Long-Term In Vivo Evaluation of Chitosan Nerve Guide Properties with respect to Two Different Sterilization Methods.

Severe peripheral nerve injuries are reconstructed either with autologous nerve grafts (gold standard) or alternatively with clinically approved artificial nerve guides. The most common method used to sterilize these medical products is ethylene oxide gassing (EO). However, this method has several d...

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Publicado en:BioMed Research International Vol. 2018; pp. 1 - 12
Autores principales: Stößel, Maria, Metzen, Jennifer, Wildhagen, Vivien M., Helmecke, Olaf, Rehra, Lena, Freier, Thomas, Haastert-Talini, Kirsten
Formato: pictorial research tables/charts Journal Article
Publicado: Wiley-Blackwell 6/4/2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 6/4/2018
      vid: 2018
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2018/6982738
        129932674
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        atl: Long-Term In Vivo Evaluation of Chitosan Nerve Guide Properties with respect to Two Different Sterilization Methods.
      aug:
        au:
          Stößel, Maria
          Metzen, Jennifer
          Wildhagen, Vivien M.
          Helmecke, Olaf
          Rehra, Lena
          Freier, Thomas
          Haastert-Talini, Kirsten
        affil: Institute of Neuroanatomy and Cell Biology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, Germany
      sug:
        subj:
          Sciatic Nerve Surgery
          Sterilization and Disinfection Methods
          Polysaccharides
          Biocompatible Materials
          Nerve Regeneration
          Materials Testing
          Animal Studies
          Rats
          In Vivo Studies
          Inflammation
          Connective Tissue Pathology
      ab: Severe peripheral nerve injuries are reconstructed either with autologous nerve grafts (gold standard) or alternatively with clinically approved artificial nerve guides. The most common method used to sterilize these medical products is ethylene oxide gassing (EO). However, this method has several disadvantages. An alternative, which has been barely studied so far, represents beta irradiation (β). In previous studies, we developed an artificial nerve guide made of chitosan (chitosan nerve guide, CNG), a biomaterial that is known to potentially retain toxic residues upon EO sterilization. Therefore, we analyzed the long-term regeneration-supporting and mechanical properties of CNGs upon their sterilization with EO or β and their following application in unilateral repair of 12 mm gaps of the rat sciatic nerve. Over a period of 76 weeks, we serially evaluated the recovery of motor functions, the possible emergence of an inflammation in the surrounding connective tissue, the regrowth of axons into the distal nerve, and possible changes in the material properties. Our first long-term evaluation did not reveal significant differences between both sterilization methods. Thus, β is as appropriate as commonly used EO for sterilization of CNGs; however, it may slightly increase the stiffness of the biomaterial over time.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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