Evidence map›Paper›PMID 24232078›Full record

ArticleJAMA otolaryngology-- head & neck surgery2014

Treatment of severe porcine tracheomalacia with a 3-dimensionally printed, bioresorbable, external airway splint.

David A Zopf, Colleen L Flanagan, Matthew Wheeler, Scott J Hollister, Glenn E Green

Abstract read
In one paragraph

Article in JAMA otolaryngology-- head & neck surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
7.2field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 103 citations in OpenAlex.

  1. New frontiers and emerging applications of 3D printing in ENT surgery: a systematic review of the literature.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2018
    Pooled it
  2. Article
  3. Degradation and Fatigue Behavior of 3D-Printed Bioresorbable Tracheal Splints.Journal of biomedical materials research. Part B, Applied biomaterials · 2024
    Article
  4. Article
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  6. Robot-Assisted Correction of a Supra-Long Tracheal Stenosis Using C-Type Nickel-Titanium Alloy Exterior Stenting and Suspension Fixation Technique: A Case Report.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2024
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  19. The Fabrication andFrontiers in bioengineering and biotechnology · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

David A ZopfDivision of Pediatric Otolaryngology, Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor.
Colleen L FlanaganDepartments of Biomedical Engineering, Mechanical Engineering, and Surgery, University of Michigan, Ann Arbor.
Matthew WheelerInstitute for Genomic Biology and Department of Animal Sciences, University of Illinois, Urbana-Champaign.
Scott J HollisterDepartments of Biomedical Engineering, Mechanical Engineering, and Surgery, University of Michigan, Ann Arbor.
Glenn E GreenDivision of Pediatric Otolaryngology, Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor.
University of Michigan–Ann Arbor · USUniversity of Illinois Urbana-Champaign · US

Funding

Michigan Institute for Clinical and Health Research (MCHR)UL1TR000433 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MASHOUR, GEORGE ALEXANDER · 2012 to 2016
$49.9M
A Bioresorbable Splint for Treating TracheomalaciaR21HD076370 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GREEN, GLENN E, HOLLISTER, SCOTT J · 2013 to 2014
$440k
NCATS NIH HHS 2UL1TR000433-06NCATS NIH HHS UL1 TR000433NICHD NIH HHS R21 HD076370
6 · The paper itself

Abstract

importanceThe study demonstrates use of a novel intervention for severe tracheobronchomalacia (TBM).

objectiveTo test a novel, 3-dimensionally (3D) printed, bioresorbable airway splint for efficacy in extending survival in a porcine model of severe, life-threatening TBM. DESIGN AND

participantsA randomized, prospective animal trial was used to evaluate an external airway splint as treatment of severe, life-threatening TBM in a multi-institutional, multidisciplinary collaboration between a biomedical engineering department and an academic animal surgery center. Six 2-month-old Yorkshire pigs underwent tracheal cartilage division and inner tracheal lumen dissociation and were randomly assigned to splint treatment (n = 3) or control groups (n = 3). Two additional pigs had the splint placed over their normal trachea.

interventionsA 3D-printed, bioresorbable airway splint was assessed in a porcine animal model of life-threatening TBM. The open-cylindrical, bellow-shaped, porous polycaprolactone splint was placed externally and designed to suspend the underlying collapsed airway. Two additional animals were splinted without model creation. MAIN OUTCOMES AND MEASURES: The observer-based Westley Clinical Croup Scale was used to assess the clinical condition of animals postoperatively. Animal survival time was noted.

resultsComplete or nearly complete tracheal lumen collapse was observed in each animal, with resolution of symptoms in all of the experimental animals after splint placement. Using our severe TBM animal model, survival was significantly longer in the experimental group receiving the airway splint after model creation than in the control group (P = .0495). CONCLUSIONS AND RELEVANCE: A multidisciplinary effort producing a computer-aided designed, computer-aided manufactured bioresorbable tracheobronchial splint was tested in a porcine model of severe TBM and was found to extend survival time. Mortality in the splinted group was ascribed to the TBM model based on the lack of respiratory distress in splinted pigs, long-term survival in animals implanted with the splint without TBM, and necropsy findings.

Indexed as

SplintsAbsorbable ImplantsAnimalsComputer-Aided DesignPolyestersProsthesis DesignRandom AllocationSwineTracheomalaciapolycaprolactonePolyesters

Identifiers

PMID24232078
PMCPMC4429780
OpenAlexW1982495886

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.