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CC BY-NC-ND 4.0 · Indian Journal of Neurotrauma 2020; 17(01): 28-32
DOI: 10.1055/s-0040-1713458
Review Article

Techniques for Differentiating Motor and Sensory Fascicles of a Peripheral Nerve—A Review

Pawan Agarwal
1   Plastic Surgery Unit, Netaji Subhash Chandra Bose Government Medical College, Jabalpur, Madhya Pradesh, India
,
Jitin Bajaj
2   Department of Neurosurgery, Super Specialty Hospital, Netaji Subhash Chandra Bose Government Medical College, Jabalpur, Madhya Pradesh, India
,
Dhananjaya Sharma
3   Department of Surgery, Netaji Subhash Chandra Bose Government Medical College, Jabalpur, Madhya Pradesh, India
› Author Affiliations Funding This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
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Abstract

Differentiating motor and sensory fascicles before anastomosis is essential for achieving an excellent postoperative functional outcome for peripheral mixed nerves injuries. However, identifying them is not easy. There are several techniques to address this important issue. Each identifying technique has its own pros and cons; this narrative review highlights the salient features of each of these. Many of the newer techniques need to be tested in humans before they can be recommended for regular use; till then we have to rely mainly on per operative electrical stimulation of nerve to differentiate between sensory and motor fascicles to improve postoperative functional outcome.

Keywords

anastomosis - electrophysiology - histochemistry - peripheral nerve injury - sensory - motor - fascicles


Publication History

Article published online:
18 June 2020

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