title: Application of atelocollagen sheet for sellar reconstruction.
abstract: We aimed to evaluate combined use of atelocollagen sheet and fibrin glue for sellar reconstruction. Experiment 1: A plastic chamber was prepared with a hydroxyapatite lid with a hole of 10mm in diameter at its center, covered with a Gore-Tex sheet (W.L. Gore & Associates, Tokyo, Japan) 15mm in diameter and sealed with a combination of fibrin glue sealant and either atelocollagen sheet or polyglycolic acid (PGA) sheet. Air was injected into the chamber and the pressure at which air leakage occurred was measured under each situation. Mean (±standard deviation) leakage pressure was 816±162mmH2O for atelocollagen sheet (n=5), significantly higher than the 557±130mmH2O for PGA sheet (n=5, p<0.05, Wilcoxon test). Experiment 2: Bilateral 5mm bone windows were made in the temporal bone in eight rats. The surgical cavities were filled with one of four materials (fibrin glue only; fibrin glue and atelocollagen sheet; PGA sheet; or autologous fat tissue). Histological changes including the status of implanted materials and inflammatory responses were investigated 2 and 5weeks after the procedures. Both atelocollagen and PGA sheets remained at 5weeks after implantation, whereas fibrin glue and fat tissue were absorbed and undetectable at 2weeks. Inflammatory cell accumulation was less around the atelocollagen sheet compared to the PGA sheet. The combination of atelocollagen sheet and fibrin glue sealant showed sufficient adhesion force and favorable tissue affinity, suggesting this combination as a feasible material in sellar reconstruction.
authors.affiliation: Department of Neuromodulation and Neurosurgery, Graduate School of Medicine, Osaka University, 2-2, Yamadaoka, Suita, Osaka 565-0871, Japan; Department of Neurosurgery, Graduate School of Medicine, Osaka University, Osaka, Japan.
authors.forename: Yuko
authors.initials: Y
authors.lastname: Goto
authors.affiliation: Department of Neurosurgery, Graduate School of Medicine, Osaka University, Osaka, Japan.
authors.forename: Satoru
authors.initials: S
authors.lastname: Oshino
authors.affiliation: Department of Neurosurgery, Graduate School of Medicine, Osaka University, Osaka, Japan.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Shimizu
authors.affiliation: Department of Neuromodulation and Neurosurgery, Graduate School of Medicine, Osaka University, 2-2, Yamadaoka, Suita, Osaka 565-0871, Japan; Department of Neurosurgery, Graduate School of Medicine, Osaka University, Osaka, Japan. Electronic address: neurosaitoh@mbk.nifty.com.
authors.forename: Youichi
authors.initials: Y
authors.lastname: Saitoh
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation; D000818:Animals; D003094:Collagen / Q000009:adverse effects; D015718:Fibrin Tissue Adhesive; D006489:Hemostatic Techniques; D007249:Inflammation / Q000209:etiology; D008297:Male; D019635:Neurosurgical Procedures / Q000379:methods*; D011100:Polyglycolic Acid; D011138:Polytetrafluoroethylene; D051381:Rats; D017208:Rats, Wistar; D019651:Plastic Surgery Procedures / Q000379:methods*; D012658:Sella Turcica / Q000601:surgery*; D013701:Temporal Bone / Q000601:surgery
chemical_list: D015718:Fibrin Tissue Adhesive; C059821:atelocollagen; D011100:Polyglycolic Acid; D011138:Polytetrafluoroethylene; D003094:Collagen
keywords: Atelocollagen; Cerebrospinal leakage; Fibrin glue sealant; Sellar reconstruction