Comparison of packing material in an animal model of middle ear trauma.

Journal Article (Journal Article)

Purpose

To compare the performance of absorbable gelatin sponge (AGS) with polyurethane foam (PUF) as middle ear packing material after mucosal trauma.

Materials and methods

Using a randomized, controlled and blinded study design fifteen guinea pigs underwent middle ear surgery with mucosal trauma performed on both ears. One ear was packed with either PUF or AGS while the contralateral ear remained untreated and used as non-packed paired controls. Auditory brainstem response (ABR) thresholds were measured pre-operatively and repeated at 1, 2, and 6weeks postoperatively. Histological analysis of middle ear mucosa was done in each group to evaluate the inflammatory reaction and wound healing. Another eighteen animals underwent middle ear wounding and packing in one ear while the contralateral ear was left undisturbed as control. Twelve guinea pigs were euthanized at 2weeks postoperatively, and six were euthanized at 3days post-operatively. Mucosal samples were collected for analysis of TGF-β1 levels by enzyme-linked immunosorbent assay.

Results

ABR recordings demonstrate that threshold level changes from baseline were minor in PUF packed and control ears. Threshold levels were higher in the AGS packed ears compared with both control and PUF packed ears for low frequency stimuli. Histological analysis showed persistence of packing material at 6weeks postoperatively, inflammation, granulation tissue formation, foreign body reaction and neo-osteogenesis in both AGS and PUF groups. TGF-β1 protein levels did not differ between groups.

Conclusion

PUF and AGS packing cause inflammation and neo-osteogenesis in the middle ear following wounding of the mucosa and packing.

Full Text

Duke Authors

Cited Authors

  • Perez, E; Hachem, RA; Carlton, D; Bueno, I; Vernon, S; Van De Water, TR; Angeli, SI

Published Date

  • July 2016

Published In

Volume / Issue

  • 37 / 4

Start / End Page

  • 323 - 329

PubMed ID

  • 27061143

Electronic International Standard Serial Number (EISSN)

  • 1532-818X

International Standard Serial Number (ISSN)

  • 0196-0709

Digital Object Identifier (DOI)

  • 10.1016/j.amjoto.2016.02.009

Language

  • eng