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Prevention of denervated muscle atrophy with accelerated nerve‐regeneration by babysitter procedure in rat facial nerve paralysis model

Purpose The “babysitter” procedure is a reconstruction technique for facial nerve complete paralysis and uses the movement source from the healthy facial nerve with a cross‐nerve graft. First, an end‐to‐side neurorrhaphy is performed between the affected facial nerve trunk and hypoglossal nerve for...

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Published in:Microsurgery 2021-01, Vol.41 (1), p.61-69
Main Authors: Hashimoto, Kazuki, Matsumine, Hajime, Osaki, Hironobu, Ueta, Yoshifumi, Kamei, Wataru, Shimizu, Mari, Fujii, Kaori, Niimi, Yosuke, Miyata, Mariko, Sakurai, Hiroyuki
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container_title Microsurgery
container_volume 41
creator Hashimoto, Kazuki
Matsumine, Hajime
Osaki, Hironobu
Ueta, Yoshifumi
Kamei, Wataru
Shimizu, Mari
Fujii, Kaori
Niimi, Yosuke
Miyata, Mariko
Sakurai, Hiroyuki
description Purpose The “babysitter” procedure is a reconstruction technique for facial nerve complete paralysis and uses the movement source from the healthy facial nerve with a cross‐nerve graft. First, an end‐to‐side neurorrhaphy is performed between the affected facial nerve trunk and hypoglossal nerve for continuously delivering stimuli to the mimetic muscles for preventing the atrophy of mimetic muscles. Despite favorable clinical results, histological and physiological mechanisms remain unknown. This study attempted to establish a model for the “babysitter” procedure and find its efficacy in rats with facial nerve complete paralysis. Materials and Methods A total of 16 Lewis rats were used and divided into 2 groups; cross nerve graft (n = 8) and babysitter groups (n = 8). The facial nerve trunk was transected in both groups. Babysitter group underwent a two‐stage procedure. Cross nerve graft group underwent only the transfer of nerve graft from the healthy side to affected side. The animals were assessed physiologically by compound muscle action potential (CMAP), and the regenerated nerve tissues were evaluated histopathologically at 13 weeks after surgery. Results Facial nucleus stained with retrograde tracers proved the re‐innervation of affected facial muscle by the babysitter procedure. In CMAP, the amplitude of babysitter group was significantly higher than that of the cross‐facial nerve graft group (p 
doi_str_mv 10.1002/micr.30580
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First, an end‐to‐side neurorrhaphy is performed between the affected facial nerve trunk and hypoglossal nerve for continuously delivering stimuli to the mimetic muscles for preventing the atrophy of mimetic muscles. Despite favorable clinical results, histological and physiological mechanisms remain unknown. This study attempted to establish a model for the “babysitter” procedure and find its efficacy in rats with facial nerve complete paralysis. Materials and Methods A total of 16 Lewis rats were used and divided into 2 groups; cross nerve graft (n = 8) and babysitter groups (n = 8). The facial nerve trunk was transected in both groups. Babysitter group underwent a two‐stage procedure. Cross nerve graft group underwent only the transfer of nerve graft from the healthy side to affected side. The animals were assessed physiologically by compound muscle action potential (CMAP), and the regenerated nerve tissues were evaluated histopathologically at 13 weeks after surgery. Results Facial nucleus stained with retrograde tracers proved the re‐innervation of affected facial muscle by the babysitter procedure. In CMAP, the amplitude of babysitter group was significantly higher than that of the cross‐facial nerve graft group (p &lt; .05). Histological examination found a significant difference in myelin g‐ratio between two groups (p &lt; .05). Conclusion This study investigated the “babysitter” procedure for rat facial nerve palsy. Babysitter procedure shortened the denervation period without mimic muscle atrophy.