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Fig. 1 | Maxillofacial Plastic and Reconstructive Surgery

Fig. 1

From: Comparison of prognosis in two methods for the lingual nerve repair: direct suture with vein graft cuff and collagen allograft method

Fig. 1

Direct perineurial repair with a vein graft cuff. A-1:Nerve stump preparation. Neuroma resection at the clinical margin of the neuroma fails to complete nerve preparation. A-2:Remove as much scar tissue as possible from the torn nerve, mobilized and trimmed to a point where the fascicles could be identified in a microsurgical field. A-3:Direct end-to-end epineural nerve suture without tension was performed. A-4: A segment of the external jugular vein was tagged for use as a cuff to cover the sutured nerve. The autogenous vein graft was split longitudinally and turned inside-out. A-5: The vein graft encased the sutured site, and attached to the epineural membrane with 8-0 nylon on each side

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