Effect of vascular endothelial growth factor on laryngeal wound healing in rabbits.

OBJECTIVE

Study the effects of vascular endothelial growth factor (VEGF) on laryngeal wound healing in a rabbit model.

STUDY DESIGN

Prospective, randomized, blinded.

METHODS

The anterior cricoid cartilage of 10 rabbits was split and a VEGF-soaked collagen sponge was sewn between the cut edges. In 10 control animals, the collagen sponge was soaked with phosphate-buffered saline solution. The larynx was harvested on day 10. The degree of epithelial closure, the degree of soft tissue closure, and the presence of inflammatory cells was graded.

RESULTS

There was complete epithelial closure in the control group. There was a slightly higher, but not statistically significant, grade of soft tissue closure in the experimental group. The experimental group had a lower but not statistically significant acute inflammatory response score.

CONCLUSIONS

The topical application of VEGF through an implanted collagen sponge to an anterior, subglottic incision in a rabbit has no significant effect on tracheal luminal epithelial closure, acute inflammatory response, or soft tissue repair at postsurgical day 10.