Establishment of a survival rabbit model for laryngotracheal stenosis: A prospective randomized study

Abstract Objective To develop a reproducible survival rabbit model for laryngotracheal stenosis (LTS). Methods Seventy New Zealand white (NZW) rabbits were randomly divided into experimental groups (n = 30) and a control group (n = 40). In experimental groups, a nylon brush was inserted retrograde f...

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Main Authors: Wei Chen, Qingyu Wang, Hongming Xu, Yuhui Xie, Lina Zhang, Yao Li, Guofeng Yan, Yiwen Ding, Shunkai Lu, Zhibo Xie, Jiarui Chen, Mengrou Xu, Xiaoben Liang, Juan Chen, Penghuai Fu, Xiaoyan Li, Liming Peng
Format: Article
Language:English
Published: Wiley 2024-12-01
Series:Laryngoscope Investigative Otolaryngology
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Online Access:https://doi.org/10.1002/lio2.70047
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author Wei Chen
Qingyu Wang
Hongming Xu
Yuhui Xie
Lina Zhang
Yao Li
Guofeng Yan
Yiwen Ding
Shunkai Lu
Zhibo Xie
Jiarui Chen
Mengrou Xu
Xiaoben Liang
Juan Chen
Penghuai Fu
Xiaoyan Li
Liming Peng
author_facet Wei Chen
Qingyu Wang
Hongming Xu
Yuhui Xie
Lina Zhang
Yao Li
Guofeng Yan
Yiwen Ding
Shunkai Lu
Zhibo Xie
Jiarui Chen
Mengrou Xu
Xiaoben Liang
Juan Chen
Penghuai Fu
Xiaoyan Li
Liming Peng
author_sort Wei Chen
collection DOAJ
description Abstract Objective To develop a reproducible survival rabbit model for laryngotracheal stenosis (LTS). Methods Seventy New Zealand white (NZW) rabbits were randomly divided into experimental groups (n = 30) and a control group (n = 40). In experimental groups, a nylon brush was inserted retrograde from the tracheotomy through the subglottis and rotated until a full layer circumferential mucosal injury to cartilage exposure, assisted by fiberoptic laryngoscopy (FOL) visualization. Experimental group 1 (n = 10), rotated 10 times; group 2 (n = 20), rotated 20 times. The control group underwent tracheotomy only without nylon brush scraping. The rabbits underwent FOL at 1st, 4th, 8th, and 12th week postinjury respectively to observe the formation of LTS. They were euthanized and the larynxes and tracheas were subjected to gross and histopathological examination at 12 weeks postinjury. Results The control group all survived, while five cases in experimental groups died from LTS and/or mucous plug. Histological observation showed that the control group had intact laryngotracheal mucosal epithelium without any stenosis; the experimental groups showed proliferation of fibroblasts and thickening of collagen fibers. The mean stenosis in control group was 9.31 ± 0.98%, while that in experimental group 1 was 32.78 ± 7.07% and 58.25 ± 8.96% in experimental group 2. The difference between the three groups was statistically significant (χ2 = 47.98, p < .05). Conclusions We successfully developed a reproducible survival rabbit model for LTS using a nylon brush through FOL visualization combined with tracheostomy. This model can provide a mature and stable animal model for the exploration of wound‐healing pathophysiology and the effect of interventions. Level of evidence NA.
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spelling doaj-art-8445c481fb624dffb1d62d70a5b1387b2025-08-20T01:59:53ZengWileyLaryngoscope Investigative Otolaryngology2378-80382024-12-0196n/an/a10.1002/lio2.70047Establishment of a survival rabbit model for laryngotracheal stenosis: A prospective randomized studyWei Chen0Qingyu Wang1Hongming Xu2Yuhui Xie3Lina Zhang4Yao Li5Guofeng Yan6Yiwen Ding7Shunkai Lu8Zhibo Xie9Jiarui Chen10Mengrou Xu11Xiaoben Liang12Juan Chen13Penghuai Fu14Xiaoyan Li15Liming Peng16Department of Otolaryngology‐Head and Neck Surgery, Shanghai Children's Hospital, School of Medicine Shanghai Jiao Tong University Shanghai ChinaDepartment of Pathology, Shanghai Children's Hospital, School of Medicine Shanghai Jiao Tong University Shanghai ChinaDepartment of Otolaryngology‐Head and Neck Surgery, Shanghai Children's Hospital, School of Medicine Shanghai Jiao Tong University Shanghai ChinaDepartment of Otolaryngology‐Head and Neck Surgery, Huashan Hospital Fudan University Shanghai ChinaDepartment of Medical Statistics, School of Medicine Shanghai Jiaotong University Shanghai ChinaDepartment of Laboratory Animal Sciences, School of Medicine Shanghai Jiaotong University Shanghai ChinaDepartment of Laboratory Animal Sciences, School of Medicine Shanghai Jiaotong University Shanghai ChinaNational Engineering Research Center of Light Alloy Net Forming, State Key Laboratory of Metal Matrix Composites, School of Materials Science and Engineering Shanghai Jiao Tong University Shanghai