Surgical Innovations in Tracheal Reconstruction: A Review on Synthetic Material Fabrication

<i>Background and Objectives</i>: The aim of this review is to explore the recent surgical innovations in tracheal reconstruction by evaluating the uses of synthetic material fabrication when dealing with tracheomalacia or stenotic pathologies, then discussing the challenges holding back...

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Main Authors: Usman Khalid, Petar Uchikov, Bozhidar Hristov, Krasimir Kraev, Maria Koleva-Ivanova, Maria Kraeva, Atanas Batashki, Daniela Taneva, Mladen Doykov, Angel Uchikov
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/60/1/40
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author Usman Khalid
Petar Uchikov
Bozhidar Hristov
Krasimir Kraev
Maria Koleva-Ivanova
Maria Kraeva
Atanas Batashki
Daniela Taneva
Mladen Doykov
Angel Uchikov
author_facet Usman Khalid
Petar Uchikov
Bozhidar Hristov
Krasimir Kraev
Maria Koleva-Ivanova
Maria Kraeva
Atanas Batashki
Daniela Taneva
Mladen Doykov
Angel Uchikov
author_sort Usman Khalid
collection DOAJ
description <i>Background and Objectives</i>: The aim of this review is to explore the recent surgical innovations in tracheal reconstruction by evaluating the uses of synthetic material fabrication when dealing with tracheomalacia or stenotic pathologies, then discussing the challenges holding back these innovations. <i>Materials and Methods</i>: A targeted non-systematic review of published literature relating to tracheal reconstruction was performed within the PubMed database to help identify how synthetic materials are utilised to innovate tracheal reconstruction. <i>Results</i>: The advancements in 3D printing to aid synthetic material fabrication have unveiled promising alternatives to conventional approaches. Achieving successful tracheal reconstruction through this technology demands that the 3D models exhibit biocompatibility with neighbouring tracheal elements by encompassing vasculature, chondral foundation, and immunocompatibility. Tracheal reconstruction has employed grafts and scaffolds, showing a promising beginning in vivo. Concurrently, the integration of resorbable models and stem cell therapy serves to underscore their viability and application in the context of tracheal pathologies. Despite this, certain barriers hinder its advancement in surgery. The intricate tracheal structure has posed a challenge for researchers seeking novel approaches to support its growth and regeneration. <i>Conclusions</i>: The potential of synthetic material fabrication has shown promising outcomes in initial studies involving smaller animals. Yet, to fully realise the applicability of these innovative developments, research must progress toward clinical trials. These trials would ascertain the anatomical and physiological effects on the human body, enabling a thorough evaluation of post-operative outcomes and any potential complications linked to the materials or cells implanted in the trachea.
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spelling doaj.art-1a62cab69fbb4243bd0a8b45db8e137a2024-01-26T17:35:01ZengMDPI AGMedicina1010-660X1648-91442023-12-016014010.3390/medicina60010040Surgical Innovations in Tracheal Reconstruction: A Review on Synthetic Material FabricationUsman Khalid0Petar Uchikov1Bozhidar Hristov2Krasimir Kraev3Maria Koleva-Ivanova4Maria Kraeva5Atanas Batashki6Daniela Taneva7Mladen Doykov8Angel Uchikov9Medical Faculty, Medical University of Plovdiv, 4000 Plovdiv, BulgariaDepartment of Special Surgery, Faculty of Medicine, Medical University of Plovdiv, 4000 Plovdiv, BulgariaSection “Gastroenterology”, Second Department of Internal Diseases, Medical Faculty, Medical University of Plovdiv, 4000 Plovdiv, BulgariaDepartment of Propedeutics of Internal Diseases, Medical Faculty, Medical University of Plovdiv, 4000 Plovdiv, BulgariaDepartment of General and Clinical Pathology, Faculty of Medicine, Medical University of Plovdiv, 4000 Plovdiv, BulgariaDepartment of Otorhynolaryngology, Medical Faculty, Medical University of Plovdiv, 4000 Plovdiv, BulgariaDepartment of Special Surgery, Faculty of Medicine, Medical University of Plovdiv, 4000 Plovdiv, BulgariaDepartment of Nursing Care, Faculty of Public Health, Medical University of Plovdiv, 4000 Plovdiv, BulgariaDepartment of Urology and General Medicine, Medical Faculty, Medical University of Plovdiv, 4000 Plovdiv, BulgariaDepartment of Special Surgery, Faculty of Medicine, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria<i>Background and Objectives</i>: The aim of this review is to explore the recent surgical innovations in tracheal reconstruction by evaluating the uses of synthetic material fabrication when dealing with tracheomalacia or stenotic pathologies, then discussing the challenges holding back these innovations. <i>Materials and Methods</i>: A targeted non-systematic review of published literature relating to tracheal reconstruction was performed within the PubMed database to help identify how synthetic materials are utilised to innovate tracheal reconstruction. <i>Results</i>: The advancements in 3D printing to aid synthetic material fabrication have unveiled promising alternatives to conventional approaches. Achieving successful tracheal reconstruction through this technology demands that the 3D models exhibit biocompatibility with neighbouring tracheal elements by encompassing vasculature, chondral foundation, and immunocompatibility. Tracheal reconstruction has employed grafts and scaffolds, showing a promising beginning in vivo. Concurrently, the integration of resorbable models and stem cell therapy serves to underscore their viability and application in the context of tracheal pathologies. Despite this, certain barriers hinder its advancement in surgery. The intricate tracheal structure has posed a challenge for researchers seeking novel approaches to support its growth and regeneration. <i>Conclusions</i>: The potential of synthetic material fabrication has shown promising outcomes in initial studies involving smaller animals. Yet, to fully realise the applicability of these innovative developments, research must progress toward clinical trials. These trials would ascertain the anatomical and physiological effects on the human body, enabling a thorough evaluation of post-operative outcomes and any potential complications linked to the materials or cells implanted in the trachea.https://www.mdpi.com/1648-9144/60/1/40tracheal reconstruction3D printingtissue engineering
spellingShingle Usman Khalid
Petar Uchikov
Bozhidar Hristov
Krasimir Kraev
Maria Koleva-Ivanova
Maria Kraeva
Atanas Batashki
Daniela Taneva
Mladen Doykov
Angel Uchikov
Surgical Innovations in Tracheal Reconstruction: A Review on Synthetic Material Fabrication
Medicina
tracheal reconstruction
3D printing
tissue engineering
title Surgical Innovations in Tracheal Reconstruction: A Review on Synthetic Material Fabrication
title_full Surgical Innovations in Tracheal Reconstruction: A Review on Synthetic Material Fabrication
title_fullStr Surgical Innovations in Tracheal Reconstruction: A Review on Synthetic Material Fabrication
title_full_unstemmed Surgical Innovations in Tracheal Reconstruction: A Review on Synthetic Material Fabrication
title_short Surgical Innovations in Tracheal Reconstruction: A Review on Synthetic Material Fabrication
title_sort surgical innovations in tracheal reconstruction a review on synthetic material fabrication
topic tracheal reconstruction
3D printing
tissue engineering
url https://www.mdpi.com/1648-9144/60/1/40
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AT krasimirkraev surgicalinnovationsintrachealreconstructionareviewonsyntheticmaterialfabrication
AT mariakolevaivanova surgicalinnovationsintrachealreconstructionareviewonsyntheticmaterialfabrication
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