2015, Number 4
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Otorrinolaringología 2015; 60 (4)
Treatment of acute perforation of tympanic membrane of guinea pigs with glucosamine-chondroitin-vitamin C
Garzón-Arruel CI, Mora-Mendoza I, Barranco R
Language: Spanish
References: 31
Page: 243-251
PDF size: 346.88 Kb.
ABSTRACT
Objectives: To determine the relieve of acute perforation of tympanic membrane postreatment with glucosamine/chondroitin/vitamin C in guinea pigs, to know the time of cure of acute perforation of tympanic membrane with or without glucosamine/chondroitin/vitamin C, as well as to determine if there is a relation to the size of perforation of tympanic membrane.
Material and method: An experimental, prospective, longitudinal and comparative study was made including 20 healthy, adults guinea pigs, of both sexes, with weight of 400 to 1,000 g. Otoscopies were done in order to assess the integrity of tympanic membrane of guinea pigs and to discard infectious processes, to document anatomy and size of tympanic membrane. Guinea pigs were distributed into two groups; all subjects were submitted to myringotomy of pars tensa of each tympanic membrane; group B was given treatment with glucosaminechondroitin sulphate-vitamin C (450 mg/10 mg/30 mg), VO, each 12 hours, for a month.
Results: Closing of perforation of tympanic membranes occurred after two weeks in six membranes (two of the control group [A] and four in experimental group [B]); at three weeks in 30 tympanic membranes (14 in group A and 16 in group B) and at four weeks, two of group A. However, there was not statistically significant difference between groups (p=4.8, gl=2, p=0.091).
Conclusions: Treatment of acute perforation of tympanic membrane in guinea pigs does not improves nor reduce the time for closing of perforation.
REFERENCES
Hellstrom S, Laurent C. Hyaluronan and healing of tympanic membrane perforations. An experimental study. Acta Otolaryngol Suppl 1987;1442:54-61.
Lim DJ. Tympanic membrane. Electron microscopic observation. I: pars tensa. Acta Otolaryngol 1968;66:181-198.
Alberts B, Johnson A, Lewis J, Raff M, et al. Extracellular matrix of animals. In: Molecular Biology of the Cell. 4th ed. New York: Garland Science; 2002.
Johnson AP, Smallman LA, Kent SE. The mechanism of healing tympanic membrane perforations. A two-dimensional histological study in guinea pig. Acta Otolaryngol 1990;109:406-415.
Magnuson K, Hermansson A, Hellström S. Healing of tympanic membrane after myringotomy during Streptococcus pneumoniae otitis media. An otomicroscopic and histologic study in the rat. Ann Otol Rhinol Laryngol 1996;105:397-404.
Spratley J, Hellström S, Eriksson PO, Pais-Clemente M. Early structural tympanic membrane reactions to myringotomy: a study in an acute otitis media model. Acta Otolaryngol 2002;122:479-487.
Stenfeldt K, Johansson C, Hellström S. The collagen structure of the tympanic membrane collagen types I, II, and III in the healthy tympanic membrane, during healing of a perforation, and during infection. Arch Otolaryngol Head Neck Surg 2006;132:293-298.
Owens S, Wagner P, Vangsness CT. Avances recientes en la suplementación con glucosamina y condroitina. J Knee Surgery 2004;17:185-193.
Calvo R. Sulfato de glucosamina y condroitín sulfato, fármacos para el tratamiento de la artrosis, acusados de no presentar eficacia clıínica. ¿Culpables? Gaceta Médica de Bilbao. España, 2012.
Diccionario de Especialidades Farmaceúticas. México: PLM 2012.
Arch-Tirado E, Verduzco-Mendoza A, Azuara-Pliego E. Utilidad del cobayo como modelo de estudios audiológicos y propuesta de accesos quirúrgicos al oído y cuello. Academia Mexicana de Cirugía 2005.
Albuquerque AA, Rossato M, Apparecido de Oliveira JA, Hyppolito MA. Understanding the anatomy of ears from guinea pigs and rats and its use in basic otologic research. Braz J Otorhinolaryngol 2009;75:43-49.
