-to-side nerve graft. J Reconstr Microsurg 13: 99–106
Papalia I, Geuna S, Tos PL, Boux E, Battiston B, Stagno D’Alcontres F (2003) Morphologic and functional study of rat median nerve repair by terminolateral neurorrhaphy of the ulnar nerve. J Reconstr Microsurg 19: 257–264
Spencer PS, Weinberg HJ, Raine CS, Prineas JW (1975) The perineurial window — a new model of focal demyelination and remyelination. Brain Res 96(2): 323–329
Sunderland S ( 1970) Anatomical features of nerve trunks in relation to nerve injury and nerve repair. Clin Neurosurg 17: 38–62
Tarasidis G, Watanabe O, Mackinnon SE, Strasberg SR, Haughey BH, Hunter DA (1997) End-to-side neurorrhaphy resulting in limited sensory axonal regeneration in a rat model. Ann Otol Rhinol Laryngol 106: 506–512
Tarasidis G, Watanabe O, Mackinnon SE, Strasberg SR, Haughey BH, Hunter DA (1998) End-to-side neurorrhaphy: a long-term study of neural regeneration in a rat model. Otolaryngol Head Neck Surg 119: 337–341
Viterbo F, Trindade JC, Hoshino K, Mazzoni Neto A ( 1994) End-toside neurorrhaphy with removal of the epineurial sheath: an experimental study in rats. Plast Reconstr Surg 94: 1038–1047
Xiong G, Ling L, Nakamura R, Sugiura Y (2003) Retrograde tracing and electrophysiological findings of collateral sprouting after end-to-side neurorrhaphy. Hand Surg 8: 145–150
Zhang Z, Soucacos PN, Bo J, Beris AE (1999) Evaluation of collateral sprouting after end-to-side nerve coaptation using a fluorescent double-labelling technique. Microsurgery 19: 281–286
Zhao JZ, Chen ZW, Chen TY (1997) Nerve regeneration after terminolateral neurorrhaphy: experimental study in rats. J Reconstr Microsurg 13: 31–37
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Millesi, H., Schmidhammer, R. (2007). End-to-side coaptation — controversial research issue or important tool in human patients. In: Millesi, H., Schmidhammer, R. (eds) How to Improve the Results of Peripheral Nerve Surgery. Acta Neurochirurgica Supplementum, vol 100. Springer, Vienna. https://doi.org/10.1007/978-3-211-72958-8_22
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DOI: https://doi.org/10.1007/978-3-211-72958-8_22
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