Miller Matthew Q, Dighe Abhijit, Cui Quanjun, Park Stephen S, Christophel J Jared
Department of Otolaryngology-Head and Neck Surgery, University of Virginia, Charlottesville.
Orthopedic Research Laboratories, Department of Orthopedic Surgery, University of Virginia, Charlottesville.
JAMA Facial Plast Surg. 2016 Sep 1;18(5):391-4. doi: 10.1001/jamafacial.2016.0913.
The field of regenerative medicine aims at enhancing tissue healing and regeneration through the exogenous addition of therapeutic growth factors and cells, often in combination with tissue-compatible scaffolds. Perhaps the biggest advances in facial plastic and reconstructive surgery (FPRS) in the coming years will be the result of regenerative medicine techniques. While many articles on regenerative medicine have been published in the FPRS literature, to our knowledge there are no reviews that describe both soft-tissue and bony regeneration strategies, including scaffolds, stem cells, growth factors, and platelet-rich plasma. In reviewing the literature, we found that these strategies have produced very promising results and that regenerative medicine has the potential to augment conventional treatment options in the FPRS subspecialty. In the near future, these novel approaches may begin to replace autologous grafting and free tissue transfer in FPRS, the current standards of care. In this review we look at where our subspecialty is today with regard to regenerative medicine and suggest ways for future study and growth.
再生医学领域旨在通过外源添加治疗性生长因子和细胞,并常常结合组织相容性支架,来促进组织愈合和再生。未来几年,面部整形与重建外科(FPRS)领域或许最大的进展将来自再生医学技术。尽管FPRS文献中已发表了许多关于再生医学的文章,但据我们所知,尚无综述描述软组织和骨组织的再生策略,包括支架、干细胞、生长因子和富血小板血浆。在回顾文献时,我们发现这些策略已产生了非常有前景的结果,并且再生医学有潜力增强FPRS亚专业中的传统治疗选择。在不久的将来,这些新方法可能开始取代FPRS中目前的护理标准——自体移植和游离组织移植。在本综述中,我们审视了我们这个亚专业在再生医学方面的现状,并提出了未来研究和发展的方向。
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