Effect of Platelet-rich Plasma and Brief Electrical Stimulation Following Facial Nerve Neurorrhaphy in a Rat Model.

IF 1.8 Q3 SURGERY
Plastic and Reconstructive Surgery Global Open Pub Date : 2025-09-19 eCollection Date: 2025-09-01 DOI:10.1097/GOX.0000000000007104
Janelle Sloychuk, Jin Soo Song, Lin Fu Zhu, Adrian Mendez, Jillian Querney, David Côté
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Abstract

Background: With ongoing investigations to improve facial nerve recovery after injury, brief electrical stimulation (BES) and platelet-rich plasma (PRP) application have become promising modalities. The usage of combined modalities has not yet been investigated. We aimed to evaluate differences in facial nerve regeneration between rats receiving BES (group 1) and rats receiving BES plus PRP (group 2) following transection and primary neurorrhaphy.

Methods: This was a prospective randomized animal study of 2 groups of 6 rats that underwent facial nerve transection and repair at the main trunk of the nerve. Both groups received BES on postoperative day 0 for 1 hour using an implantable stimulation device, with group 2 additionally receiving concurrent PRP. The primary measure of whisker amplitude was recorded from 2 to 8 weeks postoperatively.

Results: At week 2, the average whisker amplitude for groups 1 and 2 was 6.5 and 2.0 degrees, respectively. At week 4, group 1 remained unchanged at 6.1 degrees, whereas group 2 improved to 10.1 degrees. By 6 weeks, average amplitudes were 8.2 and 14.0 degrees, respectively. By week 8, measures were 9.8 and 16.7 degrees, respectively. All results were statistically significant (P < 0.05).

Conclusions: Application of BES and PRP following neurorrhaphy in a rat model yields a greater effect than BES alone in expediting facial nerve recovery.

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富血小板血浆和短暂电刺激对面神经缝合大鼠模型的影响。
背景:随着改善面神经损伤后恢复的研究不断进行,短暂电刺激(BES)和富血小板血浆(PRP)应用已成为有前途的方式。联合治疗方法的使用尚未进行研究。我们的目的是评估在横断和原发性神经吻合后,接受BES(1组)和接受BES + PRP(2组)的大鼠面神经再生的差异。方法:采用前瞻性随机动物实验,选取2组6只大鼠,分别行面神经主干截断修复术。两组患者均于术后第0天使用植入式刺激装置接受BES治疗1小时,第2组患者同时接受PRP治疗。术后2至8周记录须幅的主要测量值。结果:第2周时,1组和2组的平均须振幅分别为6.5度和2.0度。在第4周,组1保持在6.1度不变,而组2改善到10.1度。6周时,平均幅度分别为8.2度和14.0度。到第8周,测量值分别为9.8度和16.7度。所有结果均有统计学意义(P < 0.05)。结论:大鼠神经缝合术后应用BES和PRP,在加速面神经恢复方面的效果优于单独应用BES。
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来源期刊
CiteScore
2.20
自引率
13.30%
发文量
1584
审稿时长
10 weeks
期刊介绍: Plastic and Reconstructive Surgery—Global Open is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery.Plastic and Reconstructive Surgery—Global Open publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types. Manuscript submission is open to all surgeons, researchers, and other health care providers world-wide who wish to communicate their research results on topics related to plastic and reconstructive surgery. Furthermore, Plastic and Reconstructive Surgery—Global Open, a complimentary journal to Plastic and Reconstructive Surgery, provides an open access venue for the publication of those research studies sponsored by private and public funding agencies that require open access publication of study results. Its mission is to disseminate high quality, peer reviewed research in plastic and reconstructive surgery to the widest possible global audience, through an open access platform. As an open access journal, Plastic and Reconstructive Surgery—Global Open offers its content for free to any viewer. Authors of articles retain their copyright to the materials published. Additionally, Plastic and Reconstructive Surgery—Global Open provides rapid review and publication of accepted papers.
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