ResumenSe entubó el nervio ciático de ratas, luego de un corte transverso, utilizando una cámara de silicona de 14 mm de largo que tenía dos ventanas de 8 mm de largo cubiertas con malla de 10 o 60 pm. Después de 6 meses, los animales se perfundieron con una mezcla de glutaraldehído y paraformaldehído, y se evaluó el aspecto microscópico de los nervios regenerados en dos niveles dentro de la cámara (3 mm y nivel medio) y 5 mm distal a ésta. Se contó el número de fibras mielínicas presentes en cada nivel y tratamiento, y se realizó una comparación entre ellos. Se encontró una importante desorganización del endoneurio a nivel medio de la cámara. Distalmente, los conteos de fibras mielínicas fueron muy bajos. No se observaron diferencias significativas entre los grupos con mallas de 10 y 60 pm. En conclusión, la presencia de poros de 10 o 60 pm no impide la entrada masiva de fibroblastos a la cámara, llevando a una marcada desorganización del nervio regenerado.Palabras clave: regeneración, nervio periférico, entubación, fibroblasto, permeabilidad.A study of peripheral nerve regeneration in permeable silicone chambers with 10 and 60 micrometer pores Abstract Rat sciatic nerves were transected and intubated with a fourteen millimeter lengthsilicone chamber, with two 8 mm windows covered with either a 10 or 60 pm mesh. After six months, the animals were perfused with a glutaraldehyde and paraformaldehyde mixture and the regenerated nerve histology was evaluated at two levels within the chamber (3 mm and midlevel) and 5 mm distal to the chamber. The myelinated nerve fibers were counted and compared for al1 levels and treatments. We found a disorganized endoneurium at midchamber level. Distally, a very low myelinated nerve fibers count was registered. No significant differences were observed between 10 and 60 vm meshes.We conclude that 10 or 60 pm meshes do not control the massive invasion of the chamber by fibroblasts, leading to a highly disorganized regenerated nerve.
Ao meu mestre, Prof. Dr. Plínio Thomaz Aquino Jr., que compartilhou parte do seu tempo, seu conhecimento e sua precisa orientação. À inestimável co-orientação da Prof a. Dra. Maria Claudia Ferrari de Castro pelo seu suporte sobre a aplicação correta das técnicas de eletromiografia e os respectivos equipamentos utilizados. Aos meus amigos da GM GLOBAL PROPULSION SYSTEMS-SOUTH AMERICA que tanto me auxiliaram na elaboração deste trabalho, aos senhores Edmar Gomes de Souza, Alexander A. Almeida e Marc Thorausch pelas aquisições em testes e discussões técnicas para a melhoria contínua do modelo proposto.
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