ChinaDepartment of Laboratory Animal Sciences, School of Medicine Shanghai Jiaotong University Shanghai ChinaDepartment of Otolaryngology‐Head and Neck Surgery, Shanghai Children's Hospital, School of Medicine Shanghai Jiao Tong University Shanghai ChinaDepartment of Otolaryngology‐Head and Neck Surgery, Shanghai Children's Hospital, School of Medicine Shanghai Jiao Tong University Shanghai ChinaDepartment of Otolaryngology‐Head and Neck Surgery, Shanghai Children's Hospital, School of Medicine Shanghai Jiao Tong University Shanghai ChinaDepartment of Otolaryngology‐Head and Neck Surgery, Shanghai Children's Hospital, School of Medicine Shanghai Jiao Tong University Shanghai ChinaNational Engineering Research Center of Light Alloy Net Forming, State Key Laboratory of Metal Matrix Composites, School of Materials Science and Engineering Shanghai Jiao Tong University Shanghai ChinaNational Engineering Research Center of Light Alloy Net Forming, State Key Laboratory of Metal Matrix Composites, School of Materials Science and Engineering Shanghai Jiao Tong University Shanghai ChinaDepartment of Otolaryngology‐Head and Neck Surgery, Shanghai Children's Hospital, School of Medicine Shanghai Jiao Tong University Shanghai ChinaNational Engineering Research Center of Light Alloy Net Forming, State Key Laboratory of Metal Matrix Composites, School of Materials Science and Engineering Shanghai Jiao Tong University Shanghai ChinaAbstract Objective To develop a reproducible survival rabbit model for laryngotracheal stenosis (LTS). Methods Seventy New Zealand white (NZW) rabbits were randomly divided into experimental groups (n = 30) and a control group (n = 40). In experimental groups, a nylon brush was inserted retrograde from the tracheotomy through the subglottis and rotated until a full layer circumferential mucosal injury to cartilage exposure, assisted by fiberoptic laryngoscopy (FOL) visualization. Experimental group 1 (n = 10), rotated 10 times; group 2 (n = 20), rotated 20 times. The control group underwent tracheotomy only without nylon brush scraping. The rabbits underwent FOL at 1st, 4th, 8th, and 12th week postinjury respectively to observe the formation of LTS. They were euthanized and the larynxes and tracheas were subjected to gross and histopathological examination at 12 weeks postinjury. Results The control group all survived, while five cases in experimental groups died from LTS and/or mucous plug. Histological observation showed that the control group had intact laryngotracheal mucosal epithelium without any stenosis; the experimental groups showed proliferation of fibroblasts and thickening of collagen fibers. The mean stenosis in control group was 9.31 ± 0.98%, while that in experimental group 1 was 32.78 ± 7.07% and 58.25 ± 8.96% in experimental group 2. The difference between the three groups was statistically significant (χ2 = 47.98, p < .05). Conclusions We successfully developed a reproducible survival rabbit model for LTS using a nylon brush through FOL visualization combined with tracheostomy. This model can provide a mature and stable animal model for the exploration of wound‐healing pathophysiology and the effect of interventions. Level of evidence NA.https://doi.org/10.1002/lio2.70047fiberoptic laryngoscopylaryngotracheal stenosisNew Zealand white rabbitnylon brush scrapingtracheotomy
spellingShingle Wei Chen
Qingyu Wang
Hongming Xu
Yuhui Xie
Lina Zhang
Yao Li
Guofeng Yan
Yiwen Ding
Shunkai Lu
Zhibo Xie
Jiarui Chen
Mengrou Xu
Xiaoben Liang
Juan Chen
Penghuai Fu
Xiaoyan Li
Liming Peng
Establishment of a survival rabbit model for laryngotracheal stenosis: A prospective randomized study
Laryngoscope Investigative Otolaryngology
fiberoptic laryngoscopy
laryngotracheal stenosis
New Zealand white rabbit
nylon brush scraping
tracheotomy
title Establishment of a survival rabbit model for laryngotracheal stenosis: A prospective randomized study
title_full Establishment of a survival rabbit model for laryngotracheal stenosis: A prospective randomized study
title_fullStr Establishment of a survival rabbit model for laryngotracheal stenosis: A prospective randomized study
title_full_unstemmed Establishment of a survival rabbit model for laryngotracheal stenosis: A prospective randomized study
title_short Establishment of a survival rabbit model for laryngotracheal stenosis: A prospective randomized study
title_sort establishment of a survival rabbit model for laryngotracheal stenosis a prospective randomized study
topic fiberoptic laryngoscopy
laryngotracheal stenosis
New Zealand white rabbit
nylon brush scraping
tracheotomy
url https://doi.org/10.1002/lio2.70047
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