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Comparison of the effects of platelet-rich plasma and dexamethasone ınjection on scar formation after vocal fold ınjury in rabbits

  • Laryngology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Objectives

In this study, a histopathological comparison was aimed between platelet-rich plasma (PRP) injection and dexamethasone injection in the prevention of scar formation after vocal fold injury.

Materials and methods

Electrocautery was applied to damage the right and left vocal folds of a total of 12 New Zealand rabbits. PRP obtained from the rabbit’s own blood was injected into the right vocal fold, and dexamethasone was injected into the left vocal fold. After 8 weeks, the experimental animals were euthanized, and the levels of inflammatory cell infiltration, vascularization, collagen, elastin, and hyaluronic acid (HA) were compared in histopathological evaluation.

Results

In statistical comparison of histopathological data obtained; in terms of plasma cell infiltration, vascularization, and edema parameters, statistically significant results were obtained in favor of the PRP group. Although the difference between collagen, elastin and HA, which are critical in vocal fold scar healing, was more positive in favor of PRP, no significant result was revealed in the statistical evaluation.

Conclusions

PRP injection in rabbits with vocal fold damage reveals similar characteristics with dexamethasone injection in preventing scar formation. PRP injection has favorable effects on vascularization, prevention of edema, and number of plasma cells.

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Availability of data and materials

The data sets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.

Code availability

No code available.

References

  1. Allen J (2010) Cause of vocal fold scar. Curr Opin Otolaryngol Head Neck Surg 18(6):475–480

    Article  Google Scholar 

  2. Ferdous Z, Peterson SB, Tseng H, Anderson DK, Iozzo RV, Grande-Allen KJ (2010) A role for decorin in controlling proliferation, adhesion, and migration of murine embryonic fibroblasts. J Biomed Mater Res A 93(2):419–428

    CAS  PubMed  PubMed Central  Google Scholar 

  3. Hantzakos A, Dikkers FG, Giovanni A, Benninger MS, Remacle M, Sjogren EV et al (2019) Vocal fold scars: a common classification proposal by the American Laryngological Association and European Laryngological Society. Eur Arch Otorhinolaryngol 276(8):2289–2292

    Article  Google Scholar 

  4. Friedrich G, Dikkers FG, Arens C, Remacle M, Hess M, Giovanni A et al (2013) Vocal fold scars: current concepts and future directions. Consensus report of the Phonosurgery Committee of the European Laryngological Society. Eur Arch Otorhinolaryngol 270(9):2491–2507

    Article  CAS  Google Scholar 

  5. Gugatschka M, Ohno S, Saxena A, Hirano S (2012) Regenerative medicine of the larynx. Where are we today? A review. J Voice 26(5):670.e7-670.e13

    Article  Google Scholar 

  6. Rehman J, Traktuev D, Li J, Merfeld-Clauss S, Temm-Grove CJ, Bovenkerk JE et al (2004) Secretion of angiogenic and antiapoptotic factors by human adipose stromal cells. Circulation 109(10):1292–1298

    Article  Google Scholar 

  7. Kanemaru S, Nakamura T, Omori K, Kojima H, Magrufov A, Hiratsuka Y et al (2003) Regeneration of the vocal fold using autologous mesenchymal stem cells. Ann Otol Rhinol Laryngol 112(11):915–920

    Article  Google Scholar 

  8. Hirano S, Bless D, Heisey D, Ford C (2003) Roles of hepatocyte growth factor and transforming growth factor beta1 in production of extracellular matrix by canine vocal fold fibroblasts. Laryngoscope 113(1):144–148

    Article  CAS  Google Scholar 

  9. Coleman JR Jr, Smith S, Reinisch L, Billante CR, Ossoff JP, Deriso W et al (1999) Histomorphometric and laryngeal videostroboscopic analysis of the effects of corticosteroids on microflap healing in the dog larynx. Ann Otol Rhinol Laryngol 108(2):119–127

    Article  Google Scholar 

  10. Young WG, Hoffman MR, Koszewski IJ, Whited CW, Ruel BN, Dailey SH (2016) Voice outcomes following a single office-based steroid injection for vocal fold scar. Otolaryngol Head Neck Surg 155(5):820–828

    Article  Google Scholar 

  11. Campagnolo AM, Tsuji DH, Sennes LU, Imamura R (2008) Steroid injection in chronic inflammatory vocal fold disorders, literature review. Braz J Otorhinolaryngol 74(6):926–932

    Article  Google Scholar 

  12. Campagnolo AM, Tsuji DH, Sennes LU, Imamura R, Saldiva PH (2010) Histologic study of acute vocal fold wound healing after corticosteroid injection in a rabbit model. Ann Otol Rhinol Laryngol 119(2):133–139

    Article  Google Scholar 

  13. Eppley BL, Woodell JE, Higgins J (2004) Platelet quantification and growth factor analysis from platelet-rich plasma: implications for wound healing. Plast Reconstr Surg 114(6):1502–1508

    Article  Google Scholar 

  14. Paoloni J, De Vos RJ, Hamilton B, Murrell GA, Orchard J (2011) Platelet-rich plasma treatment for ligament and tendon injuries. Clin J Sport Med 21(1):37–45

