Integrating Biodegradable 3-Dimensional-Printing into Tracheal Reconstruction

Todd A Goldstein,Daniel A Grande,David Zeltsman,Benjamin D Smith,Lee P Smith

doi:10.4236/ojrm.2015.43004

Abstract

Background: Currently, there is no set standard treatment for long-segment tracheomalacia and stenosis. In this study we set out to explore the potential to create a tissue engineered, biodegradable and three-dimensionally (3D) printed tracheal ring as a first step towards bioengineering a long segment tracheal replacement. Method of Approach: A 3D-Computer aided design (CAD) model was produced with multiple channels to allow for cellular growth while mimicking the native anatomy. The design was optimized to allow for printability, cellular expansion, and integration and 3D printed using a modified commercial 3D printer. Results: The cells grown in the scaffold demonstrated a similar proliferation trend compared to control. Chondrocytes within the 3D printed ring retained their phenotypic properties and did not infer any significant change in flexibility, contour and strength to the scaffold. Conclusion: The combination of living cells and a 3D modeled patient specific graft may address some of the unmet clinical needs in the field of tracheal reconstruction. This proof of concept study represents a first step towards producing a 3D printed and tissue engineered long segment tracheal replacement graft for airway surgery.

Highlights

Stenosis or malacia of the trachea can result in difficult breathing, exercise intolerance, sleep apnea, tracheotomy dependence and/or death [1]
When the malacia or stenosis is restricted to the upper trachea or subglottis, surgeons can bypass the narrowing with a tracheotomy
To address long-segment stenosis (>50% of the trachea) or revision tracheal resection where an adequate length of trachea is not available, a variety of tracheoplasty techniques have been attempted with varying degrees of success

Summary

Introduction

Stenosis or malacia of the trachea can result in difficult breathing, exercise intolerance, sleep apnea, tracheotomy dependence and/or death [1]. To address long-segment stenosis (>50% of the trachea) or revision tracheal resection where an adequate length of trachea is not available, a variety of tracheoplasty techniques have been attempted with varying degrees of success. In this study we set out to explore the potential to create a tissue engineered, biodegradable and three-dimensionally (3D) printed tracheal ring as a first step towards bioengineering a long segment tracheal replacement. Conclusion: The combination of living cells and a 3D modeled patient specific graft may address some of the unmet clinical needs in the field of tracheal reconstruction. This proof of concept study represents a first step towards producing a 3D printed and tissue engineered long segment tracheal replacement graft for airway surgery

Methods

Results

Discussion

Conclusion