Institute of Medical Science, Collegium Medicum, Jan Kochanowski University of Kielce, IX Wieków Kielc 19A, 25-317 Kielce, Poland.
Department of Otolaryngology, Head and Neck Surgery, Holy-Cross Cancer Center, Artwińskiego 3, 25-734 Kielce, Poland.
Int J Mol Sci. 2022 Feb 25;23(5):2575. doi: 10.3390/ijms23052575.
For decades, biomaterials have been commonly used in medicine for the replacement of human body tissue, precise drug-delivery systems, or as parts of medical devices that are essential for some treatment methods. Due to rapid progress in the field of new materials, updates on the state of knowledge about biomaterials are frequently needed. This article describes the clinical application of different types of biomaterials in the field of otorhinolaryngology, i.e., head and neck surgery, focusing on their antimicrobial properties. The variety of their applications includes cochlear implants, middle ear prostheses, voice prostheses, materials for osteosynthesis, and nasal packing after nasal/paranasal sinuses surgery. Ceramics, such as as hydroxyapatite, zirconia, or metals and metal alloys, still have applications in the head and neck region. Tissue engineering scaffolds and drug-eluting materials, such as polymers and polymer-based composites, are becoming more common. The restoration of life tissue and the ability to prevent microbial colonization should be taken into consideration when designing the materials to be used for implant production. The authors of this paper have reviewed publications available in PubMed from the last five years about the recent progress in this topic but also establish the state of knowledge of the most common application of biomaterials over the last few decades.
几十年来,生物材料已广泛应用于医学领域,用于替代人体组织、精确的药物输送系统,或作为医疗器械的一部分,这些对于某些治疗方法是必不可少的。由于新材料领域的快速发展,经常需要更新有关生物材料的知识状况。本文描述了不同类型的生物材料在耳鼻喉科(即头颈部外科)领域的临床应用,重点介绍其抗菌性能。它们的应用范围包括耳蜗植入物、中耳假体、语音假体、骨合成材料以及鼻/鼻窦手术后的鼻腔填塞。陶瓷,如羟基磷灰石、氧化锆或金属和金属合金,仍然在头颈部区域有应用。组织工程支架和药物洗脱材料,如聚合物和聚合物基复合材料,越来越常见。在设计用于植入物生产的材料时,应考虑到生命组织的恢复能力和防止微生物定植的能力。本文作者回顾了过去五年 PubMed 上发表的关于该主题最新进展的出版物,但也确立了过去几十年生物材料最常见应用的知识状况。