Topikal dekspantenol uygulaması akut kulak zarı perforasyonlarının iyileşmesini hızlandırmaktadır: Deneysel bir çalışma
Abstract
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.
Keywords
References
- 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.
Details
Primary Language
Turkish
Subjects
Health Care Administration
Journal Section
Research Article
Publication Date
December 31, 2016
Submission Date
July 24, 2017
Acceptance Date
-
Published in Issue
Year 2016 Volume: 6 Number: 3