RESUMO
The authors described a case of parapharyngeal space pleomorphic adenoma in a 22-year-old patient. The excision of the tumor through the mouth, without cutting up the jaw bone, turned out safe and radical.
Assuntos
Adenoma Pleomorfo/diagnóstico , Neoplasias das Glândulas Salivares/diagnóstico , Adenoma Pleomorfo/cirurgia , Adulto , Angiografia , Humanos , Masculino , Neoplasias das Glândulas Salivares/cirurgia , Tomografia Computadorizada por Raios XRESUMO
Bone-marrow aspirate (containing bone progenitor cells), in vitro expanded autologous bone-marrow-derived stromal fibroblastoid cells, and a combination thereof were tested for the potential to fill bone defects. They were compared to grafts of fresh autologous bone or allogeneic devitalized bone. Mandibular defects in rabbits were chosen for this study. The best results were obtained with a combination of in vitro expanded bone-marrow-derived stromal fibroblastoid cells and fresh autologous bone marrow or fresh autologous marrow alone. The effects of these two grafts were similar to grafts of fresh autologous bone and significantly superior to grafts of devitalized allogeneic bone providing only a bone matrix. The in vitro expanded marrow stromal cells induced very significant bone ingrowth, and their effects were only slightly inferior to fresh autologous bone but were superior to devitalized allogeneic bone. These studies suggest that bone marrow is a good source of osteogenic cells both for immediate transplantation and for in vitro expansion and subsequent transplantation.
Assuntos
Células da Medula Óssea , Transplante de Medula Óssea , Fibroblastos/transplante , Doenças Mandibulares/cirurgia , Animais , Transplante de Medula Óssea/patologia , Regeneração Óssea , Células Cultivadas , Tecido Conjuntivo/patologia , Feminino , Fibroblastos/patologia , Liofilização , Masculino , Doenças Mandibulares/diagnóstico por imagem , Doenças Mandibulares/patologia , Osteogênese , Coelhos , Radiografia , Preservação de Tecido , Transplante Autólogo , Transplante HomólogoAssuntos
Células da Medula Óssea , Transplante de Medula Óssea , Mandíbula/anormalidades , Doenças Mandibulares/terapia , Cistos não Odontogênicos/terapia , Células Estromais/citologia , Células Estromais/transplante , Adolescente , Adulto , Idoso , Células Cultivadas , Fibroblastos/citologia , Fibroblastos/transplante , Humanos , Mandíbula/diagnóstico por imagem , Doenças Mandibulares/diagnóstico por imagem , Pessoa de Meia-Idade , Cistos não Odontogênicos/diagnóstico por imagem , RadiografiaRESUMO
The authors describe a new method of stimulation of regeneration of bone tissue using autografts of autologous bone marrow supplemented with autologous bone marrow stromal fibroblastoid cells (with osteogenic potential) grown in vitro and lyophilized allogenic bone. Such composite grafts have been used in the treatment of 10 patients with lesion in jaw bone. Bone healing was evaluated using clinical and radiological parameters and was compared with healing in 30 similar lesions treated using composite grafts of autologous bone marrow and allogenic lyophilized bone as well as the spontaneous healing of 45 post-cystic lesions. These data indicate, that composite grafts of autologous bone marrow supplemented with in vitro grown autologous bone marrow stromal cells and lyophilized allogenic bone have excellent capacities accelerating bone healing. In smaller lesions, composite grafts of fresh autologous bone marrow and allogenic lyophilized bone (which are easier to prepare) are also useful.