The Use of Russian Endoprostheses to Eliminate Defects of the Auricle: Experimental Analysis

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Abstract

Summary. The purposes of the study are to improve the quality of life of patients with congenital atresia or amputation of the external ear.

Materials and research methods. In the experiment, two closely related individuals of minipig (domestic dwarf pigs) of the Sus salvanius breed were used as a living biological model.

Two minipigs were surgically treated in the operating room under sterile conditions using standard surgical instruments.

The surgical phase of the experiment consisted of three stages. All surgical stages were performed under multicomponent total intravenous (IV) anesthesia in the presence of an anesthesiologist.

The operations were performed by two surgical teams of 2 surgeons each. The following steps were completed within 120 days:

All three surgical steps on both minipigs were identical and were performed synchronously.

Research results and their analysis. Based on the results of the study, the following conclusions can be drawn:

– the domestic endoprosthesis has shown its effectiveness and safety on a biological model;

– further study of the proven methodology on a larger number of biological models is necessary;

– taking into account the purity of Beta testing, the developed material must be tested in clinical studies;

– the use of chondrocytes and cell engineering technologies makes it possible to create safe and effective endoprostheses to eliminate congenital atresia of the auricle.

About the authors

N. A. Daykhes

National Medical Research Center of Otorhinolaryngology FMBA of Russia

Email: otolarfmba@mail.ru
Corresponding member RAS, Dr. Sc. (Med.), Professor; Director Moscow

N. E. Manturova

JSC Institute of Plastic Surgery and Cosmetology

Email: otolarfmba@mail.ru
Moscow

D. N. Nazaryan

National Medical Research Center of Otorhinolaryngology FMBA of Russia

Email: otolarfmba@mail.ru
Moscow

A. A. Khachatryan

National Medical Research Center of Otorhinolaryngology FMBA of Russia

Email: otolarfmba@mail.ru
Moscow

Yu. D. Khesuani

LLC 3D Bioprinting Solutions

Email: otolarfmba@mail.ru
Moscow

Kh. M. Diab

National Medical Research Center of Otorhinolaryngology FMBA of Russia

Email: otolarfmba@mail.ru
Moscow

A. S. Machalov

National Medical Research Center of Otorhinolaryngology FMBA of Russia

Email: otolarfmba@mail.ru
Moscow

G. G. Arakelyan

National Medical Research Center of Otorhinolaryngology FMBA of Russia

Email: otolarfmba@mail.ru
Moscow

References

  1. Kelley PE, Scholes MA. Microtia and Congenital Aural Atresia. Otolaryngol Clin North Am. 2007 Feb;40(1):61-80, vi. doi: 10.1016/j.otc.2006.10.003. PMID: 17346561.
  2. Luquetti DV, Heike CL, Hing AV, Cunningham ML, Cox TC. Microtia: Epidemiology and Genetics. Am J Med Genet A. 2012 Jan;158A(1):124-39. doi: 10.1002/ajmg.a.34352. Epub 2011 Nov 21. PMID: 22106030; PMCID: PMC3482263.
  3. Wang M, Xiao Z, Huang M, Xie J, Liu G. Clinical Effect Evaluation and Complication Analysis of Different Auricle Reconstruction of Congenital Microtia. Am J Transl Res. 2021 Dec 15;13(12):13878-13885. PMID: 35035728; PMCID: PMC8748167.

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