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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">mes</journal-id><journal-title-group><journal-title xml:lang="ru">Экстремальная биомедицина</journal-title><trans-title-group xml:lang="en"><trans-title>Extreme Medicine</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">3033-8964</issn><issn pub-type="epub">3033-8972</issn><publisher><publisher-name>Centre for Strategic Planning of the Federal Medical and Biological Agency</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.47183/mes.2024.007</article-id><article-id custom-type="elpub" pub-id-type="custom">mes-95</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОРИГИНАЛЬНОЕ ИССЛЕДОВАНИЕ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL RESEARCH</subject></subj-group></article-categories><title-group><article-title>Комбинированные матрицы и тканевые инженерные конструкции из биополимеров в реконструктивно-восстановительной  хирургии ЛОР-органов</article-title><trans-title-group xml:lang="en"><trans-title>Сombined matrices and tissue-engineered constructs made of biopolymers in reconstructive surgery of ENT organs</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дайхес</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Daikhes</surname><given-names>N. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Диаб</surname><given-names>Х. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Diab</surname><given-names>Kh. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Назарян</surname><given-names>Д. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Nazaryan</surname><given-names>D. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Виноградов</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Vinogradov</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Решульский</surname><given-names>С. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Reshulskiy</surname><given-names>S. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сергей Сергеевич Решульский</p><p>Волоколамское шоссе, 30/2, г. Москва, 123182</p></bio><bio xml:lang="en"><p>Sergey S. Reshulsky</p><p>Volokolamskoe shosse, 30/2, Moscow, 123182</p></bio><email xlink:type="simple">RSS05@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мачалов</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Machalov</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Каршиева</surname><given-names>С. Ш.</given-names></name><name name-style="western" xml:lang="en"><surname>Karshieva</surname><given-names>S. Sh.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Жирнов</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Zhirnov</surname><given-names>S. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Осидак</surname><given-names>Е. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Osidak</surname><given-names>E. O.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ковалев</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kovalev</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хесуани</surname><given-names>Ю. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Hesuani</surname><given-names>Yu. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-6"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Национальный медицинский исследовательский центр оториноларингологии Федерального медико-биологического агентства России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>National Medical Research Center for Otorhinolaryngology of the Federal Medical Biological Agency</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Национальный исследовательский технологический университет Московский институт стали и сплавов</institution><country>Россия</country></aff><aff xml:lang="en"><institution>National University of Science and Technology MISIS</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Национальный исследовательский технологический университет Московский институт стали и сплавов; Общество с ограниченной ответственностью «ТриоНова»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>National University of Science and Technology MISIS; TrioNova LLC</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Общество с ограниченной ответственностью фирмы «Имтек»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Imtek LLC</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>Национальный медицинский исследовательский центр травматологии и ортопедии имени Н. Н. Приорова Министерства здравоохранения</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Priorov National Medical Research Center of Traumatology and Orthopaedics</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru"><institution>Лаборатория биотехнологических исследований «3Д Биопринтинг Солюшенс»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>3D Bioprinting Solutions</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>24</day><month>10</month><year>2024</year></pub-date><volume>26</volume><issue>1</issue><fpage>43</fpage><lpage>49</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Дайхес Н.А., Диаб Х.М., Назарян Д.Н., Виноградов В.В., Решульский С.С., Мачалов А.С., Каршиева С.Ш., Жирнов С.В., Осидак Е.О., Ковалев А.В., Хесуани Ю.Д., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Дайхес Н.А., Диаб Х.М., Назарян Д.Н., Виноградов В.В., Решульский С.С., Мачалов А.С., Каршиева С.Ш., Жирнов С.В., Осидак Е.О., Ковалев А.В., Хесуани Ю.Д.</copyright-holder><copyright-holder xml:lang="en">Daikhes N.A., Diab K.M., Nazaryan D.N., Vinogradov V.V., Reshulskiy S.S., Machalov A.S., Karshieva S.S., Zhirnov S.V., Osidak E.O., Kovalev A.V., Hesuani Y.D.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.extrememedicine.ru/jour/article/view/95">https://www.extrememedicine.ru/jour/article/view/95</self-uri><abstract><p>Микротия — это врожденный комбинированный порок, встречается с частотой один случай на 10 000–15 000 новорожденных и составляет 50% всех врожденных пороков. Лечение микротии — сложная задача, предложено множество вариантов ее решения, однако ни один из них не гарантирует высоких функциональных и эстетических результатов. Большие надежды в решении проблемы возлагаются на достижения регенеративной медицины. Целью исследования было определить возможность применения современных биосовместимых эндопротезов, изготовленных с помощью технологий тканевой инженерии. Двум близкородственным самцам-минипигам двухлетнего возраста породы Sus salvanius под височную фасцию были имплантированы биоинженерные импланты, изготовленные методом комбинированной трехмерной биопечати с нанесением на них раствора коллагена с аутогенными клетками хрящевой ткани. Через 3 месяца образцы были изъяты. По результатам их гистологического и иммуногистохимического исследования, в 100% случаев имплантированный эндопротез инициировал развитие соединительнотканных регенератов и формирование собственной сосудистой сети, тем самым обеспечивая жизнеспособность клеток и сохранность биологических структур, при этом отторжения и явлений резорбции эндопротеза не выявлено. Сделан вывод, что разработанный метод изготовления имплантатов перспективен и может послужить основой для создания отечественных пористых ушных имплантатов на основе биосовместимых полимерных материалов, гидрогелей и аутологичного клеточного материала. Необходима дальнейшая апробация импланта ушной раковины на биологических моделях.</p></abstract><trans-abstract xml:lang="en"><p>Microtia is a combined congenital malformation with the prevalence of one case per 10,000–15,000 newborns, which accounts for 50% of all congenital malformations. Treatment of microtia is a challenging task. Numerous solutions have been proposed, however, none of these options guarantee good functional and aesthetic outcome. High hopes for solving the problem are placed on advances in reconstructive surgery. The study was aimed to determine the possibility of using advanced biocompatible endoprostheses manufactured using the tissue engineering technologies. Two closely related male 2-year-old minipigs of the Sus salvanius breed underwent implantation of bioengineered implants manufactured by combined 3D bioprinting with application of the collagen solution containing autologous cartilage tissue cells under the temporal fascia. The samples were collected 3 months later. Histological examination and immunohistochemistry showed that the implanted endoprosthesis initiated the development of regenerated connective tissue and its own vasculature in 100% of cases, thereby ensuring cell viability and integrity of biological structures; furthermore, no facts of the endoprosthesis rejection or resorption were reported. We have concluded that the developed implant manufacturing method is promising and can provide the basis for creation of domestic porous ear implants based on biocompatible polymeric materials, hydrogels, and autologous cellular material. It is necessary to further test the auricular implant using biological models.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>реконструкция наружного уха</kwd><kwd>клеточная инженерия</kwd><kwd>хрящевая ткань</kwd><kwd>минипиги</kwd></kwd-group><kwd-group xml:lang="en"><kwd>outer ear reconstruction</kwd><kwd>cell engineering</kwd><kwd>cartilage tissue</kwd><kwd>minipigs</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Cabrejo R, Persing J, Alperovich M. Epidemiologic assessment of microtia in over 23 million consecutive United States births. J Craniofac Surg. 2019; 30: 342–6.</mixed-citation><mixed-citation xml:lang="en">Cabrejo R, Persing J, Alperovich M. Epidemiologic assessment of microtia in over 23 million consecutive United States births. 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