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Elshazly N, Nasr FE, Hamdy A, Saied S, Elshazly M. Advances in clinical applications of bioceramics in the new regenerative medicine era. World J Clin Cases 2024; 12:1863-1869. [PMID: 38660540 PMCID: PMC11036528 DOI: 10.12998/wjcc.v12.i11.1863] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/27/2023] [Revised: 01/31/2024] [Accepted: 03/20/2024] [Indexed: 04/11/2024] Open
Abstract
In this editorial, we comment on the hard and soft tissue applications of different ceramic-based scaffolds prepared by different mechanisms such as 3D printing, sol-gel, and electrospinning. The new concept of regenerative medicine relies on biomaterials that can trigger in situ tissue regeneration and stem cell recruitment at the defect site. A large percentage of these biomaterials is ceramic-based as they provide the essential requirements of biomaterial principles such as tailored multisize porosity, antibacterial properties, and angiogenic properties. All these previously mentioned properties put bioceramics on top of the hierarchy of biomaterials utilized to stimulate tissue regeneration in soft and hard tissue wounds. Multiple clinical applications registered the use of these materials in triggering soft tissue regeneration in healthy and diabetic patients such as bioactive glass nanofibers. The results were promising and opened new frontiers for utilizing these materials on a larger scale. The same results were mentioned when using different forms and formulas of bioceramics in hard defect regeneration. Some bioceramics were used in combination with other polymers and biological scaffolds to improve their regenerative and mechanical properties. All this progress will enable a larger scale of patients to receive such services with ease and decrease the financial burden on the government.
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Affiliation(s)
- Noha Elshazly
- Tissue Engineering Laboratory, Faculty of Dentistry, Alexandria University, Alexandria 21526, Egypt
| | - Fayza Eid Nasr
- Department of Biochemistry, Faculty of Science, Alexandria University, Alexandria 21526, Egypt
| | - Ayat Hamdy
- Tissue Engineering Laboratory, Faculty of Dentistry, Alexandria University, Alexandria 21526, Egypt
- Public Dental Clinic, Central Administration of Dentistry, Ministry of Health and Population, Alexandria 21554, Egypt
| | - Safa Saied
- Tissue Engineering Laboratory, Faculty of Dentistry, Alexandria University, Alexandria 21526, Egypt
- Department of Biochemistry, Faculty of Science, Alexandria University, Alexandria 21526, Egypt
| | - Mohamed Elshazly
- Department of Surgery, Faculty of Veterinary Medicine, Alexandria 21526, Egypt
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Duranti L, Tavecchio L. New perspectives in prosthetic reconstruction in chest wall resection. Updates Surg 2023:10.1007/s13304-023-01562-z. [PMID: 37402065 DOI: 10.1007/s13304-023-01562-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Accepted: 06/03/2023] [Indexed: 07/05/2023]
Abstract
The extension of chest wall resection for the treatment of primary and secondary tumours is still widely debated. The reconstructive strategy after extensive surgery is challenging as well as chest wall demolition itself. Reconstructive surgery aims to avoid respiratory failure and to guarantee intra-thoracic organs protection. The purpose of this review is to analyse the literature on this issue focusing on the planning strategy for chest wall reconstruction. This is a narrative review, reporting data from the most interesting studies on chest wall demolition and reconstruction. Representative surgical series on chest wall thoracic surgery were selected and described. We focused to identify the best reconstructive strategies analyzing employed materials, techniques of reconstruction, morbidity and mortality. Nowadays the new "bio-mimetic" materials in "rigid" and "non-rigid" chest wall systems reconstructive represent new horizons for the treatment of challenging thoracic diseases. Further prospective studies are warranted to identify new materials enhancing thoracic function after major thoracic excisions.
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Affiliation(s)
- Leonardo Duranti
- Thoracic Surgey Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Via G Venezian 1, 20133, Milano, Italy.
| | - Luca Tavecchio
- Thoracic Surgey Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Via G Venezian 1, 20133, Milano, Italy
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Mainard N, Sharma D, Fron D, Mezel A, Canavese F, Bonnevalle M, Nectoux E. Porous Ceramic Sternal Prosthesis Implantation in a 13-Year-Old Patient Presenting with Metastatic Ewing's Sarcoma. European J Pediatr Surg Rep 2022; 10:e1-e5. [PMID: 35047327 PMCID: PMC8761061 DOI: 10.1055/s-0041-1740328] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2021] [Accepted: 09/23/2021] [Indexed: 11/17/2022] Open
Abstract
Ewing's sarcoma is the second most frequent primary malignant bone tumor in adolescents and young adults. Locations on the thoracic wall represent up to 20% of primary and secondary locations. We present the case of a 13-year-old patient treated with the use of a radiolucency porous bioceramic prosthesis as a sternal replacement for a wide tumor resection in an oncologic context. Focal radiation therapy was not possible due to the high risk of severe myocardial injuries caused by the sternal location of the tumor. The sternum CERAMIL® (I.CERAM, Limoges, France), in porous alumina (Al
2
O
3
) has already been implanted into adults in sternal replacement during its invasion by a tumor or its infectious destruction. There were no complication concerning the surgery. The last follow-up at 2 years postoperatively reveals a satisfactory clinical situation with any functional thoracic complaint and nor any functional respiratory symptoms. The porous alumina sternal prosthesis offers a reliable alternative for sternal replacement indications for children in an oncologic context.
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Affiliation(s)
- Nicolas Mainard
- Department of Pediatric Surgery, Jeanne de Flandre Hospital, Lille, France
| | - Dyuti Sharma
- Department of Pediatric Surgery, Jeanne de Flandre Hospital, Lille, France.,Université Lille 2 Droit et Santé Faculté de Médecine Henri Warembourg, Lille, Hauts-de-France, France
| | - Damien Fron
- Department of Pediatric Surgery, Jeanne de Flandre Hospital, Lille, France
| | - Aurélie Mezel
- Department of Pediatric Surgery, Jeanne de Flandre Hospital, Lille, France
| | - Federico Canavese
- Department of Pediatric Surgery, Jeanne de Flandre Hospital, Lille, France.,Université Lille 2 Droit et Santé Faculté de Médecine Henri Warembourg, Lille, Hauts-de-France, France
| | - Michel Bonnevalle
- Department of Pediatric Surgery, Reference Center for Congenital and Malformative Esophageal Disorders, Jeanne de Flandre Children's Hospital, Lille University Faculty of Medicine, Lille, France
| | - Eric Nectoux
- Department of Pediatric Surgery, Jeanne de Flandre Hospital, Lille, France.,Université Lille 2 Droit et Santé Faculté de Médecine Henri Warembourg, Lille, Hauts-de-France, France
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