Comparison of Alloderm and Allomax tissue incorporation in rats

Matthew V. Chauviere, Ryan J. Schutter, Megan B. Steigelman, Beth Z. Clark, John Kevin Grayson, David E Sahar

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

BACKGROUND: Human acellular dermal matrices (HADMs) are used in a variety of settings. AlloMax is a new HADM currently being used for breast reconstruction and hernia repair. We compared the in vivo tissue integration of AlloMax to AlloDerm, a well-studied HADM, in rats. METHODS: We implanted AlloDerm and AlloMax patches into subcutaneous pockets on the backs of 32 male Sprague-Dawley rats. The animals were killed after either 4 or 8 weeks, and the patches were recovered and stained for histopathologic analyses. Microscopic end points included patch thickness, vascularization, tissue in-growth, fibroblast proliferation, and inflammation. RESULTS: All animals completed the study without complications or infection. There were no significant differences in graft thicknesses at 4 and 8 weeks. Microscopically, at 4 weeks, AlloDerm sections had significantly more microvessels than AlloMax (P = 0.02). This disparity increased by 8 weeks (P < 0.01). Similarly, we found greater tissue in-growth and fibroblast proliferation in AlloDerm than AlloMax sections at 4 (P < 0.01) and at 8 (P < 0.01) weeks. Inflammatory infiltrates consisted of lymphocytes, histiocytes, eosinophils, and plasma cells. Deep graft infiltration by predominately lymphocytic inflammatory cells was significantly higher in AlloDerm than AlloMax grafts at 4 (P = 0.01) and 8 (P = 0.02) weeks. Graft necrosis was uncommon, but marginal fibrosis was similar in both. CONCLUSIONS: AlloDerm grafts had greater neovascularization, tissue infiltration, fibroblast proliferation, and inflammatory reaction than AlloMax grafts when placed subcutaneously in rats. AlloDerm may be better incorporated than AlloMax when placed in vivo.

Original languageEnglish (US)
Pages (from-to)282-285
Number of pages4
JournalAnnals of Plastic Surgery
Volume73
Issue number3
DOIs
StatePublished - 2014

Keywords

  • AlloDerm
  • AlloMax
  • biocompatible materials
  • collagen
  • human acellular dermis
  • materials testing
  • regenerative medicine
  • tissue scaffolds

ASJC Scopus subject areas

  • Surgery

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  • Cite this

    Chauviere, M. V., Schutter, R. J., Steigelman, M. B., Clark, B. Z., Grayson, J. K., & Sahar, D. E. (2014). Comparison of Alloderm and Allomax tissue incorporation in rats. Annals of Plastic Surgery, 73(3), 282-285. https://doi.org/10.1097/SAP.0b013e31827a2d00