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Stimulation of Trigeminal Afferents Improves Motor Recovery After Facial Nerve Injury - Functional, Electrophysiological and Morphological Proofs (Paperback, 2013 ed.)
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Stimulation of Trigeminal Afferents Improves Motor Recovery After Facial Nerve Injury - Functional, Electrophysiological and Morphological Proofs (Paperback, 2013 ed.)
Series: Advances in Anatomy, Embryology and Cell Biology, 213
Expected to ship within 10 - 15 working days
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Recovery of mimic function after facial nerve transection is poor:
the successful regrowth of axotomized motoneurons to their targets
is compromised by (i) poor axonal navigation and excessive
collateral branching, (ii) abnormal exchange of nerve impulses
between adjacent regrowing axons and (iii) insufficient synaptic
input to facial motoneurons. As a result, axotomized motoneurons
get hyperexcitable and unable to discharge. Since improvement of
growth cone navigation and reduction of the ephaptic cross-talk
between axons turn out be very difficult, the authorsa concentrated
on the third detrimental component and proposed that an
intensification of the trigeminal input to axotomized
electrophysiologically silent facial motoneurons might improve
specificity of reinnervation. To test the hypothesis they compared
behavioral, electrophysiological and morphological parameters after
single reconstructive surgery on the facial nerve with those
obtained after identical facial nerve surgery, but combined with
direct or indirect stimulation of the ipsilateral infraorbital
(ION) nerve. The authors found that in all cases trigeminal
stimulation was beneficial for the outcome by improving the quality
of target reinnervation and recovery of vibrissal motor
performance.
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