Skip to main content

Nervenwiederherstellung mittels Tuben (Röhrchen)

  • Chapter
  • First Online:
Plastische Chirurgie
  • 4193 Accesses

Zusammenfassung

Die Überbrückung kurzer Defekte von Nerven durch Röhrchen (Entubulation) ist eine einfache und elegante Lösung für ein komplexes Problem. Diese Technik erbringt eine praktische Lösung für viele mechanische-, zell- und biochemischen Forderungen, die überwunden werden müssen, um einen durchtrennten Nerven effektiv wieder zu vereinen, wobei dies nicht nur durch die klassische mikrochirurgische Neurorrhaphie gelöst wird.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 229.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 299.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Weiterführende Literatur

  • Aebischer P, Guenard V, Brace S (1989) Peripheral nerve regeneration through blind-ended semipermeable guidance channels: Effect of the molecular weight cutoff. J Neurosci 9:3590–3595

    CAS  PubMed  Google Scholar 

  • Archibald SJ, Fisher TR (1987) Micro-surgical fascicular nerve repair: a morphological study of the endoneurial bulge. J Hand Surg 12:5–10

    Article  CAS  Google Scholar 

  • Archibald SJ, Krarup C, Shefner J, Li ST, Madison RD (1991) A collagen-based nerve guide conduit for peripheral nerve repair: an electrophysiological study of nerve regeneration in rodents and nonhuman primates. J Comp Neurol 306:685–696

    Article  CAS  PubMed  Google Scholar 

  • Archibald SJ, Shefner J, Krarup C, Madison RD (1995) Monkey median nerve repaired by nerve graft or collagen nerve guide tube. J Neurosci 15:4109–4123

    CAS  PubMed  Google Scholar 

  • Behrman JE, Acland RD (1981) Experimental study of the regenerative potential of perineurium at a site of nerve transection. J Neurosurg 54:79–83

    Article  CAS  PubMed  Google Scholar 

  • Berger A, Hierner R (2003) Mikrochirurgie der peripheren Nerven. In: Berger A, Hierner R (Hrsg) Grundlagen Prinzipien Techniken. Plastische Chirurgie, Bd. I. Springer, Berlin, S 191–212

    Google Scholar 

  • Berger A, Hierner R et al (2011) Posttraumatische Läsionen des Plexus brachialis. In: Towfigh H (Hrsg) Handchirurgie, Bd. 2. Springer, Berlin, S 1445–1510

    Chapter  Google Scholar 

  • Bertleff MJOE, Meek MF, Nicolai J-PA (2005) A prospective clinical evaluation of biodegradable neurolac nerve guides for sensory nerve repair in the hand. J Hand Surg 30:513–518

    Article  Google Scholar 

  • Brushart TME (1993) Motor axons preferentially reinnervate motor pathways. J Neurosci 13:2730–2738

    CAS  PubMed  Google Scholar 

  • von Büngner O (1890) Über die Degenerations- und Regenerationsvorgänge am Nerven nach Verletzungen. Universität Marburg. Fischer, Jena

    Google Scholar 

  • Chamberlain LJ, Yannas IV, Arrizabalaga A, Hsu HP, Norregaard TV, Spector M (1998) Early peripheral nerve healing in collagen and silicone tube implants: myofibroblasts and the cellular response. Biomaterials 19:1393–1403

    Article  CAS  PubMed  Google Scholar 

  • Crawley WA, Dellon AL (1992) Inferior alveolar nerve reconstruction with a polyglycolic acid bioabsorbable nerve conduit. Plast Reconstr Surg 90:300–302

    Article  CAS  PubMed  Google Scholar 

  • Daniel RK, Terzis JK (1977) Peconstructive microsurgery. Little, Brown, Boston

    Google Scholar 

  • Dellon AL, Mackinnon SE (1988) An alternative to the classical nerve graft for the management of the short nerve gap. Plast Reconstr Surg 82:849–856

    Article  CAS  PubMed  Google Scholar 

  • Ducker TB, Hayes GJ (1968) Experimental improvements in the use of Silastic cuff for peripheral nerve repair. J Neurosurg 28:582–587

