Guo Fengfeng, Yu Xiaobo, Sun Zhongyang, Pan Bo, Jiang Haiyue
The Seventh Department of Plastic Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, 100144, P.R.China.
Department of Plastic Surgery, Beijing Hospital, Beijing, 100730, P.R.China.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2019 May 15;33(5):601-605. doi: 10.7507/1002-1892.201807032.
To preliminarily investigate morghological changes of rabbits reshaping ear cartilage assisted by microdissection needle and explore feasibility of new therapy for ear deformity.
The bilateral ears of 5 male New Zealand rabbits (aged, 5-6 months) were fixed maintaining the curvature and randomly divided into 2 groups (5 ears in each group). The ears were stimulated by microdissection needle in experimental group and were not treated with stimulation in control group. The skin reaction in the experimental group was observed immediately and at 4 weeks after stimulation. Then, the fixtures were removed at 4 weeks, and the shapes of the ears were observed. The cartilages were harvested from the ears to examined morphological changes after HE staining, and measured the chondrocyte layer thickness.
All rabbits survived until the end of the experiment. The skin has healed completely after 4 weeks in experimental group. After removing fixtures, the ears in the two groups all maintained certain forms momentarily; while 24 hours later, the ears in the control group mostly recovered original form, and the ears in the experimental group still maintained certain molding form until 8 weeks. HE staining showed there were smooth cartilage and uniform distribution of cells in the control group; the matrix staining was basically consistent; and the skin was normal appearance with epidermis, dermis, and cartilage of normal aspect. But the proliferation of chondrocyte with more layers of cells were observed in the experimental group. In addition, there were degeneration and injury of cartilage cells and connective tissue with necrotic cells and inflammatory cells at needle insertion sites. The chondrocyte layer thickness was (385.714±2.027) μm in the control group and (1 594.732±1.872) μm in the experimental group, there was significant difference between the two groups ( =-759.059, =0.000).
Rabbit ear cartilage can be effectively reshaped by microdissection needle. Proliferation of chondrocyte and changes in matrix can be found during the reshaping process.
初步研究显微解剖针辅助下兔耳软骨重塑的形态学变化,探讨耳畸形新治疗方法的可行性。
选取5只5 - 6月龄雄性新西兰兔,固定双侧耳朵并保持其弯曲度,随机分为2组(每组5只耳朵)。实验组耳朵用显微解剖针刺激,对照组不进行刺激处理。观察实验组刺激后即刻及4周时的皮肤反应。4周后拆除固定装置,观察耳朵形态。取耳部软骨进行HE染色,观察形态学变化,并测量软骨细胞层厚度。
所有兔子均存活至实验结束。实验组4周后皮肤完全愈合。拆除固定装置后,两组耳朵均瞬间保持一定形态;24小时后,对照组耳朵大多恢复原状,而实验组耳朵直至8周仍保持一定塑形形态。HE染色显示,对照组软骨表面光滑,细胞分布均匀;基质染色基本一致;皮肤外观正常,有表皮、真皮,软骨形态正常。但实验组可见软骨细胞增殖,细胞层数增多。此外,针刺部位软骨细胞及结缔组织有退变损伤,可见坏死细胞及炎性细胞。对照组软骨细胞层厚度为(385.714±2.027)μm,实验组为(1 594.732±1.872)μm,两组差异有统计学意义(=-759.059,=0.000)。
显微解剖针可有效重塑兔耳软骨。重塑过程中可发现软骨细胞增殖及基质变化。