Abstract
INTRODUCTION
Chronic dry eye (keratitis sicca) is a significant problem that in certain populations can result in corneal desiccation and the potential for blindness. Therefore, novel treatments for such disorders might decrease patient morbidity. The present study aimed to investigate a potential treatment for chronic dry eye via a cadaveric feasibility study.
MATERIALS AND METHODS
On 10 cadaveric sides, the parotid gland branch of the auriculotemporal nerve was identified and anastomosed to an anterior superficial temporal branch of this same nerve. The superficial temporal branch was then transposed anteriorly and sutured to the lacrimal gland.
RESULTS
The parotid branch of the auriculotemporal nerve was easily identified on all sides. The superficial temporal branch of the auriculotemporal nerve was easily identified and mobilized on all sides. This latter nerve had adequate length to be moved to the ipsilateral lacrimal gland on all sides.
CONCLUSIONS
Rerouting parotid gland secretomotor fibers to the superficial branch of the auriculotemporal nerve and then moving this branch to the lacrimal gland is a feasible surgical maneuver based on our cadaveric study. Clinical studies are now necessary to show utility of this procedure in patients with chronic dry eye. This article is protected by copyright. All rights reserved.
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