    Article  CAS  PubMed  Google Scholar 

  • Farole A, Jamal BT (2008) A bioabsorbable collagen nerve cuff (NeuraGen) for repair of lingual and inferior alveolar nerve injuries: a case series. J Oral Maxillofacial Surg 66:2058–2062

    Article  Google Scholar 

  • Fields RD, Ellisman MH (1986) Axons regenerated through silicone tube splices. I. Conduction properties. Exp Neurol 92:48–60

    Article  CAS  PubMed  Google Scholar 

  • Glees P (1943) Observations on the structure of the connective tissue sheaths of cutaneous nerves. J Anatomy 77:153–159

    CAS  Google Scholar 

  • Hentz VR, Rosen JM, Xiao SJ, McGill KC, Abraham G (1991) A comparison of suture and tubulization nerve repair techniques in a primate. J Hand Surg 16:251–261

    Article  CAS  Google Scholar 

  • Jenq CB, Coggeshall RE (1985) Numbers of regenerating axons in parent and tributary peripheral nerves in the rat. Brain Res 326:27–40

    Article  CAS  PubMed  Google Scholar 

  • Jenq CB, Coggeshall RE (1987) Permeable tubes increase the length of the gap that regenerating axons can span. Brain Res 408:239–242

    Article  CAS  PubMed  Google Scholar 

  • Kim DH, Connolly SE, Zhao S, Beuerman RW, Voorhies RM, Kline DG (1993) Comparison of macropore, semipermeable, and nonpermeable collagen conduits in nerve repair. J Reconstr Microsurg 9:415–420

    Article  CAS  PubMed  Google Scholar 

  • Krarup C, Archibald SJ, Madison RD (2002) Factors that influence peripheral nerve regeneration: an electrophysiological study of the monkey median nerve. Ann Neurol 51:69–81

    Article  PubMed  Google Scholar 

  • Lohmeyer J, Zimmermann S, Sommer B, Machens H-G, Lange T, Mailänder P (2007) Bridging peripheral nerve defects by means of nerve conduits. Chirurg 78:142–147

    Article  CAS  PubMed  Google Scholar 

  • Lohmeyer JA, Siemers F, Machens H-G, Mailänder P (2009) The clinical use of artificial nerve conduits for digital nerve repair: a prospective cohort study and literature review. J Reconstr Microsurg 25:55–61

    Article  PubMed  Google Scholar 

  • Lundborg G, Dahlin LB, Danielsen N (1991) Ulnar nerve repair by the silicone chamber technique. Case report. Scand J Plast Reconstr Surg Hand Surg 25:79–82

    Article  CAS  PubMed  Google Scholar 

  • Lundborg G, Dahlin LB, Danielsen N, Hansson HA, Larsson K (1981) Reorganization and orientation of regenerating nerve fibers, perineurium and epineurium in preformed mesothelial tubes – an experimental study on the sciatic nerve of rats. J Neurosci Res 6:265–281

    Article  CAS  PubMed  Google Scholar 

  • Lundborg G, Rosén B, Dahlin L, Danielsen N, Holmberg J (1997) Tubular versus conventional repair of median and ulnar nerves in the human forearm: early results from a prospective, randomized, clinical study. J Hand Surg 22:99–106

    Article  CAS  Google Scholar 

  • Lundborg G, Rosén B, Dahlin L, Holmberg J, Rosén I (2004) Tubular repair of the median or ulnar nerve in the human forearm: a 5-year follow-up. J Hand Surg 29:100–107

    Article  CAS  Google Scholar 

  • Mackinnon SE, Dellon AL (1990a) A study of nerve regeneration across synthetic (Maxon) and biologic (collagen) nerve conduits for nerve gaps up to 5 cm in the primate. J Reconstr Microsurg 6:117–121

    Article  CAS  PubMed  Google Scholar 

  • Mackinnon SE, Dellon AL (1990b) Clinical nerve reconstruction with bioabsorbable polyglycolic acid tube. Plast Reconstr Surg 85:419–424

