Chinese Journal of Tissue Engineering Research ›› 2011, Vol. 15 ›› Issue (8): 1331-1335.doi: 10.3969/j.issn.1673-8225.2011.08.001

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Fibrin glue or OB glue with chitosan-collagen conduit for repair of facial nerve injury

Qu Zhen-yu1, Ma Wei-dong1, Qu Wei-guo1, Li Yang1, Zhang Lu2, Qu Xiao-juan2   

  1. 1Department of Oral and Maxillofacial Surgery, Dalian Stomatological Hospital, Dalian   116021, Liaoning Province, China
    2Department of Stomatology, Dalian University, Dalian  116021, Liaoning Province, China
  • Received:2010-08-23 Revised:2010-09-29 Online:2011-02-19 Published:2011-02-19
  • About author:Qu Zhen-yu★, Master, Attending physician, Department of Oral and Maxillofacial Surgery, Dalian Stomatological Hospital, Dalian 116021, Liaoning Province, China quzhenyu@eyou.com
  • Supported by:

    Dalian Outstanding Science and Technology Talents Fund, No. 2006JH016*

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Abstract:

BACKGROUND: The fibrin glue or OB glue can be used in the repair of peripheral nerve damage, but their colloidal structure and underlying mechanism are entirely different.
OBJECTIVE: To contrastively analyze the effect of fibrin glue or OB glue combined with chitosan-collagen conduit for repairing rabbit facial nerve damage.
METHODS: Chinese rabbits were used to establish the injury model in right facial nerve of rabbits, which were divided into three groups randomly: microsurgery anastomosis group: the nerve stump contraposition and adventitia in situ anastomosis were performed; fibrin glue group and OB glue group were respectively treated with fibrin glue and OB glue based on microsurgery anastomosis. General observation, electrophysiological study, histological study and image analysis were performed at 16 weeks postoperatively. All results were used to evaluate the nerve regeneration.
RESULTS AND CONCLUSION: The chitosan-collagen conduit was obviously degraded at 16 weeks postoperatively and they also restrained the formation of fibrous connective tissue around anastomotic stoma. The functional recovery of nerve muscles was good in three groups, the motor nerve action potential and the compound muscle action potential of orbicularis oris were analyzed, which showed no significant difference between them (P > 0.05). The recovery rate of regenerated axons of three groups had no significant difference (P > 0.05), but the axonal regeneration rate in the fibrin glue group and OB glue group was higher than in microsurgery anastomosis group (P < 0.05 or 0.01), reached a peak at OB glue group. Chitosan-collagen conduit have excellent biocompatibility, and combined with fibrin glue or OB glue certainly result in repairing injured nerves, but the fibrin glue is more suitable for operative nerve injury.

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