Bularda Dragoș, Șerban Roxana, Butnaru Corina, Mareș Mihai, Burtan Liviu Catalin, Rădulescu Luminița, Mârțu Cristian
Department of Otorhinolaryngology, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iași, Romania.
Department of Biochemistry, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iași, Romania.
J Pers Med. 2024 May 11;14(5):513. doi: 10.3390/jpm14050513.
Chronic tympanic membrane perforation represents a prevalent otological condition, necessitating a reliable animal model for the validation and safety assessment of surgical techniques and materials employed in myringoplasty. This prospective study involved the establishment of chronic tympanic membrane perforation animal models in 16 chinchillas. A thermic myringotomy was conducted on the right ear (study group), followed by cold instrument myringotomy, coupled with the topical application of mitomycin C and dexamethasone solution on the left ear (control group). Results revealed that tympanic membrane perforations in the study group persisted for a minimum of 4 weeks in 93.7% of cases and extended to 12 weeks in 62.5% of the cases. In contrast, all tympanic membrane perforations in the control group were present at 4 weeks, with only 37.5% persisting after 12 weeks, although statistical tests did not find significant differences between the two groups (chi-square: -value = 0.157, Kruskal-Wallis: -value = 0.093, Mann-Whitney: -value = 0.121). The thermic myringotomy employed to induce chronic tympanic membrane perforation in animals demonstrated efficiency and sustainability. This model, characterized by stability and reproducibility, holds promise for future experimental applications in the field.
慢性鼓膜穿孔是一种常见的耳科疾病,需要一种可靠的动物模型来验证和评估鼓膜成形术中所采用的手术技术和材料的安全性。这项前瞻性研究涉及在16只龙猫中建立慢性鼓膜穿孔动物模型。对右耳进行热灼鼓膜切开术(研究组),随后对左耳进行冷器械鼓膜切开术,并局部应用丝裂霉素C和地塞米松溶液(对照组)。结果显示,研究组中93.7%的病例鼓膜穿孔至少持续4周,62.5%的病例持续至12周。相比之下,对照组所有鼓膜穿孔在4周时均存在,12周后仅有37.5%持续存在,尽管统计学检验未发现两组之间存在显著差异(卡方检验:P值=0.157,Kruskal-Wallis检验:P值=0.093,Mann-Whitney检验:P值=0.121)。用于在动物中诱导慢性鼓膜穿孔的热灼鼓膜切开术显示出有效性和可持续性。该模型具有稳定性和可重复性,有望在该领域未来的实验应用中发挥作用。