Comparative study of morphological and histological changes between differently structured expanded polytetrafluoroethylene implants in an animal model
Expanded polytetrafluoroethylene (e-PTFE) is a popular graft material used in augmentation rhinoplasty. New e-PTFE has thicker fibrils and is more compact than first developed e-PTFE. This study aimed to compare morphological and histological changes between differently structured e-PTFE implants in a rat model.
Two types of e-PTFE were implanted in the cranial region of 30 adult male rats. En bloc specimens containing the implants and surrounding soft tissues were sampled 1, 3, and 6 months after implantation. We measured the three-dimensional size of the implants over time and evaluated histological changes using light and electron microscopy.
Grossly, no implants were extruded, and there was no evidence of wound infection. All first developed e-PTFE samples were fixed to surrounding tissues after 1 month, whereas new e-PTFE samples tended to migrate and were easily separated from surrounding tissues until 3 months after implantation. The first developed e-PTFE height diminution rate was 14.7% of the initial value after 6 months; however, new e-PTFE size was not changed. Diameter and height diminution rates for first developed e-PTFE were significantly greater than those for new e-PTFE after 6 months. Histologically, connective tissue in growth was observed in first developed e-PTFE after 1 month, and the internodal space decreased over time; however, connective tissue did not infiltrate into new e-PTFE until 6 months and the internodal space was not significantly changed.
First developed e-PTFE should be carefully trimmed in augmentation because of its potential to decrease in size over time, whereas new e-PTFE is more likely to show migration and instability.
Document Type: Research Article
Affiliations: Department of Otorhinolaryngology–Head and Neck Surgery, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, Republic of Korea
Publication date: 2013-05-01
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- The American Journal of Rhinology & Allergy, is a peer reviewed, scientific publication committed to expanding knowledge and publishing the best clinical and basic research within the fields of Rhinology & Allergy. Its focus is to publish information which contributes to improved quality of care for patients with nasal and sinus disorders. Its primary readership consists of otolaryngologists, allergists, and plastic surgeons. Published material includes peer-reviewed original research, clinical trials and review articles.
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Previously published as American Journal of Rhinology, the journal is indexed in Thomson Reuters Web of Science and Science Citation Index, plus the National Library of Medicine's PubMed service.
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