AlloDerm and DermaMatrix implants for parotidectomy reconstruction: a histologic study in the rat model

Head Neck. 2013 Feb;35(2):242-9. doi: 10.1002/hed.22952. Epub 2012 Feb 2.

Abstract

Background: We analyzed tissue incorporation, immune response, and neovascularization of AlloDerm and DermaMatrix in a rat model of postparotidectomy reconstruction.

Methods: In 8 male Sprague-Dawley rats, 3-dimensionally folded AlloDerm implants were placed in the left postparotidectomy bed and 3 in the anterior dorsum as controls. The same was done for DermaMatrix on the right side and posterior dorsum. Two animals were euthanized at 4, 8, and 12 days. A blinded pathologist assessed the degree of fibroblast proliferation, neovascularization, and inflammation.

Results: When compared with the dorsum, DermaMatrix implants in the parotid bed had significantly higher numbers of inflammatory cells at 8 and 12 days (p = .049 and .0046). AlloDerm acted more consistently between the postparotidectomy bed and dorsum.

Conclusions: AlloDerm reacts similarly when comparing the postparotidectomy bed to the dorsum. DermaMatrix induces a more marked inflammatory reaction in the postparotidectomy bed when compared with the dorsum.

Publication types

  • Comparative Study

MeSH terms

  • Acellular Dermis*
  • Animals
  • Collagen*
  • Disease Models, Animal
  • Graft Rejection
  • Graft Survival
  • Immunohistochemistry
  • Male
  • Parotid Gland / pathology
  • Parotid Gland / surgery*
  • Plastic Surgery Procedures / methods*
  • Random Allocation
  • Rats
  • Rats, Sprague-Dawley
  • Risk Assessment
  • Skin Transplantation / methods*
  • Wound Healing / physiology

Substances

  • Alloderm
  • Collagen