Document Detail


Fluorescent retrograde axonal tracing of the facial nerve.
MedLine Citation:
PMID:  17003730     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The objective of this study was to investigate retrograde fluorescent axonal labeling of motor nerves as an aid to surgical dissection in otolaryngology-head and neck surgery. METHODS: Cholera toxin B subunit conjugated to a fluorescent dye was injected into the facial musculature of New Zealand white rabbits. At variable time points after injection, the facial nerves were harvested and analyzed for fluorescence in the peripheral axon. RESULTS: All injected animals demonstrated axonal fluorescence. No animal demonstrated facial weakness. Fluorescence was detected a maximum of 20 mm from the distal end of the nerve. Time periods greater than 48 hours did not substantially increase transport distance. CONCLUSIONS: Cholera toxin B subunit fluorescent conjugates, when administered intramuscularly, reliably label the distal portion of the facial nerve. In vivo labeling of a motor nerve may have significant potential for identifying a nerve in surgery. This work represents a preliminary investigation into the adaptation of in vivo fluorescence techniques as an aid to surgical dissection. Further research to refine this technique should be supported.
Authors:
Matthew R O'Malley; Justin E Wittkopf; Jeffrey L Cutler; Robert F Labadie; Troy A Hackett; David S Haynes
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Laryngoscope     Volume:  116     ISSN:  0023-852X     ISO Abbreviation:  Laryngoscope     Publication Date:  2006 Oct 
Date Detail:
Created Date:  2006-10-03     Completed Date:  2006-10-27     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8607378     Medline TA:  Laryngoscope     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1792-7     Citation Subset:  IM    
Affiliation:
Vanderbilt University Department of Hearing and Speech Sciences, Nashville, Tennessee, USA. matthew.o.malley@vanderbilt.edu
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MeSH Terms
Descriptor/Qualifier:
Animals
Axons / ultrastructure*
Cholera Toxin / diagnostic use
Facial Muscles / innervation
Facial Nerve / anatomy & histology*
Female
Fluorescent Dyes / diagnostic use*
Image Processing, Computer-Assisted
Injections, Intramuscular
Male
Microscopy, Fluorescence
Motor Neurons / cytology*
Neural Pathways / anatomy & histology
Rabbits
Time Factors
Chemical
Reg. No./Substance:
0/Fluorescent Dyes; 9012-63-9/Cholera Toxin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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