Topikal dekspantenol uygulaması akut kulak zarı perforasyonlarının iyileşmesini hızlandırmaktadır: Deneysel bir çalışma
Yıl 2016,
Cilt: 6 Sayı: 3, 116 - 120, 31.12.2016
Sinem Demirdelen
Mehmet İmamoğlu
Selçuk Arslan
,
İsmail Sayğın
Öz
Objective: To investigate the healing effects of topical dexpanthenol on acute tympanic membrane (TM) perforations in rats through observations of healing time and histopathological changes.
Methods: A total of 20 Sprague-Dawley rats were included in the study. Every perforation was formed at the pars tensa of TMs with a size 2 mm in diameter. The right TM of each rat was treated with topical dexpanthenol for 2 days (treatment group); on the other hand, no topical agent was applied on the left TMs of rats (sham group). All TMs were examined under otomicroscopy at the third, fifth, and seventh days to determine the healing of TM perforations. Moreover, TMs were
histopathologically examined to assess neovascularization, collagenization, fibroblastic activity, inflammatory cell positivity at the lamina propria (LP) layer of TMs.
Results: The TM perforations in the treatment group healed significantly earlier (p<0.05). The collagenization at LP was significantly higher in the treatment group (p<0.05), while neovascularization and inflammatory cell positivity were significantly higher in the sham group (p<0.05). The fibroblastic activity was higher in the treatment group although no statistically significant difference was determined.
Conclusion: The findings of the current study suggest that dexpanthenol may accelerate the healing of acute TM perforation.
Kaynakça
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membrane perforations. An experimental study. Acta Otolaryngol
Suppl 1987;42:54–61.
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Induction of KGF, basic FGF, and TGFalpha mRNA expression
during healing of experimental TM perforations. Acta Otolaryngol
1998;118:701–4.
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healing of experimental tympanic membrane perforations. A comparison
of preparations with different rheologic properties. Arch
Otolaryngol Head Neck Surg 1998;114:1435–41.
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a complex process influenced by a variety of factors. Acta
Otolaryngol Suppl 1992;492:90–3.
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membrane perforations using epidermal growth factor.
Otolaryngol Head Neck Surg 1992;107:669–83.
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Travmatik timpan membran perforasyon iyileflmesinde basic
fibroblast growth faktorün etkisinin histolojik incelenmesi. Türk
Otolarengoloji Arflivi 1997;35:33–7.
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in skin disorders. Am J Clin Dermatol 2002;3:427–33.
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of tympanic membrane perforations. A two-dimensional histological
study in guinea pigs. Acta Otolaryngol 1990;109:406–15.
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tympanic membrane perforations. Acta Otolaryngol 1980;90:
332–41.
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membrane perforations with basic fibroblast growth factor.
Growth Factors 1991;5:265–72.
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improves the healing of experimental tympanic membrane perforations.
Acta Otolaryngol 1991;111:337–41.
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of basic fibroblast growth factor in tympanic membrane repair.
Laryngoscope 1994;104:1059–64.
- 14. O’Daniel TG, Petitjean M, Jones SC, et al. Epidermal growth factor
binding and action on tympanic membranes. Ann Otol Rhinol
Laryngol 1990;99:80–4.
- 15. Kaftan H, Herzog M, Miehe B, Hosemann W. Topical application
of transforming growth factor-beta1 in acute traumatic tympanic membrane perforations: an experimental study in rats.
Wound Rep Reg 2006;14:453–6.
- 16. Kehrl W, Sonnemann U. Dexpanthenol nasal spray as an effective
therapeutic principle for treatment of rhinitis sicca anterior.
[Article in German] Laryngorhinootologie 1998;77:506–12.
- 17. Gouteva I, Shah-Hosseini K, Meiser P. Clinical efficacy of a spray
containing hyaluronic acid and dexpanthenol after surgery in the
nasal cavity (septoplasty, simple ethmoid sinus surgery, and
turbinate surgery). J Allergy (Cairo) 2014;2014:635490.
- 18. Özel BF, Yasan H, Çirifl M, Do¤ru H, Çand›r Ö. Miringoskleroz
geliflimi ve kulak zar› perforasyonu iyileflmesi üzerine farkl› ajanlar›
n etkileri. KBB-Forum 2005;4:123–7.
- 19. Gunes Bilgili S, Calka O, Akdeniz N, Bayram I, Metin A. The
effects of retinoids on secondary wound healing: biometrical and
histopathological study in rats. J Dermatolog Treat 2013;24:283–
9.
- 20. Yardimci I, Karakan T, Resorlu B, et al. The effect of intraurethral
dexpanthenol on healing and fibrosis in rats with experimentally
induced urethral trauma. Urology 2015;85:274.e9–13.
