Morphofunctional Effect of Stem Cells on the Regeneration of the Facial Nerve in a Rat Model

The aim of the present study was to determine the clinical, histologic, and histomorphometric influence of stem cells on the regeneration of facial nerves in rats submitted to neurotmesis with 5-mm defects. Thirty-six male Wistar rats were submitted to neurotmesis. In group 1 (n = 18), the 2 extremi...

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Bibliographic Details
Published in:Journal of oral and maxillofacial surgery Vol. 77; no. 10; pp. 2168.e1 - 2168.e12
Main Authors: de Carvalho Raimundo, Ronaldo, Landim, Fabricio Souza, Gomes, Ana Claudia A., Castro, Celia B.M.M., Silva Junior, Valdemiro A., Vasconcelos, Belmiro Cavalcanti do Egito
Format: Journal Article
Language:English
Published: United States Elsevier Inc 01-10-2019
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Summary:The aim of the present study was to determine the clinical, histologic, and histomorphometric influence of stem cells on the regeneration of facial nerves in rats submitted to neurotmesis with 5-mm defects. Thirty-six male Wistar rats were submitted to neurotmesis. In group 1 (n = 18), the 2 extremities of the nerve trunk were sutured in a polyethylene tube containing a protein matrix (Matrigel; Invitrogen, BD Biosciences, Franklin Lakes, NJ). Group 2 (n = 18) underwent the same procedures with the incorporation of stem cells in the tube. The groups were subdivided by the day of euthanasia (30, 60, and 90 days). Evaluations of the central portion and distal extremity of the tubes were performed in both groups. During the functional evaluation, group 2 exhibited better closing of the eyelids at 30 and 60 days. The histomorphometric analyses revealed a significant reduction in the area of the nerve fibers in group 1 compared with group 2 at all 3 evaluation (P = .031). In group 2, the area of the nerve fibers was significantly greater (P = .031), and the thickness of the myelin sheath was significantly greater in the center (P = .002) and distal (P = .019) extremity of the tube at 30 days compared with the findings in group 1. The present findings suggest that the use of stem cells in nerve injuries will result in faster, more effective regeneration within the intervals analyzed.
ISSN:0278-2391
1531-5053
DOI:10.1016/j.joms.2019.06.008