¸ñÀû: To date, there have been few reports on the antiadhesive effect of
PUF as a middle ear packing. The purpose of this study was to
investigate the antiadhesive effect of PUF soaked with saline in an
animal model of mucosal trauma. ¹æ¹ý:Bioresorbable PUF soaked with saline was placed over abraded mucosa
in the experimental group (n = 7), and compressed Gelfoam soaked
with saline was placed in the control group (n = 7). After
measurement of auditory brainstem responses (ABRs), the animals
were sacrificed 3 weeks after packing placement for histological
observation. HE stain, Masson-trichrome stain, and
immunohistochemical stain for alpha-smooth muscle actin (SMA). °á°ú:The ABR results at postoperative week3 showed no statistically significant difference between the preoperative and post-packing values. An adhesion pattern withsubepithelial thickening was observed in the control group. Adhesion was not observed in the experimental group however,subepithelial fibrous thickening was noted. °á·Ð:No significant subepithelial healing differences were found
between Gelfoam and polyurethane foam (PUF).However, levels of
hyperplasia of the mucosal lining and inflammation were lower
with PUF packing. PUF packing is notfeasible as a middle ear
packing material for abraded mucosa. Further studies are required
before clinical application. |