Yıl 2016,
Cilt: 6 Sayı: 3, 116 - 120, 31.12.2016
Sinem Demirdelen
Mehmet İmamoğlu
Selçuk Arslan
,
İsmail Sayğın
Kaynakça
- 1. Cohen D, Tamir D. The prevalence of middle ear pathologies in
Jerusalem school children. Am J Otol 1989;10:456–9.
- 2. Hellstrom S, Laurent C. Hyaluronan and healing of tympanic
membrane perforations. An experimental study. Acta Otolaryngol
Suppl 1987;42:54–61.
- 3. Ishibashi T, Shinogami M, Ishimoto SI, Yoshida K, Kaga K.
Induction of KGF, basic FGF, and TGFalpha mRNA expression
during healing of experimental TM perforations. Acta Otolaryngol
1998;118:701–4.
- 4. Laurent C, Hellstrom S, Fellenius E. Hyaluronan improves the
healing of experimental tympanic membrane perforations. A comparison
of preparations with different rheologic properties. Arch
Otolaryngol Head Neck Surg 1998;114:1435–41.
- 5. Spandow O, Hellstrom S. Healing of tympanic membrane perforation-
a complex process influenced by a variety of factors. Acta
Otolaryngol Suppl 1992;492:90–3.
- 6. Amoils CP, Jackler RK, Lustig LR. Repair of chronic tympanic
membrane perforations using epidermal growth factor.
Otolaryngol Head Neck Surg 1992;107:669–83.
- 7. Dere H, Ünal A, Özcan ‹, Yard›mc› S, Ergül G, Titiz A, Aksoy F.
Travmatik timpan membran perforasyon iyileflmesinde basic
fibroblast growth faktorün etkisinin histolojik incelenmesi. Türk
Otolarengoloji Arflivi 1997;35:33–7.
- 8. Ebner F, Heller A, Rippke F, Tausch I. Topical use of dexpanthenol
in skin disorders. Am J Clin Dermatol 2002;3:427–33.
- 9. Johnson AP, Smallman LA, Kent SE. The mechanism of healing
of tympanic membrane perforations. A two-dimensional histological
study in guinea pigs. Acta Otolaryngol 1990;109:406–15.
- 10. Stenfors LE, Carlsoo B, Salen B, Winblad B. Repair of experimental
tympanic membrane perforations. Acta Otolaryngol 1980;90:
332–41.
- 11. Fina M, Bresnick S, Baird A, Ryan A. Improved healing of tympanic
membrane perforations with basic fibroblast growth factor.
Growth Factors 1991;5:265–72.
- 12. Mondain M, Saffiedine S, Uziel A. Fibroblast growth factor
improves the healing of experimental tympanic membrane perforations.
Acta Otolaryngol 1991;111:337–41.
- 13. Vrabec JT, Schwaber MK, Davidson JM, Clymer MA. Evaluation
of basic fibroblast growth factor in tympanic membrane repair.
Laryngoscope 1994;104:1059–64.
- 14. O’Daniel TG, Petitjean M, Jones SC, et al. Epidermal growth factor
binding and action on tympanic membranes. Ann Otol Rhinol
Laryngol 1990;99:80–4.
- 15. Kaftan H, Herzog M, Miehe B, Hosemann W. Topical application
of transforming growth factor-beta1 in acute traumatic tympanic membrane perforations: an experimental study in rats.
Wound Rep Reg 2006;14:453–6.
- 16. Kehrl W, Sonnemann U. Dexpanthenol nasal spray as an effective
therapeutic principle for treatment of rhinitis sicca anterior.
[Article in German] Laryngorhinootologie 1998;77:506–12.
- 17. Gouteva I, Shah-Hosseini K, Meiser P. Clinical efficacy of a spray
containing hyaluronic acid and dexpanthenol after surgery in the
nasal cavity (septoplasty, simple ethmoid sinus surgery, and
turbinate surgery). J Allergy (Cairo) 2014;2014:635490.
- 18. Özel BF, Yasan H, Çirifl M, Do¤ru H, Çand›r Ö. Miringoskleroz
geliflimi ve kulak zar› perforasyonu iyileflmesi üzerine farkl› ajanlar›
n etkileri. KBB-Forum 2005;4:123–7.
- 19. Gunes Bilgili S, Calka O, Akdeniz N, Bayram I, Metin A. The
effects of retinoids on secondary wound healing: biometrical and
histopathological study in rats. J Dermatolog Treat 2013;24:283–
9.
- 20. Yardimci I, Karakan T, Resorlu B, et al. The effect of intraurethral
dexpanthenol on healing and fibrosis in rats with experimentally
induced urethral trauma. Urology 2015;85:274.e9–13.