    Article  Google Scholar 

  15. Cobden SB, Ozturk K, Duman S, Esen H, Aktan TM, Avunduk MC et al (2016) Treatment of acute vocal fold injury with platelet-rich plasma. J Voice 30(6):731–735

    Article  Google Scholar 

  16. Woo SH, Jeong HS, Kim JP, Koh EH, Lee SU, Jin SM et al (2014) Favorable vocal fold wound healing induced by platelet-rich plasma injection. Clin Exp Otorhinolaryngol 7(1):47–52

    Article  CAS  Google Scholar 

  17. Hirano S, Sugiyama Y, Kaneko M, Mukudai S, Fuse S, Hashimoto K (2020) Intrafoldal injection of basic fibroblast growth factor in 100 cases of vocal fold atrophy and scar. Laryngoscope. https://doi.org/10.1002/lary.29200

    Article  PubMed  Google Scholar 

  18. Morisaki T, Kishimoto Y, Tateya I, Kawai Y, Suzuki R, Tsuji T et al (2018) Adipose-derived mesenchymal stromal cells prevented rat vocal fold scarring. Laryngoscope 128(1):E33–E40

    Article  CAS  Google Scholar 

  19. Hirano S, Kawamoto A, Tateya I, Mizuta M, Kishimoto Y, Hiwatashi N et al (2018) A phase I/II exploratory clinical trial for intrafoldal injection of recombinant hepatocyte growth factor for vocal fold scar and sulcus. J Tissue Eng Regen Med 12(4):1031–1038

    Article  CAS  Google Scholar 

  20. Goel AN, Gowda BS, Veena MS, Shiba TL, Long JL (2018) Adipose-derived mesenchymal stromal cells persist in tissue-engineered vocal fold replacement in rabbits. Ann Otol Rhinol Laryngol 127(12):962–968

    Article  Google Scholar 

  21. Hiwatashi N, Hirano S, Mizuta M, Tateya I, Kanemaru S, Nakamura T et al (2014) Adipose-derived stem cells versus bone marrow-derived stem cells for vocal fold regeneration. Laryngoscope 124(12):E461–E469

    Article  CAS  Google Scholar 

  22. Hertegard S, Cedervall J, Svensson B, Forsberg K, Maurer FH, Vidovska D et al (2006) Viscoelastic and histologic properties in scarred rabbit vocal folds after mesenchymal stem cell injection. Laryngoscope 116(7):1248–1254

    Article  CAS  Google Scholar 

  23. Hansen JK, Thibeault SL (2006) Current understanding and review of the literature: vocal fold scarring. J Voice 20(1):110–120

    Article  Google Scholar 

  24. Mau T, Du M, Xu CC (2014) A rabbit vocal fold laser scarring model for testing lamina propria tissue-engineering therapies. Laryngoscope 124(10):2321–2326

    Article  CAS  Google Scholar 

  25. Rousseau B, Hirano S, Scheidt TD, Welham NV, Thibeault SL, Chan RW et al (2003) Characterization of vocal fold scarring in a canine model. Laryngoscope 113(4):620–627

    Article  Google Scholar 

  26. Thibeault SL, Gray SD, Bless DM, Chan RW, Ford CN (2002) Histologic and rheologic characterization of vocal fold scarring. J Voice 16(1):96–104

    Article  Google Scholar 

  27. Yildiz M, Yigit O, Sunter AV, Edizer DT, Dursun N, Okcu O (2019) Effects of intrafoldal estradiol and dexamethasone injection on wound healing in vocal fold injuries. J Voice 33(5):759–766

    Article  Google Scholar 

  28. Weibrich G, Hansen T, Kleis W, Buch R, Hitzler WE (2004) Effect of platelet concentration in platelet-rich plasma on peri-implant bone regeneration. Bone 34(4):665–671

    Article  CAS  Google Scholar 

  29. Kassolis JD, Reynolds MA (2005) Evaluation of the adjunctive benefits of platelet-rich plasma in subantral sinus augmentation. J Craniofac Surg 16(2):280–287

    Article  Google Scholar 

  30. Grageda E (2004) Platelet-rich plasma and bone graft materials: a review and a standardized research protocol. Implant Dent 13(4):301–309

    Article  Google Scholar 

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Funding

This project was supported by Hacettepe University Scientific Research Projects (Grant Number: 18399).

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Authors and Affiliations

Authors

Contributions

All authors meet the ICMJE authorship criteria. All authors have seen and approved the final version of the manuscript, and contributed significantly to the work. Material preparation and data collection were performed by GD, OG, and TY. The histopathological analysis of the data was performed by OK and GGT. The first draft of the manuscript was written by GD, OG, and TY and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Görkem Dündar.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

Our study was carried out on receiving the approval of Hacettepe University Experimental Animals Ethical Board, No. 2019/08-11.

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Dündar, G., Günaydın, Ö., Yılmaz, T. et al. Comparison of the effects of platelet-rich plasma and dexamethasone ınjection on scar formation after vocal fold ınjury in rabbits. Eur Arch Otorhinolaryngol 279, 1405–1411 (2022). https://doi.org/10.1007/s00405-021-07154-0

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  • DOI: https://doi.org/10.1007/s00405-021-07154-0

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