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Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1994;37(5): 1038-47. |
Laryngeal Allograft Transplantation in Cats |
Jong-Ouck Choi, MD, and Chan Seung Hwang, MD |
Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, Korea |
고양이의 후두동종이식 |
최종욱 · 황찬승 |
고려대학교 의과대학 이비인후-두경부외과학교실 |
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ABSTRACT |
Laryngeal allograft transplantation was performed with vascularized pedicle and cyclosporine A was administrated for prevention of graft rejection and the result was compared with the control study which was an autograft to the same location ; the lateral neck. 1) There was no tissue rejection and minimal inflammatory reaction in the autograft, wherease in 7 cases out of 8(87.5%) allografts, a varing degree of rejection was observed. 2) At the first week of acute rejection, partial destructed of mucosa, submucosal edema and infiltration of inflammatory cells were the typical findings. At the second week, total loss of lining epithelial cells with the destruction of minor salivary glands and cartilage were observed. 3) Findings of chronic rejection, at the eighth week, the larynx has collapsed by destruction of its cartilagenous supporting framework and fibrosis occurred. At the twelfth week, necrosis of vessel wall with neovascular proliferation was observed. Laryngeal allograft transplantation in cats showed many limitations in preserving its morphologic and functional characteristics because of the donor tissue rejection, but if only the tissue rejection problem is solved, allograft transplantation would be feasible.
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Keywords:
Laryngeal transplantationㆍAllograftㆍAutograft. |
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