An Experimental Study on Electroneuronographic and Histologic Changes Following Facial Nerve Injury in Rabbits |
Kwan Taek Noh, MD, Hee Kook Kim, MD, and Chong Sun Kim, MD |
Department of Otolaryngology, College of Medicine, Seoul National University, Korea |
家兎의 안면신경 손상후에 나타나는 Electroneuronography 및 조직소견의 변화에 관한 실험적 연구 |
노관택 · 김희국 · 김종선 |
서울대학교 의과대학 이비인후과학교실 |
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ABSTRACT |
Electroneuronography, an objective electrophysiologic measurement of a muscle compound action potential, is used to assess the integrity of facial nerve and to determine prognosis for recovery in patients with facial paralysis. This study was performed to evaluate the pattern of electrophysiological change of the injured facial nerve and interrelationship between electroneuronographic data and histopathological findings. Facial nerves of 19 rabbits were injured by clamping with a mosquito or by multiple stabbing with a Bard Parker #11 blade. Electroneuronography was performed at postoperative 1,2,3,4 and 5 days and the
nerves were prepared for pathological evaluation. The results were as follows : 1) There was rapid decrease of electroneuronographic data at postoperative 1 day and maximum decrease at postoperative 2 day. Thereafter, the data maintained unchanged until postoperative 5 day. 2) Pathological findings of degenerated fibers were myelin infolding, disruption of myelin lamellae, myelin cleft, and total breakdown of myelin ring. These changes began later than change of electroneuronography and progressed gradually thereafter. 3) There was significant interrelationship between electroneuronographic data and degree of nerve degeneration at postoperative 4
day : The electroneuronographic data was lower when the degenerative change of the facial nerve was severe.
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