Rotter Nicole, Bücheler Markus, Haisch Andreas, Wollenberg Barbara, Lang Stephan
Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Schleswig-Holstein, Campus Lübeck, Germany.
J Tissue Eng Regen Med. 2007 Nov-Dec;1(6):411-6. doi: 10.1002/term.52.
Cartilage tissue engineering holds considerable promise for orthopaedic and reconstructive head and neck surgery. With an increasingly ageing population, the number of patients affected by arthritis and recurrent joint pain is constantly growing, along with the associated socio-economic costs. In head and neck surgery reconstructive procedures gain increasing importance in multimodal tumour therapies. These procedures require the harvesting of large amounts of donor tissue, which causes significant donor site morbidity. Therefore, in vitro-engineered cartilage may provide for a cost-effective and clinically valuable medical need. This article presents an overview of the clinical background as well as considerations for engineered cartilage in the head and neck, and provides examples of cartilage tissue engineering based on various scaffolds.
软骨组织工程在骨科及头颈重建外科领域有着巨大的前景。随着人口老龄化日益严重,患有关节炎和复发性关节疼痛的患者数量不断增加,相关的社会经济成本也在上升。在头颈外科中,重建手术在多模式肿瘤治疗中的重要性日益凸显。这些手术需要获取大量的供体组织,这会导致供体部位出现明显的并发症。因此,体外工程化软骨可能满足一种具有成本效益且具有临床价值的医疗需求。本文概述了临床背景以及对头颈部位工程化软骨的考量,并提供了基于各种支架的软骨组织工程实例。