Reconstruction of Critical Nerve Defects Using Allogenic Nerve Tissue: A Review of Current Approaches

Regardless of the nerve defect length, nerve injury is a debilitating condition for the affected patient that results in loss of sensory and motor function. These functional impairments can have a profound impact on the patient’s quality of life. Surgical approaches for the treatment of short segmen...

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Main Authors: Tim Kornfeld, Anton Borger, Christine Radtke
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/22/7/3515
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author Tim Kornfeld
Anton Borger
Christine Radtke
author_facet Tim Kornfeld
Anton Borger
Christine Radtke
author_sort Tim Kornfeld
collection DOAJ
description Regardless of the nerve defect length, nerve injury is a debilitating condition for the affected patient that results in loss of sensory and motor function. These functional impairments can have a profound impact on the patient’s quality of life. Surgical approaches for the treatment of short segment nerve defects are well-established. Autologous nerve transplantation, considered the gold standard, and the use of artificial nerve grafts are safe and successful procedures for short segment nerve defect reconstruction. Long segment nerve defects which extend 3.0 cm or more are more problematic for repair. Methods for reconstruction of long defects are limited. Artificial nerve grafts often fail to regenerate and autologous nerve grafts are limited in length and number. Cadaveric processed/unprocessed nerve allografts are a promising alternative in nerve surgery. This review gives a systematic overview on pre-clinical and clinical approaches in nerve allograft transplantation.
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spelling doaj.art-2a7fd4bdac6f49fb8cfc11b8500f067f2023-11-21T13:12:47ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672021-03-01227351510.3390/ijms22073515Reconstruction of Critical Nerve Defects Using Allogenic Nerve Tissue: A Review of Current ApproachesTim Kornfeld0Anton Borger1Christine Radtke2Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, AustriaDepartment of Plastic, Reconstructive and Aesthetic Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, AustriaDepartment of Plastic, Reconstructive and Aesthetic Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, AustriaRegardless of the nerve defect length, nerve injury is a debilitating condition for the affected patient that results in loss of sensory and motor function. These functional impairments can have a profound impact on the patient’s quality of life. Surgical approaches for the treatment of short segment nerve defects are well-established. Autologous nerve transplantation, considered the gold standard, and the use of artificial nerve grafts are safe and successful procedures for short segment nerve defect reconstruction. Long segment nerve defects which extend 3.0 cm or more are more problematic for repair. Methods for reconstruction of long defects are limited. Artificial nerve grafts often fail to regenerate and autologous nerve grafts are limited in length and number. Cadaveric processed/unprocessed nerve allografts are a promising alternative in nerve surgery. This review gives a systematic overview on pre-clinical and clinical approaches in nerve allograft transplantation.https://www.mdpi.com/1422-0067/22/7/3515FDAartificial nerve graftsallograft
spellingShingle Tim Kornfeld
Anton Borger
Christine Radtke
Reconstruction of Critical Nerve Defects Using Allogenic Nerve Tissue: A Review of Current Approaches
International Journal of Molecular Sciences
FDA
artificial nerve grafts
allograft
title Reconstruction of Critical Nerve Defects Using Allogenic Nerve Tissue: A Review of Current Approaches
title_full Reconstruction of Critical Nerve Defects Using Allogenic Nerve Tissue: A Review of Current Approaches
title_fullStr Reconstruction of Critical Nerve Defects Using Allogenic Nerve Tissue: A Review of Current Approaches
title_full_unstemmed Reconstruction of Critical Nerve Defects Using Allogenic Nerve Tissue: A Review of Current Approaches
title_short Reconstruction of Critical Nerve Defects Using Allogenic Nerve Tissue: A Review of Current Approaches
title_sort reconstruction of critical nerve defects using allogenic nerve tissue a review of current approaches
topic FDA
artificial nerve grafts
allograft
url https://www.mdpi.com/1422-0067/22/7/3515
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