The effects of resorbable plates on rabbit ear cartilage.
BACKGROUND
When performing septorhinoplasty, deviated segments of septal cartilage can be straightened using cartilage or bone as splinting grafts. In some cases, autologous material is not available without an additional surgical procedure to harvest cartilage or bone. It is possible that resorbable plates can be used to splint and straighten deviated cartilage. Experience using bioresorbable rigid fixation devices on cartilage has been limited.


OBJECTIVE
To examine early histopathologic changes of rabbit ear cartilage and adjacent soft tissue following implantation with bioresorbable plates.


METHODS
Nonrandomized, placebo-controlled trial.


METHODS
Twelve adult New Zealand white rabbits.


METHODS
Ten adult New Zealand white rabbits (20 ears) underwent stenting of intact ear cartilage with LactoSorb plates (Lorenz, Jacksonville, Fla). Rabbits were killed 28 days after implantation, and the soft tissue, plates, and cartilage were harvested and prepared for histological examination. As controls, 2 rabbits (4 ears) underwent dissection and closure without stenting.


RESULTS
Six rabbits experienced superficial skin breakdown on the ventral surface of the ear caused by excessive wound tension of the implant. The cartilage-plate interface and the surrounding soft tissues stenting the dorsal side of the ear remained free of inflammation or necrosis for all animals. Simple elevation of the perichondrium revealed no differences in the appearance of the cartilage between the control and test rabbits.


CONCLUSIONS
Resorbable plates have no deleterious effects on cartilage during the first month of implantation. While short-term studies have documented the safety and efficacy of using bioresorbable plates, further studies are recommended.
Mingrone
M D
MD
Department of Otolaryngology-Head and Neck Surgery, University of Illinois at Chicago, USA.
Porter
J P
JP
Lovice
D B
DB
Keenan
M J
MJ
O'Grady
K
K
Bhattacharyya
T K
TK
Toriumi
D M
DM
D020341:Absorbable Implants; D000818:Animals; D002356:Cartilage / Q000601:surgery*; D004423:Ear / Q000601:surgery; D020007:Implants, Experimental; D011817:Rabbits; D019651:Plastic Surgery Procedures / Q000295:instrumentation* / Q000379:methods; D012016:Reference Values; D012680:Sensitivity and Specificity; D014945:Wound Healing / Q000502:physiology