Muscular Neurotisation in Ophthalmology — A New Method to Treat Pareses of Extraocular Muscles

  • H. AichmairII.


In modern reconstructive surgery, the treatment of paretic muscles gains more and more importance. The surgeon tries to reestablish the original physiological conditions, to reconstruct the original innervation as exactly as possible. In some groups of muscles only the method of muscular neurotisation offers the possibility to recover the initial functional and reflex unity of the paralysed muscle. Muscular neurotisation is the growth of preterminal nerve fibers from an implanted healthy muscle into the paretic host muscle which induces the development of medullated nerve fibers and motor end plates.


Extraocular Muscle Medullated Nerve Fiber Inferior Oblique Muscle Healthy Muscle Bilateral Abducens 
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  1. 1.
    Aichmair, H., Freilinger, G., Holle, J., Mandl, H., Mayr, R.: Muskuläre Neurotisation bei traumatischer Abduzensparese. Ein neuer Weg der operativen Behandlung. Klin. Mbl. Augenheilk. 167 580–583 (1975).PubMedGoogle Scholar
  2. 2.
    Aichmair, H.: Muscular neurotisation in surgery of traumatic abducens paresis. Jpn. J. Ophthal. 21 477–487 (1977).Google Scholar
  3. 3.
    Aichmair, H.: Auswirkungen operativer Eingriffe am Musculus obliquus inferior auf die Motilität des Bulbus. In: Augenbewegungsstörungen; Neurophysiologie und Klinik (Kommerell, G., ed.), pp. 105–110. München: J. F. Bergmann Verlag. 1978.Google Scholar

Copyright information

© Springer-Verlag/Wien 1981

Authors and Affiliations

  • H. AichmairII.
    • 1
    • 2
  1. 1.Second Ophthalmological University Clinic of ViennaAustria
  2. 2.Universitäts-AugenklinikWienAustria

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