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Cell therapy and vocal fold scarring
- Source :
- European Annals of Otorhinolaryngology, Head and Neck Diseases. 134:339-345
- Publication Year :
- 2017
- Publisher :
- Elsevier BV, 2017.
-
Abstract
- Vocal fold microstructure is complex and can be affected by laryngeal microsurgery, inducing scarring that prevents mechanical uncoupling of epithelium and muscle, leading to vibration disorder and disabling dysphonia. Treatment options presently are few, and often without efficacy for vibration, having only an impact on volume to reduce glottal closure defect. The present review of the literature had two aims: (i) to report the current state of the literature on cell therapy in vocal fold scarring; and (ii) to analyze the therapeutic interest of the adipose-derived stromal vascular fraction in the existing therapeutic armamentarium. A PubMed® search conducted in September 2016 retrieved English or French-language original articles on the use of stem cells to treat vocal fold scarring. Twenty-seven articles published between 2003 and 2016 met the study selection criteria. Mesenchymal stem cells were most widely used, mainly derived from bone marrow or adipose tissue. Four studies were performed in vitro on fibroblasts, and 18 in vivo on animals. End-points comprised: (i) scar analysis (macro- and micro-scopic morphology, viscoelastic properties, extracellular matrix, fibroblasts); and (ii) assessment of stem cell survival and differentiation. The studies testified to the benefit of mesenchymal stem cells, and especially those of adipose derivation. The stromal vascular fraction exhibits properties that might improve results by facilitating production logistics.
- Subjects :
- 0301 basic medicine
Pathology
medicine.medical_specialty
Cell- and Tissue-Based Therapy
Adipose tissue
Vocal Cords
In Vitro Techniques
Mesenchymal Stem Cell Transplantation
Cell therapy
Cicatrix
03 medical and health sciences
Fibrosis
Adipocytes
medicine
Animals
Humans
Stem cell transplantation for articular cartilage repair
business.industry
Mesenchymal stem cell
Mesenchymal Stem Cells
Stromal vascular fraction
Dysphonia
medicine.disease
Treatment Outcome
030104 developmental biology
medicine.anatomical_structure
Otorhinolaryngology
Models, Animal
Surgery
Bone marrow
Stem cell
business
Subjects
Details
- ISSN :
- 18797296
- Volume :
- 134
- Database :
- OpenAIRE
- Journal :
- European Annals of Otorhinolaryngology, Head and Neck Diseases
- Accession number :
- edsair.doi.dedup.....453208c69d70ae907e6d6b462b5ff6a0