</description><identifier>ISSN: 0738-1085</identifier><identifier>EISSN: 1098-2752</identifier><identifier>DOI: 10.1002/micr.30580</identifier><identifier>PMID: 32233044</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley &amp; Sons, Inc</publisher><subject>Action potential ; Atrophy ; Denervation ; Facial nerve ; Grafting ; Grafts ; Hypoglossal nerve ; Innervation ; Muscles ; Myelin ; Nervous tissues ; Neural cell transplants ; Paralysis ; Regeneration ; Surgery ; Tracers</subject><ispartof>Microsurgery, 2021-01, Vol.41 (1), p.61-69</ispartof><rights>2020 Wiley Periodicals, Inc.</rights><rights>2021 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3570-5bff741bdb1459adb30b0ba0c88db00efbcf3f3d699c4381ab79135f9923d5523</citedby><cites>FETCH-LOGICAL-c3570-5bff741bdb1459adb30b0ba0c88db00efbcf3f3d699c4381ab79135f9923d5523</cites><orcidid>0000-0001-6158-1169 ; 0000-0002-8997-755X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32233044$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hashimoto, Kazuki</creatorcontrib><creatorcontrib>Matsumine, Hajime</creatorcontrib><creatorcontrib>Osaki, Hironobu</creatorcontrib><creatorcontrib>Ueta, Yoshifumi</creatorcontrib><creatorcontrib>Kamei, Wataru</creatorcontrib><creatorcontrib>Shimizu, Mari</creatorcontrib><creatorcontrib>Fujii, Kaori</creatorcontrib><creatorcontrib>Niimi, Yosuke</creatorcontrib><creatorcontrib>Miyata, Mariko</creatorcontrib><creatorcontrib>Sakurai, Hiroyuki</creatorcontrib><title>Prevention of denervated muscle atrophy with accelerated nerve‐regeneration by babysitter procedure in rat facial nerve paralysis model</title><title>Microsurgery</title><addtitle>Microsurgery</addtitle><description>Purpose The “babysitter” procedure is a reconstruction technique for facial nerve complete paralysis and uses the movement source from the healthy facial nerve with a cross‐nerve graft. First, an end‐to‐side neurorrhaphy is performed between the affected facial nerve trunk and hypoglossal nerve for continuously delivering stimuli to the mimetic muscles for preventing the atrophy of mimetic muscles. Despite favorable clinical results, histological and physiological mechanisms remain unknown. This study attempted to establish a model for the “babysitter” procedure and find its efficacy in rats with facial nerve complete paralysis. Materials and Methods A total of 16 Lewis rats were used and divided into 2 groups; cross nerve graft (n = 8) and babysitter groups (n = 8). The facial nerve trunk was transected in both groups. Babysitter group underwent a two‐stage procedure. Cross nerve graft group underwent only the transfer of nerve graft from the healthy side to affected side. The animals were assessed physiologically by compound muscle action potential (CMAP), and the regenerated nerve tissues were evaluated histopathologically at 13 weeks after surgery. Results Facial nucleus stained with retrograde tracers proved the re‐innervation of affected facial muscle by the babysitter procedure. In CMAP, the amplitude of babysitter group was significantly higher than that of the cross‐facial nerve graft group (p &lt; .05). Histological examination found a significant difference in myelin g‐ratio between two groups (p &lt; .05). Conclusion This study investigated the “babysitter” procedure for rat facial nerve palsy. Babysitter procedure shortened the denervation period without mimic muscle atrophy.</description><subject>Action potential</subject><subject>Atrophy</subject><subject>Denervation</subject><subject>Facial nerve</subject><subject>Grafting</subject><subject>Grafts</subject><subject>Hypoglossal nerve</subject><subject>Innervation</subject><subject>Muscles</subject><subject>Myelin</subject><subject>Nervous tissues</subject><subject>Neural cell