Koch R James, Gorti Goutham Krishna
Division of Otolaryngology-Head and Neck Surgery, Stanford University Medical Center, Stanford, CA 94305-5328, USA.
Facial Plast Surg. 2002 Feb;18(1):59-68. doi: 10.1055/s-2002-19828.
Tissue engineering of cartilage, using chondrocytes based on the use of synthetic biodegradable polymer cell delivery vehicles (scaffolds), is an alternate treatment modality for replacing missing cartilage. Cartilage tissue engineering has an important role to play in the generation of graft material for head and neck reconstruction. It is an approach to fabricate cartilage constructs in vitro, which could be used in reconstructive surgery. Methods involve (1) harvesting septal cartilage during septoplasty, (2) isolating chondrocytes through enzymatic digestion of the septal cartilage, (3) expanding the cell number in a two-dimensional monolayer culture, using serum-free media, (4) seeding the cells onto a biodegradable polymer scaffold, and (5) cultivating the seeded scaffolds in a rotating bioreactor. In this article we briefly outline the methodology and clinical applications of cartilage grown ex vivo.
利用基于合成可生物降解聚合物细胞递送载体(支架)的软骨细胞进行软骨组织工程,是替代缺失软骨的一种治疗方式。软骨组织工程在头颈部重建移植物材料的生成中发挥着重要作用。它是一种在体外制造软骨构建体的方法,可用于重建手术。方法包括:(1)在鼻中隔成形术期间采集鼻中隔软骨;(2)通过酶消化鼻中隔软骨分离软骨细胞;(3)使用无血清培养基在二维单层培养中扩增细胞数量;(4)将细胞接种到可生物降解聚合物支架上;(5)在旋转生物反应器中培养接种后的支架。在本文中,我们简要概述了体外培养软骨的方法和临床应用。