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上颌骨缺损的组织工程

Tissue Engineering in Maxillary Bone Defects.

作者信息

Khodakaram-Tafti Azizollah, Mehrabani Davood, Shaterzadeh-Yazdi Hanieh, Zamiri Barbad, Omidi Mahsa

机构信息

Department of Pathobiology, School of Veterinary Medicine, Shiraz University, Shiraz, Iran.

Burn and Wound Healing Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

World J Plast Surg. 2018 Jan;7(1):3-11.

Abstract

BACKGROUND

Restoration of craniofacial bone defects has been a concern for oral and maxillofacial surgeons. In this study, the healing effect of fibrin glue scaffold was compared with autologous bone graft in mandibular defects of rabbit.

METHODS

Bilateral unicortical osteotomy was performed in the diastema region of 10 male Dutch rabbits. The subjects were randomly divided into 2 equal groups. The mandibular defect on the right side was treated with fibrin glue scaffold and the defect on the left side with autologous bone graft provided from iliac crest. After 4 and 8 weeks, five rabbits from each group were sacrificed and the defects were evaluated morphologically, by coronal computed tomography scanning (CT-scan) and by histological examinations.

RESULTS

The healing effect of fibrin glue scaffold and autologous bone graft was similar with appropriate osteogenesis in comparison to the control group.

CONCLUSION

Using fibrin glue can be a non-invasive treatment of choice in mandibular defects and maxillofacial surgeries when compared with autologous bone graft.

摘要

背景

颅面骨缺损的修复一直是口腔颌面外科医生关注的问题。在本研究中,比较了纤维蛋白胶支架与自体骨移植对兔下颌骨缺损的愈合效果。

方法

对10只雄性荷兰兔在其牙间隙区域进行双侧单皮质截骨术。将实验对象随机分为两组,每组数量相等。右侧下颌骨缺损采用纤维蛋白胶支架治疗,左侧缺损采用取自髂嵴的自体骨移植治疗。4周和8周后,每组处死5只兔子,通过冠状面计算机断层扫描(CT扫描)和组织学检查对缺损进行形态学评估。

结果

与对照组相比,纤维蛋白胶支架和自体骨移植的愈合效果相似,均有适当的骨生成。

结论

与自体骨移植相比,使用纤维蛋白胶在治疗下颌骨缺损和颌面外科手术中可能是一种无创的治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ba0/5890360/1129cc612ea0/wjps-7-003-g001.jpg

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