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J Craniomaxillofac Surg ; 42(8): 2076-81, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-23932540

RESUMO

The objective was to assess the local effect of ketoprofen on sciatic nerve regeneration and functional recovery. Eighty healthy male white Wistar rats were randomized into four experimental groups of 20 animals each: In the transected group (TC), the left sciatic nerve was transected and nerve cut ends were fixed in the adjacent muscle. In the treatment group the defect was bridged using an artery graft (AG/Keto) filled with 10 microliter ketoprofen (0.1 mg/kg). In the artery graft group (AG), the graft was filled with phosphated-buffer saline alone. In the sham-operated group (SHAM), the sciatic nerve was exposed and manipulated. Each group was subdivided into four subgroups of five animals each and regenerated nerve fibres were studied at 4, 8, 12 and 16 weeks post operation. Behavioural testing, sciatic nerve functional study, gastrocnemius muscle mass and morphometric indices showed earlier regeneration of axons in AG/Keto than in AG group (p < 0.05). Immunohistochemical study clearly showed more positive location of reactions to S-100 in AG/Keto than in AG group. When loaded in an artery graft, ketoprofen improved functional recovery and morphometric indices of the sciatic nerve. Local usage of this easily accessible therapeutic medicine is cost saving and avoids the problems associated with systemic administration.


Assuntos
Anti-Inflamatórios não Esteroides/uso terapêutico , Aorta Abdominal/transplante , Cetoprofeno/uso terapêutico , Regeneração Nervosa/efeitos dos fármacos , Nervo Isquiático/cirurgia , Alicerces Teciduais , Administração Tópica , Animais , Anti-Inflamatórios não Esteroides/administração & dosagem , Axônios/efeitos dos fármacos , Axônios/ultraestrutura , Cetoprofeno/administração & dosagem , Locomoção/fisiologia , Masculino , Músculo Esquelético/inervação , Músculo Esquelético/patologia , Fibras Nervosas/efeitos dos fármacos , Fibras Nervosas/ultraestrutura , Procedimentos Neurocirúrgicos/métodos , Distribuição Aleatória , Ratos , Ratos Wistar , Recuperação de Função Fisiológica/efeitos dos fármacos , Recuperação de Função Fisiológica/fisiologia , Proteínas S100/análise , Proteínas S100/efeitos dos fármacos , Nervo Isquiático/efeitos dos fármacos , Fatores de Tempo
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