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Does periosteum promote chondrogenesis? A comparison of free periosteal and perichondrial grafts in the regeneration of ear cartilage.
Yoo, Hyokyung; Yoon, Taekeun; Bae, Hahn-Sol; Kang, Min-Suk; Kim, Byung Jun.
Afiliación
  • Yoo H; Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul, Korea.
  • Yoon T; Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul, Korea.
  • Bae HS; Idong Public Health Center, Yongin, Korea.
  • Kang MS; ID Hospital, Seoul, Korea.
  • Kim BJ; Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul, Korea.
Arch Craniofac Surg ; 22(5): 260-267, 2021 Oct.
Article en En | MEDLINE | ID: mdl-34732038
ABSTRACT

BACKGROUND:

Elastic ear cartilage is a good source of tissue for support or augmentation in plastic and reconstructive surgery. However, the amount of ear cartilage is limited and excessive use of cartilage can cause deformation of the auricular framework. This animal study investigated the potential of periosteal chondrogenesis in an ear cartilage defect model.

METHODS:

Twelve New Zealand white rabbits were used in the present study. Four ear cartilage defects were created in both ears of each rabbit, between the central artery and marginal veins. The defects were covered with perichondrium (group 1), periosteum taken from the calvarium (group 2), or periosteum taken from the tibia (group 3). No coverage was performed in a control group (group 4). All animals were sacrificed 6 weeks later, and the ratio of neo-cartilage to defect size was measured.

RESULTS:

Significant chondrogenesis occurred only in group 1 (cartilage regeneration ratio mean± standard deviation, 0.97± 0.60), whereas the cartilage regeneration ratio was substantially lower in group 2 (0.10± 0.11), group 3 (0.08± 0.09), and group 4 (0.08± 0.14) (p= 0.004). Instead of chondrogenesis, osteogenesis was observed in the periosteal graft groups. No statistically significant differences were found in the amount of osteogenesis or chondrogenesis between groups 2 and 3. Group 4 showed fibrous tissue accumulation in the defect area.

CONCLUSION:

Periosteal grafts showed weak chondrogenic potential in an ear cartilage defect model of rabbits; instead, they exhibited osteogenesis, irrespective of their embryological origin.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Arch Craniofac Surg Año: 2021 Tipo del documento: Article

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Arch Craniofac Surg Año: 2021 Tipo del documento: Article