简介:BackgroundThepurposeofotomicrosurgeryinmoderntimesistoachievecompleteremovalofdisease,whichisthebasisforhearingrehabilitation.Artificialossiclesareimportantforhearingrehabilitation.Oneofthematerialsishydroxyapatitethatactsasossicularreplacementprosthesis(HAprosthesis,PORP&TORP)andiscommonlyusedassubstituteboneinclinics.AlthoughHAprosthesesfeaturegoodbiocompatibility,stabilityandcertainresistancetoinfection,thestructureofthematerialcanbedecomposedandabsorbed.Baseduponanimalexperimentsandclinicalapplication,thisarticleexplorestheinfectivityofHAprosthesesandinfluencingfactors.MaterialsandMethodsHAprostheseswereimplantedinthebullainguineapigs.InfectedHAprostheseswereexaminedunderascanningelectronmicroscope.NinetypatientsimplantedwithHAprostheseswerefollowedformorethan3months.Fivecasesthathadundergonerevisionoperationswerereported.ResultsScanningelectronicmicroscopyshowedthatthenormalcompactstructureshaddisappearedandbecomelooseininfectedHAprostheses,withtheirmicroporesinfiltratedwitheffusion,fibroustissueandinflammatorycells.Asaresult,thenormalceramicstructurewasdecomposedandthemicroporesstructuredisappeared.TheinfectedmesotympanuminthereportedcasesalsoledtoHAinfection.Theshapeandstructureofboneweredestroyed,whichwasvisiblebyvisualexaminationandlightmicroscopy.Theprocessofcholesteatomarecurrencewasalwaysassociatedwithinfection,althoughtheHAprosthesiswassometimesspared.ConclusionWhileHAprosthesisisanti-infectivetosomeextent,long-terminfectionandcholesteatomarecurrencecanleadtodestructionanddecompositionofHAprostheses.Long-terminfectedmiddleearcavity,dysfunctionalEustachiantube,residualandrecurrentcholesteatomaandotherfactorscancausedecompositionofHAprosthesisandresultinhearingloss.
简介:ObjectiveTostudylocalinflammatoryresponseafterimplantationofhydroxyapatitesyntheticossicularprosthesis.MethodsHydroxyapatitegranuleswereimplantedinthebullain32rats.Shamsurgicalprocedureswereperformedin10ratsasthecontrol.Animalsweresacrificedat1to300daysaftersurgery.Bullasections,stainedwithHEandMallory'sazan,wereexaminedfornumbersandpercentagesofvariousinflammatorycelltypes.ResultsSlightlymoreinflammatoryreactionwasseeninanimalswiththeimplantthaninthecontrols,mostlyduringtheearlystagefollowingtheimplantationprocedure.Fewinflammatorycellswereobservedatlatertimes.Thereweresatisfactoryfibrosisinbothimplantedandcontrolears.ConclusionTheresultsindicatethathydroxyapatitesyntheticprosthesisisabiocompatibleimplantationmaterialinthemiddleear.Nonetheless,thepresenceofinflammatoryreactionimmediatelyfollowingimplantationimpliesthatcontrolofinfectionisimportantintheearlytimesaftertheimplantationprocedure.
简介:Bonedefectisoneofthemostcommondiseasesinclinic.Existingtherapeuticapproacheshaveencounteredmanyproblems,suchaslackofautogenousallogeneicboneandimmunologicalrejectiontoallogeneicimplant.Synthetichydroxyapatite(HA)providedsolutionsforbonerepair,sincetheHAisthemaininorganiccomponentofanimals'bone.AlthoughHAhasgoodbiocompatibility,butonlythelimitedosteogeniccapability,whichisofsignificanceformodernbonerepairmaterials.Siisanessentialtraceelementinbonetissue,andithasbeendemonstratedtobeabletopromoteboneformation.Therefore,silicate-dopedhydroxyapatite(Si-HA)mayserveasapromisingmaterialforbonerepair,andpromoteboneregenerationintherepair.ThecurrentreviewdiscussesdevelopmentofSi-HA,focusingonitspreparationandcharacterization,invitroandinvivoevaluationsofthematerial,positiveeffectofSi-HAonpromotingboneformationinclinicalapplications,andmolecularmechanisminvestigationofsuchpromotiveeffect.
简介:Novelcore-shellhydroxyapatite/chitosanbiocompositenanospheresweresynthesizedinamultipleemulsion.Themultipleemulsionwasaw/o/wemulsion,madeofdiammoniumphosphatesolutionasaninneraqueousphase,cyclohexaneasanoilphase,andcalciumnitratesolutionandchitosansolutionasanouteraqueous.Theformingmechanismofcore-shellspheresandtheinfluenceoftemperatureonthemorphologyofthenanosphereswereinvestigated.Thediameteroftheresultingcore-shellnanosphereswas100-200nmandthethicknessofthechitosanshellwasabout10nm.Anditconcludedthatatdifferentreactiontemperaturethemorphologiesoftheproductswouldbechanged.Thecore-shellnanosphereshavepotentialapplicationsforthedevelopmentofnewbiomedicalmaterials.