    Article  CAS  PubMed  Google Scholar 

  • Mackinnon SE, Dellon AL, Hudson AR, Hunter DA (1985) Nerve regeneration through a pseudosynovial sheath in a primate model. Plast Reconstr Surg 75:833–841

    Article  CAS  PubMed  Google Scholar 

  • Madison RD, Archibald SJ (1994) Point sources of Schwann cells result in growth into a nerve entubulation repair site in the absence of axons: effects of freeze-thawing. Exp Neurol 128:266–275

    Article  CAS  PubMed  Google Scholar 

  • Mailänder P, Berger A, Schaller E, Ruhe K (1989) Results of primary nerve repair in the upper extremity. Microsurgery 10:147–150

    Article  PubMed  Google Scholar 

  • Merle M, Dellon AL, Campbell JN, Chang PS (1989) Complications from silicone-polymer intubulation of nerves. Microsurgery 10:130–133

    Article  CAS  PubMed  Google Scholar 

  • Millesi H (1992) Chirurgie der peripheren Nerven. Urban & Schwarzenberg, München

    Google Scholar 

  • Rinker B, Liau JY (2011) A prospective randomized study comparing woven polyglycolic acid and autogenous vein conduits for reconstruction of digital nerve gaps. J Hand Surg 36:775–781

    Article  Google Scholar 

  • Rosén B, Lundborg G (2000) A model instrument for the documentation of outcome after nerve repair. J Hand Surg 25:535–543

    Article  Google Scholar 

  • Shen ZL, Lassner F, Walter GF, Bader A, Becker M, Berger A (1998) The viability of cultured nerve grafts: an assessment of proliferation on Schwann cells and fibroblasts. Eu J Plast Surg 21:424–425

    Google Scholar 

  • Shen ZL, Lassner F, Walter GF, Becker M, Berger A (1998) Zelluläre Aktivitäten von Schwann-Zellen, Fibroblasten und ortsständigen Makrophagen im kultivierten Nervensegment. Handchir Mikrochir Plast Chir 30:K35

    Google Scholar 

  • Tyner TR, Parks N, Faria S, Simons M, Stapp B, Curtis B, Sian K, Yamaguchi KT (2007) Effects of collagen nerve guide on neuroma formation and neuropathic pain in a rat model. Am J Surg 193:1–6

    Article  Google Scholar 

  • Wang WZ, Crain GM, Baylis W, Tsai TM (1996) Outcome of digital nerve injuries in adults. J Hand Surg 21:138–143

    Article  CAS  Google Scholar 

  • Weber RA, Breidenbach WC, Brown RE, Jabaley ME, Mass DP (2000) A randomized prospective study of polyglycolic acid conduits for digital nerve reconstruction in humans. Plast Reconstr Surg 106:1036–1045 (discussion 1046–1048)

    Article  CAS  PubMed  Google Scholar 

  • Weiss P (1941) Reunion of stumps of small nerves by tubulation instead of suture. Science 93:67–68

    Article  CAS  PubMed  Google Scholar 

  • Weiss P (1944) The technology of nerve regeneration: a review, sutureless tubulation and related methods of nerve repair. J Neurosurg 1:400–450

    Article  Google Scholar 

  • Weiss P, Taylor C (1943) Histochemical analysis of nerve reunion in the rat after tubular splicing. Arch Surg 47:419–446

    Article  Google Scholar 

  • Williams LR, Danielsen N, Müller H, Varon S (1987) Exogenous matrix precursors promote functional nerve regeneration across a 15-mm gap within a silicone chamber in the rat. J Comp Neurol 264:284–290

    Article  CAS  PubMed  Google Scholar 

  • Yannas IV, Burke JF, Orgill DP, Skrabut EM (1982) Wound tissue can utilize a polymeric template to synthesize a functional extension of skin. Science 215:174–176

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Archibald, S. (2017). Nervenwiederherstellung mittels Tuben (Röhrchen). In: Berger, A., Hierner, R., Pallua, N. (eds) Plastische Chirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48849-2_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-48849-2_3

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-48848-5

  • Online ISBN: 978-3-662-48849-2

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics