Document Detail


The effect of botulinum toxin A on skin flap survival in rats.
MedLine Citation:
PMID:  19660050     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study examines the role of botulinum toxin type A (BoTA) in preventing the collapse of the peripheral vessels in the cutaneous flap and in increasing the survival of the flap. Because BoTA cleaves the SNAP-25 protein, the release of vasoconstriction cotransmitters as well as acetylcholine would be blocked. Dorsal skin flaps in rats were elevated and returned to the original position. In the BoTA and the control group, either BoTA or saline was injected into the entire flap. The flap survival rate measurement and a histopathological examination were performed 1 week after flap elevation. The cutaneous blood flow was measured in three different areas of each flap, serially. In BoTA group, there was a significant increase in the survival rate (93.79 +/- 6.06%, p=0.042). In the control group, the blood flow was decreased significantly immediately after flap elevation. The blood flow was high in all areas in the BoTA group in a week, and also most of the vessels maintained their shape without collapsing. In conclusion, pretreatment with BoTA increases the dorsal skin flap survival in rats by increased perfusion, and further studies should be performed to determine the possible mechanism by which BoTA attenuates the sympathetic vasoconstriction effect in skin flaps.
Authors:
Young Seok Kim; Tai Suk Roh; Won-Jai Lee; Won Min Yoo; Kwan-Chul Tark
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society     Volume:  17     ISSN:  1524-475X     ISO Abbreviation:  Wound Repair Regen     Publication Date:    2009 May-Jun
Date Detail:
Created Date:  2009-08-07     Completed Date:  2009-11-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9310939     Medline TA:  Wound Repair Regen     Country:  United States    
Other Details:
Languages:  eng     Pagination:  411-7     Citation Subset:  IM    
Affiliation:
Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, College of Medicine, Yonsei University, Seoul, Korea.
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MeSH Terms
Descriptor/Qualifier:
Animals
Botulinum Toxin Type A / administration & dosage*
Disease Models, Animal
Dose-Response Relationship, Drug
Graft Survival / drug effects*
Injections, Intralesional
Microcirculation / drug effects
Neurotoxins / administration & dosage
Pilot Projects
Rats
Rats, Sprague-Dawley
Skin Transplantation / pathology*
Surgical Flaps / blood supply,  pathology*
Treatment Outcome
Vasoconstriction / drug effects
Wound Healing / drug effects*,  physiology
Chemical
Reg. No./Substance:
0/Botulinum Toxin Type A; 0/Neurotoxins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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