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Updated: Aug 8, 2026

Heterotopic and Orthotopic Tracheal Transplantation in Mice used as Models to Study the Development of Obliterative Airway Disease
Published on: January 20, 2010
Tracheal reconstruction with porcine small intestine submucosa in a rabbit model
Samuel P Gubbels1, Mark Richardson, Dennis Trune
1Department of Otolaryngology-Head and Neck Surgery, Portland, Oregon 97239, USA.
Objective:
To evaluate the ability of porcine small intestine submucosa (SIS) to 1) maintain airway patency, 2) integrate, 3) prevent granulation tissue formation, and 4) permit mucosalization when used for tracheal reconstruction. Further studies were performed to evaluate the ability of SIS to support neochondrogenesis and investigate the impact of neochondrogenesis on airway patency.
Study Design:
Prospective, controlled animal trial with SIS used with and without a perichondrial flap to reconstruct a tracheal defect in a rabbit model. Functional, histologic and endoscopic analyses were performed.
Results:
All animals except 1 control animal were without stridor. The SIS graft supported neochondrogenesis, was completely mucosalized and was well integrated into the neotrachea. There was minimal granulation tissue formation. Endoscopic analyses did not reveal a consistent, significant difference in airway patency when SIS, with or without a perichondrial flap, was used for reconstruction.
Conclusion:
SIS can be used to reconstruct a sublethal rabbit tracheal defect with no mortality and minimal morbidity.

