Hyaluronan-based scaffolds to tissue-engineer cartilage implants for laryngotracheal reconstruction

Mark Weidenbecher, James H Henderson, Harvey M. Tucker, Jonathan Z. Baskin, Amad Awadallah, James E. Dennis

Research output: Contribution to journalArticle

35 Scopus citations

Abstract

OBJECTIVES: Donor site morbidity, including pneumothorax, can be a considerable problem when harvesting cartilage grafts for laryngotracheal reconstruction (LTR). Tissue-engineered cartilage may offer a solution to this problem. This study investigated the feasibility of using Hyalograft C combined with autologous chondrocytes to tissue engineer cartilage grafts for LTR in rabbits. STUDY DESIGN: Animal study. METHODS: Eighteen New Zealand white rabbits underwent LTR: 12 rabbits received autologous tissue-engineered cartilage grafts and 6 animals, serving as a positive control group, native auricular cartilage. To determine any differences in response to the site of implantation and any potential immune response to the scaffold, a second piece of engineered neocartilage and a non-cell-loaded scaffold were inserted paralaryngeally into a subset of the rabbits. The rabbits were sacrificed 3, 6, 8, 10, and 12 weeks after the LTR and their larynx examined. RESULTS: None of the 18 rabbits showed signs of respiratory distress. A smooth, noninflammatory scar was visible intraluminally. Histologically, the native auricular cartilage implants showed excellent integration without any signs of inflammation or cartilage degradation. In contrast, all tissue-engineered grafts and empty scaffolds revealed marked signs of an unspecific foreign body reaction, leading to a complete degradation of the neocartilage, whether implanted para- or intralaryngeally. CONCLUSION: In contrast to the success with which Hyalograft C has been applied in articular defect repair, our results indicate that, in rabbits, Hyalograft C initiates a foreign body reaction if implanted intra- or paralaryngeally, leading to cartilage degradation and possible graft failure. These findings suggest limitations on the environment in which Hyalograft C can be applied.

Original languageEnglish (US)
Pages (from-to)1745-1749
Number of pages5
JournalLaryngoscope
Volume117
Issue number10
DOIs
StatePublished - Oct 2007
Externally publishedYes

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Keywords

  • Cartilage implant
  • Hyalograft C
  • Hyaluronan-based scaffold
  • Laryngotracheal reconstruction
  • Subglottic stenosis
  • Tissue engineering

ASJC Scopus subject areas

  • Otorhinolaryngology

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