title: Chondrocytes suspended in modified fibrin glue for vocal fold augmentation: An in vitro study in a porcine larynx model.
abstract: BACKGROUND
  Injection laryngoplasty is an option for treatment of dysphonia following vocal fold paralysis. Modified fibrin glue with suspended chondrocytes might be a favorable cell-based material for permanent vocal fold medialization.
  
  
  METHODS
  We compared fibrin glue with suspended chondrocytes to collagen and hyaluronic acid gels concerning alteration of vocal fold vibration and correct intralaryngeal placement after intralaryngeal injection into porcine larynges. Viscoelastic properties of the materials were analyzed by means of a parallel plate rheometer.
  
  
  RESULTS
  Fibrin glue with cells was comparable to collagen and hyaluronic acid with respect to amplitudes, symmetry, and periodicity of vocal fold vibration. Application and positioning of fibrin glue with suspended chondrocytes were technically undemanding and comparable with controls. Complex stress modulus of fibrin glue with suspended cells was comparable to that of collagen gel.
  
  
  CONCLUSIONS
  Fibrin glue with suspended chondrocytes seems suitable for the indication of injection laryngoplasty and holds promise for permanent vocal fold medialization.
authors: Department of Otorhinolaryngology, Klinikum rechts der Isar, TU München, Munich, Germany. d.skodacek@lrz.tum.de
authors: Daniel
authors: D
authors: Skodacek
authors: Ulrike
authors: U
authors: Arnold
authors: Katharina
authors: K
authors: Storck
authors: Carmelo
authors: C
authors: Perez Alvarez
authors: Sabine
authors: S
authors: Ratzinger
authors: Rainer
authors: R
authors: Staudenmaier
mesh_terms: D000818:Animals; D002478:Cells, Cultured; D019902:Chondrocytes / Q000637:transplantation*; D003094:Collagen / Q000008:administration & dosage; D015718:Fibrin Tissue Adhesive / Q000008:administration & dosage*; D006801:Humans; D006820:Hyaluronic Acid / Q000008:administration & dosage; D007267:Injections; D023421:Models, Animal; D013552:Swine; D023822:Tissue Engineering / Q000379:methods*; D055682:Viscoelastic Substances / Q000008:administration & dosage*; D055675:Viscosupplements / Q000008:administration & dosage; D014826:Vocal Cord Paralysis / Q000628:therapy*
chemical_list: D015718:Fibrin Tissue Adhesive; D055682:Viscoelastic Substances; D055675:Viscosupplements; D006820:Hyaluronic Acid; D003094:Collagen