Long segmental repair of trachea stenosis is an intractable condition in the clinic. The reconstruction of an artificial substitute by tissue engineering is a promising approach to solve this unmet clinical need. 3D printing technology provides an infinite possibility for engineering a trachea. Here, we 3D printed a biodegradable reticular polycaprolactone (PCL) scaffold with similar morphology to the whole segment of rabbits’ native trachea. The 3D-printed scaffold was suspended in culture with chondrocytes for 2 (Group I) or 4 (Group II) weeks, respectively. This in vitro suspension produced a more successful reconstruction of a tissue-engineered trachea (TET), which enhanced the overall support function of the replaced tracheal segment. After implantation of the chondrocyte-treated scaffold into the subcutaneous tissue of nude mice, the TET presented properties of mature cartilage tissue. To further evaluate the feasibility of repairing whole segment tracheal defects, replacement surgery of rabbits’ native trachea by TET was performed. Following postoperative care, mean survival time in Group I was 14.38 ± 5.42 days, and in Group II was 22.58 ± 16.10 days, with the longest survival time being 10 weeks in Group II. In conclusion, we demonstrate the feasibility of repairing whole segment tracheal defects with 3D printed TET.
A silorane-based composite was compared against methacrylate-based composites in terms of shrinkage characteristics, thermal properties, gel point, and vitrification point. Shrinkage strain was measured using a laser triangulation method. Shrinkage stress was measured using a stress analyzer. Heat flow during photopolymerization was measured using photo-DSC. Statistical analysis was performed using one-way ANOVA and Tukey's test (p=0.05). Silorane exhibited significantly lower shrinkage strain than the methacrylate-based composites. It also presented the lowest stress values during light exposure, but the highest maximum stress rate after light exposure. It showed the highest heat flow rate, and it took the longest time to reach gel and vitrification points. Silorane demonstrated improved performance over the methacrylate-based composites with delayed gel and vitrification points as well as reduced shrinkage strain and stress. However, a high quantity of heat was liberated during the curing process, causing silorane to show significantly higher stress rate (p<0.05) than the methacrylate-based composites after light exposure.
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