Yaşar Mehmet, Kaya Altan, Karaman Hatice, Kavugudurmaz Mustafa, Polat Halil, Sağıt Mustafa, Özcan İbrahim
Department of Otolaryngology, Kayseri Training and Research Hospital, Kayseri, Turkey.
J Int Adv Otol. 2016 Dec;12(3):252-256. doi: 10.5152/iao.2016.1612. Epub 2016 Aug 3.
Our aim was to investigate the curative role of topical Hypericum perforatum (HP) in a rat model of tympanic membrane perforation in a histopathological manner.
This study was conducted on 30 female Sprague-Dawley rats. An HP extract was prepared as a suspension in pure olive oil. In all rats, the right and left tympanic membranes were perforated by a fine puncture under a microscope. Rats were randomly assigned to three groups. The HP extract was given as drops on a daily basis in Group 1, while olive oil alone was given on a daily basis in Group 2. In Group 3, the rats were allowed spontaneous recovery without any intervention. Three rats from each group were sacrificed on days 7, 14, and 21. Temporal bullae were removed for histopathological examination to evaluate fibroblast proliferation, leukocyte infiltration, neovascularization, and subepithelial thickness and to compare these among the groups.
In histopathological examination of the rats from each group on days 7, 14, and 21, there were significant differences in leukocyte infiltration, fibroblast proliferation, and subepithelial thickness. No significant difference was observed in neovascularization among the groups.
Compared with the spontaneous recovery group, HP was found to be more effective in a wound-healing model of the tympanic membrane. HP may be applied in clinical practice if it is shown to be safe with regard to ototoxicity.
我们的目的是以组织病理学方式研究局部应用贯叶连翘(HP)在大鼠鼓膜穿孔模型中的治疗作用。
本研究对30只雌性Sprague-Dawley大鼠进行。将HP提取物制成纯橄榄油混悬液。在所有大鼠中,在显微镜下用细针穿刺双侧鼓膜造成穿孔。大鼠被随机分为三组。第1组每天滴注HP提取物,第2组每天仅滴注橄榄油。第3组大鼠不进行任何干预,任其自行恢复。每组分别在第7天、第14天和第21天处死3只大鼠。取出颞骨泡进行组织病理学检查,以评估成纤维细胞增殖、白细胞浸润、新生血管形成及上皮下厚度,并比较各组间的差异。
在第7天、第14天和第21天对每组大鼠进行组织病理学检查时,白细胞浸润、成纤维细胞增殖和上皮下厚度存在显著差异。各组间新生血管形成未见显著差异。
与自行恢复组相比,HP在鼓膜伤口愈合模型中更有效。如果HP在耳毒性方面被证明是安全的,则可应用于临床实践。