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KMID : 0360220140550091366
Journal of the Korean Ophthalmological Society
2014 Volume.55 No. 9 p.1366 ~ p.1371
The Effects of Commodified Growth Factor Products on the Fibrovascularization of Porous Polyethylene Orbital Implants
Gu Won-Mo

Choi Joon-Hyuk
Son Jun-Hyuk
Abstract
Purpose: To investigate the effects of commodified growth factor products used clinically on fibrovascular ingrowth into porous polyethylene orbital implants.

Methods: Porous polyethylene orbital implant sheets (Medpor¨Þ) soaked with Nepidermin (Easyef¨Þ), Trafermin (Fiblast¨Þ), and normal saline were implanted into the backs of 18 Sprague-Dawley rats. The degree of fibrovascular ingrowth as observed using a light microscope was compared 1 and 2 weeks after implantation and was calculated as a percentage of the fibrovascular ingrowth length.

Results: One week after implantation, the percentage of fibrovascular ingrowth length was 25.33 ¡¾ 5.43%, 22.56 ¡¾ 5.30%, and 21.78 ¡¾ 4.66% in the Easyef¨Þ-, Fiblast¨Þ- and normal saline-soaked groups. The degree of fibrovascularization was higher in the Easyef¨Þ-soaked group than in the other groups (p = 0.020, 0.012). Two weeks after implantation, the degree of fibrovascularization was 98.33 ¡¾ 5.00%, 100.00 ¡¾ 0.00%, and 95.89 ¡¾ 4.57%, which was significantly higher in the Easyef¨Þ-, and Fiblast¨Þ-soaked groups than in normal saline-soaked group (p = 0.019, <0.001).

Conclusions: Commodified growth factor products used in other areas selectively enhanced fibrovascular ingrowth to a greater degree and earlier in ophthalmic plastic and reconstructive surgery.
KEYWORD
Basic fibroblast growth factor, Epidermal growth factor, Fibrovascularization, Porous polyethylene orbital implant
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