de Giacomo Carneiro Christiano, Sennes Luiz Ubirajara, Saldiva Paulo Hilário Nascimento, Tsuji Domingos Hiroshi, Ximenes Filho João Aragão
Department of Clinical Pathology, FMUSP.
Braz J Otorhinolaryngol. 2005 Nov-Dec;71(6):798-802. doi: 10.1016/s1808-8694(15)31251-9.
Several materials have been injected or introduced in the vocal folds in attempt of solving the glottic insufficiency. However, few studies have evaluated the cicatricial process due to the implantation of these materials.
The objective of this research was to evaluate the concentration of collagen after microsurgery graft of muscular fascia and fat in the vocal folds of rabbit.
experimental.
Nineteen rabbits were submitted to the graft insert in the right vocal fold, being nine of fascia and ten of fat. The left vocal fold was submitted to the same process, except for the insertion of fat or fascial graft. The rabbits were sacrificed after 90 and 180 days. The collagen was analyzed through the method of the Picrosirius-polarization using the Image Pro Plus software.
There was prevalence of the collagen in all grafted groups when compared with the group control. The concentration of the collagen found in the rabbits submitted to fat graft was significantly larger when compared to the concentration of the rabbits submitted to graft of muscular fascia, either with 90 as with 180 days.
The fat and muscular fascia implantation in the vocal folds of rabbit promoted production of collagen, being more intense with fat.
为解决声门闭合不全问题,已在声带中注射或引入了多种材料。然而,很少有研究评估这些材料植入后的瘢痕形成过程。
本研究的目的是评估兔声带显微手术移植肌肉筋膜和脂肪后胶原蛋白的浓度。
实验性研究。
19只兔子右侧声带接受移植植入,其中9只植入筋膜,10只植入脂肪。左侧声带除不植入脂肪或筋膜移植外,接受相同操作。90天和180天后处死兔子。使用Image Pro Plus软件通过天狼星偏振法分析胶原蛋白。
与对照组相比,所有移植组均有胶原蛋白增多。与接受肌肉筋膜移植的兔子相比,接受脂肪移植的兔子在90天和180天时胶原蛋白浓度显著更高。
兔声带植入脂肪和肌肉筋膜可促进胶原蛋白生成,脂肪的作用更强烈。