Avaliação da integração de implantes de silicone com superfícies lisa, texturizada e de poliuretano em cavidades anoftálmicas evisceradas de coelhos

• Ano de defesa: 2014
• Autor(a) principal: Abreu, Cristiano Ricardo de [UNESP]
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Estadual Paulista (Unesp)
• Palavras-chave em Português: Implantes artificiais; Olhos artificiais; Prótese; Poliuretanas; Coelho como animal de laboratorio; Polyurethanes; Eye, Artificial
• Link de acesso: http://hdl.handle.net/11449/123267; http://www.athena.biblioteca.unesp.br/exlibris/bd/cathedra/06-04-2015/000816204.pdf

Purpose: In order to add new concepts in the area of the anophthalmic socket reconstruction and using knowledge acquired in Plastic Surgery, this study was developed to evaluate the integration of hemi-spherical cohesive gel silicone implants coated by three different surfaces (smooth, textured and polyurethane) used to replace the missed volume in eviscerated cavities of rabbits. Methods: Forty-five albino male rabbits of the specie Oryctolagus cuniculus had their right eye eviscerated and hemi-spherical cohesive gel silicone implants were inserted in the orbital socket to replace volume. The implants were coated by three different types of surfaces: smooth (Group (IG)), textured (GII) or polyurethane (GIII). Each group was composed by 15 animals and five of them in each group were sacrificed seven (M7), 30 (M30) and 90 (M90) days after evisceration surgery and implant placement. Clinical and laboratorial assessments (creatinine test and 2,4 toluene diamine- TDA), histologic and morphometric exam (measurement of the thickness of pseudocapsule and cellularity) and tomographic (CT scan) evaluation using the OsiriX program (position and area of the implant) were performed. The results were analyzed statistically comparing groups that differ by the coating of implants in the three moments of sacrifice. Results: There was good evolution in all experimental groups and extrusion or infectious processes was not observed throughout the experimental period. Histological evaluation showed that implants with a smooth (GI), textured (GII) or polyurethane surface (GIII) had good tissue integration and GIII implants showed greater inflammatory reaction and thickness of the pseudocapsule. On CT scan, the GI implants changed over position and deformities were observed in the GIII implants. Using OsiriX® program was possible to evaluate the area of the implants. The 2,4 TDA was not found in any of the experimental groups. Conclusion: Cohesive gel ...