简介:Thebovinehydroxyapatite(BHA)wasappliedtopreparebiologicaltissueengineeringscaffoldsbythemethodofextrusionfreeforming.Toachievethisgoal,BHAwereaddedtosodiumalginate(SA)solutiontoformaslurrysysteminappropriateproportion.Theresultingmixtureswerefabricatedtobeakindofcontrollableandporousscaffoldsfollowedwithcross-linkingin5%calciumchloride(CaCl2)solutionfor24h.Afterthat,thescaffoldsweresinteredinairat1000,1100,1200and1300℃for5h.Scanningelectronmicroscopy(SEM)andX-raydiffraction(XRD)studieswereperformedonthescaffoldstoanalyzeitsmicrostructureandconstituent.Toexploretheeffectofsinteringtemperatureonscaffolds,thecompressivestrength,volumeshrinkageandwaterabsorptivityofBHA-SAcompositescaffoldsaftersinteringwereinvestigated.TheresearchtestsindicatedthefeasibilityofapplyingBHApowderto3Dprinting.Besides,thescaffoldssinteredinarespectivelylowertemperaturepossessmuchmoreporesandperformedhigherwaterabsorptivity,whichmeansbettercellularaffinity.Andscaffoldssinteredbetween1100and1200℃presentshighercompressivestrength.
简介:Inanefforttodevelopbiomaterialstomeetguidedtissueregeneration(GTR)standardsforperiodontaltissuerecovery,ahomogeneousandtransparentchitosan(CS)/hydroxyapatite(HA)membranewithpotentialapplicationsasGTRbarrierinperiodontaltherapyhasbeenpreparedviainsitucompositing.ThemembranehasbeendesignedtohaveasmoothroughasymmetricstructurethatmeetsthedemandforGTR.ComponentandmorphologyofthemembranearecharacterizedbyXRDandSEM.ItcanbeindicatedthatHAwasinsitusynthesizeduniformlyintheCSmembrane.MechanicalexperimentsofthemembraneswithvariousHAcontentsshowthattheirtensilestrengthsareadequateforperiodontaltherapy.Biologicalpropertiesofthemembranehavebeenperformedbycelltoxicityassays,hemolysistestsandanimalexperiments.Resultsindicatethatthemembranehasgoodbiocompatibilityandinductiveeffectforcellgrowth.ThereforethismembranecanbepotentiallyappliedasGTRbarriermembraneforperiodontaltissueregeneration.
简介:·AIM:Toprovidesuperiorcosmeticresultsandreducecomplications,unliketraditionaleviscerationcoupledwithimplantinsertiontechniqueanditsmodifications,wehavedevelopedanovelandsimpletechniqueforanophthalmicpatients.·METHODS:Allpatientswhounderwentthescleral-muscleflapsprocedureineviscerationwiththeplacementofhydroxyapatiteimplantwereincludedinthestudy.Mainoutcomemeasureswerecomplicationssuchasexposure,infection,chemosis,conjunctivalinclusioncysts,granulomas.Meanwhile,implantmotilitywasindirectlymeasuredandtheresultswerecollectedandanalyzed.·RESULTS:Atotaloftwenty-eightpatientswereenrolledinthestudy.Eighteenweremen(64.29%)andtenwerewomen(35.71%).Agesrangedfrom18to65y(meanage,32yearsold).Meanfollow-upwas12.32mo(range,9-16mo).Allpatientsreceivedahydroxyapatiteimplant.Theaveragediameteroftheimplantwas19.29±1.36mm(range,18-22mm).Minorcomplicationsoccurredin3patients,andamajorcomplicationwasobservedin1patient.Meanmotilitywere11.04±1.45mmhorizontally(range,7-14mm)and8.57±1.50mmvertically(range,5-12mm).·CONCLUSION:Thesclera-muscleflapstechniqueineviscerationwithhydroxyapatiteimplantationissimpleandpracticalthateasesthesurgicalprocedure,enablesapropersizehydroxyapatiteimplantation,distinctivelyreducescomplicationsandprovidessuperiorsurgeryresults,especiallythemotilityoftheimplant.
简介:Glassbasedbonecement(GBC)wassynthesizedbymixingCaO-SiO2-P2O5basedglasspowderwithammoniumphosphateliquidmedium.Bone-likehydroxyapatite(HAP,Ca10(PO4)6(OH)2)wasfoundtoformafterGBCwasimmersedinsimulatedbodyfluid(SBF).HAPcrystalgrewwithanincreasingtimealongcaxleandreachedabout200nminlengthafter30days,however,theendplanegranularityremained30~50nm.Thechemicalcomposition,crystalstructureandmorphologyofHAPformedfromGBCwereprovedtohavegreatresemblancewithlivingHAP.ItisbelievedthatGBCwasadesirablebiomedicalmaterialwithhighbioactivity.Furthermore,thehighcompressivestrengthguaranteedthepossibilityofGBCinclinicalapplication.