Bioprinting in Tissue Repair and Its ENT Applications

Biotissues represent a new technology in tissue regeneration in otolaryngology. Various biomaterials functioning in different combinations are used as bioinks for 3D bioprinting of tissues/tissue fragments. The scaffolds can be populated with several cell categories, each offering distinct advantages and disadvantages, depending on the targeted pathology. Results from in vitro and in vivo studies on animal models are promising, with superior therapeutic potential. The combination of these elements provides promising results, enabling their potential application in personalized medicine. Based on these findings, their application in ENT (ear, nose, and throat) pathology is starting to gain traction. Despite being an emerging field, 3D/4D bioprinting in otolaryngology is rapidly evolving, increasingly replacing conventional inert materials with more sophisticated, bio-integrated alternatives. These alternatives are based on novel bioink formulation involving cells capable of proliferating and integrating the new neo-fragment organ into the host's endogenous tissues. In this context, this review outlines novel applications that could enhance traditional procedures in ENT reconstructive medicine. Furthermore, biomimetic scaffolds for otolaryngology can be tailored to address factors influencing implant fate during the procedure and in the early and late postoperative periods.