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ENT/Head and Neck Reconstruction AbstractsHistological comparison of implanted cadaveric and porcine dermal matrix grafts
Richter GT, Smith JE, Spencer HJ, Fan CY, Vural E.
Otolaryngology-Head and Neck Surgery (2007) 137, 239-242
Cincinnati, OH; Charleston, SC; and Little Rock, AR
OBJECTIVES: Histological comparison of human-based (AlloDerm) and porcine-based (ENDURAGen) dermal matrices regarding tissue incorporation and neovascularization as potential soft tissue augmentation materials.
STUDY DESIGN: In vivo, rat model.
METHODS: Subcutaneous implantation of 1-mm thick, 1 cm x 1 cm pieces of AlloDerm, ENDURAGen, and meshed ENDURAGen was performed in 24 Sprague Dawley rats. Implant materials were harvested at 4 (n=12) and 8 weeks (n=12). Histological quantification of soft tissue ingrowth and microvascular density was performed following hematoxylin-eosin staining and CD34 immunohistochemistry, respectively.
RESULTS: AlloDerm showed significantly greater soft tissue ingrowth and microvascular density compared with both ENDURAGen and meshed ENDURAGen at 4 and 8 weeks (P < 0.001).
CONCLUSIONS: Although these results may differ in human host tissues, AlloDerm seems to be a more suitable dermal matrix implant than ENDURAGen for cases in which tissue incorporation and neovascularization are sought for the optimal outcome based on this animal model. |
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