Afolabi OA, Aremu SK, Alabi BS, Segun-Busari S. Traumatic tympanic membrane perforation: an aetiological profile. BMC Res Notes 2009;2:232.
Olmos-Zúñiga R, González-López R. Empaquetamiento del oído medio con esponja de colágena polivinil pirrodilona. Estudio experimental en cobayos. Instituto Nacional de Enfermedades Respiratorias. Revista de Investigación Clínica 2009;497-504.
Drogu S, Haholu A, Gungor A, Kucukodaci Z, et al. Histologic analysis of the effects of three different support materials within rat middle ear. Otolaryngol Head Neck Surg 2009;140:177-182.
Estados Unidos Mexicanos. AFÍA. Especificaciones Técnicas para la Producción, Cuidado y Uso de Animales de Laboratorio de la Norma Oficial Mexicana NOM-062-ZOO-1999. Diario Oficial de la Federación 6 de diciembre de 1999.
National Institutes of Health USA. Guía para el cuidado y uso de los animales de laboratorio. Department of Health and Human Services, Public Health Service, National Institutes of Health USA. Edición Mexicana Auspiciada por la Academia Nacional de Medicina. México: 2002.
Academy of Surgical Research. Course of animal anesthesia and models. Memories of the course of animal qnesthesia and models of the 12th annual meeting and 1ST International Conference of the Academy of Surgical Research, October 1996. Muenster, Germany: Academy of Surgical Research, 1996.
Amoils CP, Jackler RK, Milczuk H, Nelly KE, Cao K. An animal model of chronic tympanic membrane perforation. Otolaryngol Head Neck Surg 1992;106:47-55.
Eken M, Ates G, Sanli A, Evren C, Bozkurt S. The effect of topical insulin application on the healing of acute tympanic membrane perforations: a histopathologic study. Eur Arch Otorhinolaryngol 2007;264:999-1002.
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;118:701-704.
Glasscock ME, Shambough Jr GE. Closure of tympanic membrane perforations. In: Surgery of the Earth, 4th ed. Philadelphia: WB Saunders, 1990;335-349.
Rivas Lacarte MP, Casasin T, Pumarola F, Alonso A. An alternative treatment for the reduction of tympanic membrane perforations: sodium hyaluronate. A double blind study. Acta Otolaryngol 1990;110:110-114.
O’Daniel TG, Petitjean M, Jones SC, Zogg J, et al. Epidermal growth factor binding and action on tympanic membranes. Ann Otol Rhinol Laryngol 1990;99:80-84.
Somers T, Goovaerts G, Schelfhout L, Peeters S, et al. Growth factors in tympanic membrane perforations. Am J Otol 1998;19:428-434.
Johnson A, Hawke M. The function of migratory epidermis in the healing of tympanic membrane perforations in guinea-pig. A photographic study. Acta Otolaryngol 1987;103:81-86.
Yeo SW, Kim SW, Suh BD, Cho SH. Effects of platelet-derived growth factor-AA on the healing process of tympanic membrane perforation. Am J Otolaryngol 2000;21:153-160.
Beren J, Hill SL, Diener-West M, Rose NR. Effect of preloading oral glucosamine HCl/chondroitin sulfate/manganese ascorbate combination on experimental arthritis in rats. Exp Biol Med 2001;226:144-151.
Ozturk K, Yaman H, Cihat Avunduk M, Arbag H, et al. Effectiveness of merogel hyaluronic acid on tympanic membrane perforations. Acta Otolaryngol 2006;126:1158-1163.
Kutluhan A, Ugras S, Inalkaç E, Akpolat N. The effects of hyaluronic acid on myringoplasty in rats. Tr J of Med Scien 1999;29:401-407.
Güneri EA, Tekin S, Yilmaz O, Ozkara E. The effects of hyaluronic acid, epidermal growth factor, and mitomycin in an experimental model of acute traumatic tympanic membrane perforation. Otol Neurotol 2003;24:371-376.