Effect of anti-adhesion barrier solution containing ciprofloxacin-hydrocortisone on abraded mucosa with otitis media
No study to date has assessed the anti-adhesive effect of new middle ear (ME) packing agents in. This study compared the anti-inflammatory and anti-adhesive effect of antibiotic-steroid containing packing agents in abraded mucosa of the ME inflammation.
Materials and methods:
Transbullar injection of a saline suspension of Pseudomonas aeruginosa lipopolysaccharide (LPS) induced otitis media. ME mucosa of guinea pigs was abraded using a pick 30 min after LPS inoculation. The animals were divided into four groups of 10 guinea pigs each. In group A, ME cavity was preserved without any packing. In group B, ME cavity was packed with soluble hyaluronic acid-carboxymethyl cellulose (HA-CMC). In group C, the ME cavity was packed with soluble HA-CMC. In group D, the ME cavity was packed with antibiotic-steroid containing soluble HA-CMC. Otoendoscopic examination, auditory brainstem responses (ABRs), and radiographic examination using computerized tomography (CT) were performed at 2 weeks post-surgery. Histopathological evaluation for ME mucosa was performed by light microscopy (LM) and scanning electron microscopy (SEM).
Otoendoscopic findings and CT findings revealed that group D showed the best recovery of aeration in the ME compared to other groups. Recovery of ABRs threshold was significantly attenuated in group D. In LM and SEM findings, group D showed normalized mucosal thickening compared to other groups.
ME packing by antibiotic-steroid containing soluble HA-CMC may be useful in the abraded mucosa of the ME inflammation.
Available from: Se Heang Oh
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ABSTRACT: The appropriate anti-adhesive effect of polymers on cells or tissues in the body is one of the essential requirements of maintaining health and protecting the body from trauma and foreign bodies. Regulating the anti-adhesive properties of biomedical polymers against cells has been considered a pivotal parameter in developing polymeric biomaterials for biomedical applications such as artificial blood vessels and cell encapsulation. Meanwhile, tissue adhesion barriers that can physically isolate wounds and thus effectively prevent the formation of tissue adhesion have been a hot topic in both research and industrial fields. This review describes the comprehensive knowledge and recent research efforts on polymers for anti-adhesion to both cells and tissues. The basic concepts and mechanisms for the design and performance of anti-adhesive polymers are introduced in terms of both cell and tissue. Polymer-based approaches for anti-adhesion to cells or tissues are then extensively discussed.
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