Evidence map›Paper›PMID 33247846›Full record

ArticleThe Laryngoscope2021

Laryngeal Reconstruction Using Tissue-Engineered Implants in Pigs: A Pilot Study.

Sarah Brookes, Lujuan Zhang, Theodore J Puls, John Kincaid, Sherry Voytik-Harbin, Stacey Halum

Open access · greenAbstract read
In one paragraph

Article in The Laryngoscope, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.3field-weighted citation impact, top 16% 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

14 citing papers in PubMed, 20 citations in OpenAlex.

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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

6 authors at 3 institutions in 1 country.

Sarah BrookesDepartment of Basic Medical Sciences, Purdue University, West Lafayette, Indiana, U.S.A.
Lujuan ZhangDepartment of Speech, Language and Hearing Sciences, Purdue University, West Lafayette, Indiana, U.S.A.
Theodore J PulsWeldon School of Biomedical Engineering, Purdue University, West Lafayette, Indiana, U.S.A.
John KincaidDepartment of Neurology, Indiana University School of Medicine (IUSM), Indianapolis, Indiana, U.S.A.
Sherry Voytik-HarbinDepartment of Basic Medical Sciences, Purdue University, West Lafayette, Indiana, U.S.A.
Stacey HalumDepartment of Otolaryngology-Head and Neck Surgery, Indianapolis, Indiana, U.S.A.ORCID 0000-0002-7079-4403
Purdue University West Lafayette · USIndiana University – Purdue University Indianapolis · USUrology of Indiana · US

Funding

Muscle progenitor cell-based implants for dynamic laryngeal muscle reconstructionR01DC014070 · NIDCD · PURDUE UNIVERSITY · PI HALUM, STACEY L. · 2015 to 2024
$4.9M
National Institute on Deafness and Other Communication Disorders (NIDCD) R01DC014070-01A1NIDCD NIH HHS R01 DC014070
6 · The paper itself

Abstract

objective/hypothesisThere are currently no treatments available that restore dynamic laryngeal function after hemilaryngectomy. We have shown that dynamic function can be restored post hemilaryngectomy in a rat model. Here, we report in a first of its kind, proof of concept study that this previously published technique is scalable to a porcine model. STUDY

designAnimal study.

methodsMuscle and fat biopsies were taken from three Yucatan minipigs. Muscle progenitor cells (MPCs) and adipose stem cells (ASCs) were isolated and cultured for 3 weeks. The minipigs underwent a left laterovertical partial laryngectomy sparing the left arytenoid cartilage and transecting the recurrent laryngeal nerve. Each layer was replaced with a tissue-engineered implant: 1) an acellular mucosal layer composed of densified Type I oligomeric collagen, 2) a skeletal muscle layer composed of autologous MPCs and aligned oligomeric collagen differentiated and induced to express motor endplates (MEE), and 3) a cartilage layer composed of autologous ASCs and densified oligomeric collagen differentiated to cartilage. Healing was monitored at 2 and 4 weeks post-op, and at the 8 week study endpoint.

resultsAnimals demonstrated appropriate weight gain, no aspiration events, and audible phonation. Video laryngoscopy showed progressive healing with vascularization and re-epithelialization present at 4 weeks. On histology, there was no immune reaction to the implants and there was complete integration into host tissue with nerve and vascular ingrowth.

conclusionsThis pilot study represents a first in which a transmural vertical partial laryngectomy was performed and successfully repaired with a customized, autologous stem cell-derived multi-layered tissue-engineered implant. LEVEL OF EVIDENCE: NA Laryngoscope, 131:2277-2284, 2021.

Indexed as

Tissue ScaffoldsAdipose TissueAnimalsCell DifferentiationCells, CulturedDeglutitionDisease Models, AnimalHumansLaryngeal CartilagesLaryngectomyLaryngoplastyLarynxMesenchymal Stem CellsMotor EndplateMuscle, SkeletalMyoblastsadipose stem cellcartilagechondrocytescollagenLarynxoligomertissue engineering

Identifiers

PMID33247846
PMCPMC8176280
OpenAlexW3107234937

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.