A regenerative approach for partial tracheal defects, an in vivo canine model

  • Yamashita Masaru
    Department of Otolaryngology -- Head and Neck Surgery, Graduate School of Medicine, Kyoto University Division of Otolaryngology Head and Neck Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, U.S.A.
  • Kanemaru Shin-ichi
    Department of Otolaryngology -- Head and Neck Surgery, Graduate School of Medicine, Kyoto University
  • Hirano Shigeru
    Department of Otolaryngology -- Head and Neck Surgery, Graduate School of Medicine, Kyoto University
  • Tamura Yoshihiro
    Department of Otolaryngology -- Head and Neck Surgery, Graduate School of Medicine, Kyoto University
  • Umeda Hiroo
    Department of Otolaryngology -- Head and Neck Surgery, Graduate School of Medicine, Kyoto University
  • Ohno Tsunehisa
    Department of Otolaryngology -- Head and Neck Surgery, Graduate School of Medicine, Kyoto University
  • Suehiro Atsushi
    Department of Otolaryngology -- Head and Neck Surgery, Graduate School of Medicine, Kyoto University
  • Omori Koich
    Department of Otolaryngology, Fukushima Medical University
  • Nakamura Tatsuo
    Department of Bioartificial Organs, Institute for Frontier Medical Sciences, Kyoto University
  • Ito Juichi
    Department of Otolaryngology -- Head and Neck Surgery, Graduate School of Medicine, Kyoto University

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In the field of head and neck surgery, tracheal resection is frequently required for patients with cancer or trauma. There are several approaches for reconstructing the tracheal wall, but almost all require repeated skilled surgeries, which intend to fill the defect and create new airway space using autologous or artificial grafts.<BR>Regenerative medicine has made remarkable progress and has been applied clinically in some organs. Thus in this study, the usefulness of a tissue engineering approach for tracheal reconstruction was evaluated. A partial defect was created in canine cervical tracheas. A scaffold made of polypropylene and collagen sponge was sutured at the defect site. Postoperative status was evaluated by endoscopy, radiography, and histology. In all five cases, epithelialization of the scaffold luminal surface was observed without deformity or complications. Histological data also supported the functional regeneration of the trachea using this approach. This simple tissue engineering approach is a good method for reconstruction of the trachea with partial defects.

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