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Article Dans Une Revue BioImpacts Année : 2018

Design, fabrication, and implantation of tube-shaped devices for the treatment of salivary duct diseases

Résumé

Introduction: Starch-based materials were designed using a special extrusion die in order to obtain a tube-shaped device for application to salivary duct treatment in the field of endoscopy, i.e., sialendoscopy. Methods: Extrusion process was used to produce starch tubes. Mechanical properties of the dry tube before implantation were determined using an axial compression test. A finite element study was carried out to simulate the behavior of the hydrated tube under external axial pressure. Hydrolysis of these devices in a simulated salivary solution was studied, as well as its glycerol kinetics release. An animal short-term implantation model for salivary ducts was proposed as a feasibility study for starch tube-shaped devices. Results: A continuous production of regular and size-controlled tubes was obtained. The very small diameter obtained, less than 2 mm, corresponds to the requirement of being insertable in a human salivary duct using sialendoscopy guidewire. Finite element analysis showed that the starch tube can still support an external pressure higher than 0.2 MPa without irreversible damage. After 4 days of implantation, the host response is encouraging and the inflammatory response for this type of procedure remains normal. Conclusion: These devices were adapted to sialendoscopic guidewires and able to be implanted in the salivary ducts of pigs. If a longer lasting tube is required, the crystallinity of the starch material should be improved.
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Dates et versions

hal-02620050 , version 1 (25-05-2020)

Licence

Paternité - Pas d'utilisation commerciale

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Diego Velasquez, Laurent Chaunier, Sofiane Guessasma, Frederic Faure, Alain Bizeau, et al.. Design, fabrication, and implantation of tube-shaped devices for the treatment of salivary duct diseases. BioImpacts, 2018, 8 (2), pp.91-98. ⟨10.15171/bi.2018.11⟩. ⟨hal-02620050⟩
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