An animal model of chronic tympanic membrane perforation

C. P. Amoils, R. K. Jackler, Henry Milczuk, K. E. Kelly, K. Cao

Research output: Contribution to journalArticle

43 Scopus citations

Abstract

Previous investigations into the healing and reconstruction of tympanic membrane (TM) perforations have involved animal models with acute TM perforations. A problem with the acute TM perforation model is that most acute TM perforations will heal spontaneously, both in animals and human beings. A second inadequacy of acute perforation models is that they are not analogous to the salient problem in human beings: long-standing TM perforation. The ideal animal model must have a TM perforation that is permanent, well-epithelialized, and free from infection. The perforation must also be subtotal to preserve a rim of membrane for experimental manipulations. In the chinchilla, we have identified a hardy animal with a short, wide ear canal and relatively large tympanic membranes. Thermal myringectomy, followed by medial infolding of TM microflaps, has resulted in permanent, subtotal chronic TM perforations in the chinchilla animal model. Of the 19 chinchillas (38 TMs) perforated, chronic subtotal perforations were created in 32 ears, 6 to 8 weeks after the initial procedure (84% success). Persistent infection or TM regeneration despite reperforation was recorded in 6 ears (16%) failure). This model is currently being used to assess various biomembrane scaffolds impregnated with growth-promoting substances in the regeneration of a physiologically sound TM, initially in our animal model and then in human beings. We envision the development of a biomembrane disc impregnated with biorecombinant growth factors that may provide a simple office technique for the repair of chronic, non-infected TM perforations.

Original languageEnglish (US)
Pages (from-to)47-55
Number of pages9
JournalOtolaryngology - Head and Neck Surgery
Volume106
Issue number1
Publication statusPublished - 1992
Externally publishedYes

    Fingerprint

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Amoils, C. P., Jackler, R. K., Milczuk, H., Kelly, K. E., & Cao, K. (1992). An animal model of chronic tympanic membrane perforation. Otolaryngology - Head and Neck Surgery, 106(1), 47-55.