Functionalized Polyvinyl Alcohol-Gelatin Graft for the Treatment of Tympanic Membrane Perforations.

Abstract

The majority of issues related to patients suffering from conductive hearing loss and repeated otitis media are due to chronic tympanic membrane perforations. This generally requires a surgical procedure called tympanoplasty to seal the perforation where autologous grafts are used to reconstruct the membrane. However, the limitations associated with surgical procedures and the limited graft-material availability often cause difficulties in this route; demanding novel procedures or materials. The basic requirements for a synthetic graft-material for this application cover excellent cell adherence with no immune response and inflammatory actions at the site of implantation along with wound-healing characteristics and sufficient acoustic and mechanical properties. With this aim, an innovative graft material has been developed with polyvinyl alcohol (PVA) as the base component through this work. To ensure better cell adhesion and proliferation, a natural polymer, gelatin, has been cross-linked with PVA through a maleic anhydride (MA) intermediate; with a two-step synthesis protocol. The mechanical strength of graft material has been found to be tunable by adjusting the ratio of gelatin with PVA. Laser Doppler Vibrometry (LDV) has been employed to evaluate its acoustic properties upon exposure to a frequency sweep of 10-8000 Hz. The in vitro biocompatibility assays using L929 and RPMI 2650 cells substantiate the material's compatibility; ensuring its potential clinical applications toward chronic tympanic membrane perforations.