Histopathologic Evaluation of Hyaluronic Acid and Plasma-Rich Platelet Injection into Rabbit Vocal Cords: An Experimental Study

Autor: Selmin Karataylı Özgürsoy, Fatma Tunçkaşık, M. Emin Tunçkaşık, Egemen Akıncıoğlu, Handan Doğan, Güçlü Kaan Beriat
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Turkish Archives of Otorhinolaryngology, Vol 56, Iss 1, Pp 30-35 (2018)
Druh dokumentu: article
ISSN: 2667-7474
DOI: 10.5152/tao.2018.2942
Popis: Objective: Various materials are used by otolaryngologists for vocal cord injections in the management of vocal cord paralysis. An ideal injection material should be long-term effective, readily available, cheap, easy to prepare, have no donor morbidity, easy to use, biocompatible, resistant to resorption or migration, and easy to extract during revision. In this study, we aimed to see the histopathological effects of hyaluronic acid (HYA) and platelet-rich plasma (PRP) injections into the vocal cords of New Zealand rabbits.Methods: PRP was injected into the right vocal cords of twelve rabbits, which was prepared from their serum (PRP group). HYA was injected into the left vocal cords of first six rabbits (numbered 1-6) (HYA group), and the left vocal cords of the other six rabbits (numbered 7-12) were followed with no intervention (control group). Two months later, histomorphological findings in the vocal cords were assessed by two experienced pathologists in seven parameters: chronic inflammation, mucosal atrophy, necrosis, neovascularization, fibrosis, foreign body reaction, and muscular atrophy. They were scored double-blinded as negative (0), mild (+1), moderate (+2), and severe (+3). Fisher’s chi-square test was used to evaluate any statistical significance among the three groups.Results: Chronic inflammation, mucosal atrophy, necrosis, foreign body reaction, and muscular atrophy parameters were scored as “0” for each preparate by both pathologists. For neovascularization and fibrosis, a stasistically significant difference was seen among the three groups (p
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