Quintanilha Ribeiro Fernando de Andrade, Borges Janaína de Pádua, Guaraldo Lusiele, Vianna Maria Regina
Otorhinolaryngology Department, Faculdade de Ciências Médicas, Santa Casa de São Paulo, Brazil.
Braz J Otorhinolaryngol. 2008 May-Jun;74(3):328-30. doi: 10.1016/s1808-8694(15)30563-2.
Experimental study in animals.
Mitomycin C has been used as a fibroblasts inhibitor, thus reducing the scaring process in surgical wounds.
This paper aims at assessing the use of Mitomycin C to reduce the scaring process through its topical use and later injected reinforcements.
We used a model of a creating a wound in the dorsum of rats, removing a circular piece of skin and letting it heal by itself. We used 18 rats, divided in three groups. The first group - Control, the second with topical use, and a third group with injected mitomycin C reinforcement, monthly for 2 months. After 3 months the animals were slaughtered and the scars were surgically removed and sent for histology study.
We noticed, under different criteria, that healing with topical mitomycin is less intense; however, when it was injected, the parameters were again comparable to those from the control group.
We believe that injected mitomycin C in the scar, since it is highly toxic, it destroys tissue and brings about scar neoformation.
Mitomycin C reduces the scaring process when used topically; however, it increases scar tissue formation when injected in these wounds.
动物实验研究。
丝裂霉素C已被用作成纤维细胞抑制剂,从而减少手术伤口的瘢痕形成过程。
本文旨在评估丝裂霉素C通过局部应用及后续注射强化来减少瘢痕形成过程的作用。
我们采用在大鼠背部制造伤口的模型,切除一块圆形皮肤并让其自行愈合。我们使用了18只大鼠,分为三组。第一组为对照组,第二组进行局部应用,第三组每月注射丝裂霉素C强化,共2个月。3个月后处死动物,手术切除瘢痕并送去进行组织学研究。
在不同标准下,我们注意到局部应用丝裂霉素C时愈合程度较轻;然而,当进行注射时,各项参数又与对照组相当。
我们认为在瘢痕中注射丝裂霉素C,由于其毒性很强,会破坏组织并导致瘢痕重新形成。
丝裂霉素C局部应用时可减少瘢痕形成过程;然而,在这些伤口中注射时会增加瘢痕组织形成。