transplants</subject><subject>Paralysis</subject><subject>Regeneration</subject><subject>Surgery</subject><subject>Tracers</subject><issn>0738-1085</issn><issn>1098-2752</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp90T1v1TAUBmALUdFLYeEHIEssqFLKsR039oiuSqnUqhWC2fLHMU2Vj4udtMrGysZv5JeQ3BQGBiYP5zmvjvUS8orBCQPg79rapxMBUsETsmGgVcEryZ-SDVRCFQyUPCTPc74DAK0r_YwcCs6FgLLckB83Ce-xG-q-o32kATtM93bAQNsx-wapHVK_u53oQz3cUus9Npj28wXir-8_E35dluw-wk3UWTflehgw0V3qPYYxIa07Ogsara9ts67SnU22mWmmbR-weUEOom0yvnx8j8iXD2eftx-Ly-vzi-37y8ILWUEhXYxVyVxwrJTaBifAgbPglQoOAKPzUUQRTrX2pVDMukozIaPWXAQpuTgib9fc-bpvI-bBtHWev9XYDvsxGy6U5FUpQMz0zT_0rh9TN19neFmdVlorvajjVfnU55wwml2qW5smw8AsBZmlILMvaMavHyNH12L4S_80MgO2goe6wek_UebqYvtpDf0NN9yfNQ</recordid><startdate>202101</startdate><enddate>202101</enddate><creator>Hashimoto, Kazuki</creator><creator>Matsumine, Hajime</creator><creator>Osaki, Hironobu</creator><creator>Ueta, Yoshifumi</creator><creator>Kamei, Wataru</creator><creator>Shimizu, Mari</creator><creator>Fujii, Kaori</creator><creator>Niimi, Yosuke</creator><creator>Miyata, Mariko</creator><creator>Sakurai, Hiroyuki</creator><general>John Wiley &amp; 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Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Microsurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hashimoto, Kazuki</au><au>Matsumine, Hajime</au><au>Osaki, Hironobu</au><au>Ueta, Yoshifumi</au><au>Kamei, Wataru</au><au>Shimizu, Mari</au><au>Fujii, Kaori</au><au>Niimi, Yosuke</au><au>Miyata, Mariko</au><au>Sakurai, Hiroyuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevention of denervated muscle atrophy with accelerated nerve‐regeneration by babysitter procedure in rat facial nerve paralysis model</atitle><jtitle>Microsurgery</jtitle><addtitle>Microsurgery</addtitle><date>2021-01</date><risdate>2021</risdate><volume>41</volume><issue>1</issue><spage>61</spage><epage>69</epage><pages>61-69</pages><issn>0738-1085</issn><eissn>1098-2752</eissn><abstract>Purpose The “babysitter” procedure is a reconstruction technique for facial nerve complete paralysis and uses the movement source from the healthy facial nerve with a cross‐nerve graft. First, an end‐to‐side neurorrhaphy is performed between the affected facial nerve trunk and hypoglossal nerve for continuously delivering stimuli to the mimetic muscles for preventing the atrophy of mimetic muscles. Despite favorable clinical results, histological and physiological mechanisms remain unknown. This study attempted to establish a model for the “babysitter” procedure and find its efficacy in rats with facial nerve complete paralysis. Materials and Methods A total of 16 Lewis rats were used and divided into 2 groups; cross nerve graft (n = 8) and babysitter groups (n = 8). The facial nerve trunk was transected in both groups. Babysitter group underwent a two‐stage procedure. Cross nerve graft group underwent only the transfer of nerve graft from the healthy side to affected side. The animals were assessed physiologically by compound muscle action potential (CMAP), and the regenerated nerve tissues were evaluated histopathologically at 13 weeks after surgery. Results Facial nucleus stained with retrograde tracers proved the re‐innervation of affected facial muscle by the babysitter procedure. In CMAP, the amplitude of babysitter group was significantly higher than that of the cross‐facial nerve graft group (p &lt; .05). Histological examination found a significant difference in myelin g‐ratio between two groups (p &lt; .05). Conclusion This study investigated the “babysitter” procedure for rat facial nerve palsy. Babysitter procedure shortened the denervation period without mimic muscle atrophy.</abstract><cop>Hoboken, USA</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>32233044</pmid><doi>10.1002/micr.30580</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-6158-1169</orcidid><orcidid>https://orcid.org/0000-0002-8997-755X</orcidid></addata></record>
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source Wiley-Blackwell Read & Publish Collection
subjects Action potential
Atrophy
Denervation
Facial nerve
Grafting
Grafts
Hypoglossal nerve
Innervation
Muscles
Myelin
Nervous tissues
Neural cell transplants
Paralysis
Regeneration
Surgery
Tracers
title Prevention of denervated muscle atrophy with accelerated nerve‐regeneration by babysitter procedure in rat facial nerve paralysis model
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