The Effect of 3-Dimensional-Printed Sequential Dual Drug-Releasing Patch on the Capsule Formation Around the Silicone Implant in a Rat Model.
Aesthet Surg J
; 44(6): NP411-NP420, 2024 May 15.
Article
in En
| MEDLINE
| ID: mdl-38330289
ABSTRACT
BACKGROUND:
Implant-based breast reconstruction is associated with increased risk of early infection and late-stage capsular contracture.OBJECTIVES:
We evaluated the feasibility of a dual drug-releasing patch that enabled the controlled delivery of antibiotics and immunosuppressants in a temporally and spatially appropriate manner to the implant site.METHODS:
The efficacy of a dual drug-releasing patch, which was 3-dimensional-printed (3D-printed) with tissue-derived biomaterial ink, was evaluated in rats with silicone implants. The groups included implant only (n = 10); implant plus bacterial inoculation (n = 14); implant, bacterial inoculation, and patch loaded with gentamycin placed on the ventral side of the implant (n = 10), and implant, bacterial inoculation, and patch loaded with gentamycin and triamcinolone acetonide (n = 9). Histologic and immunohistochemical analyses were performed 8 weeks after implantation.RESULTS:
The 2 drugs were sequentially released from the dual drug-releasing patch and exhibited different release profiles. Compared to the animals with bacterial inoculation, those with the antibiotic-only and the dual drug-releasing patch exhibited thinner capsules and lower myofibroblast activity and inflammation, indicating better tissue integration and less foreign body response. These effects were more pronounced with the dual drug-releasing patch than with the antibiotic-only patch.CONCLUSIONS:
The 3D-printed dual drug-releasing patch effectively reduced inflammation and capsule formation in a rat model of silicone breast reconstruction. The beneficial effect of the dual drug-releasing patch was better than that of the antibiotic-only patch, indicating its therapeutic potential as a novel approach to preventing capsular contracture while reducing concerns of systemic side effects.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Breast Implants
/
Implant Capsular Contracture
/
Printing, Three-Dimensional
/
Anti-Bacterial Agents
Limits:
Animals
Language:
En
Journal:
Aesthet Surg J
Year:
2024
Type:
Article