Biology 2022, 11, 1142. https://doi.org/10.3390/biology11081142 www.mdpi.com/journal/biology
Article
Observation of Palatal Wound Healing Process Following
Various Degrees of Mucoperiosteal and Bone Trauma in a
Young Rat Model
Yingmeng Liu
†
, Shiming Zhang
†
, Karim Ahmed Sakran, Jiayi Yin, Min Lan, Chao Yang, Yan Wang,
Ni Zeng *, Hanyao Huang * and Bing Shi
State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Oral
Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China;
liuyingmeng_cn@163.com (Y.L.); shimmy_zhang@163.com (S.Z.); sakrandent89@gmail.com (K.A.S.);
scuyjy@sina.com (J.Y.); lanmin1109@163.com (M.L.); 28611736@163.com (C.Y.); wangyancn2022@163.com (Y.W.);
shibingcn@vip.sina.com (B.S.)
* Correspondence: zengnihx@sina.com (N.Z.); huanghanyao_cn@scu.edu.cn (H.H.);
Tel.: +86‐028‐85501462 (N.Z. & H.H.); Fax: +86‐28‐85502570 (N.Z. & H.H.)
† These authors contributed equally to this work.
Simple Summary: The exact correlation of palatal trauma to maxillary inhibition has not been
demonstrated. This paper determines the influence of different degrees of palatal trauma on
maxillofacial growth and assesses whether usage of ADM can help rescue the inhibited growth
during palatal wound healing. This research would help the surgeons comprehensively understand
the impact of palatal trauma on maxillary growth and the therapeutic effect of the ADM.
Abstract: The accidental injury or surgery on soft and hard palatal tissue has an adverse impact on
normal maxillary morphology. To design a single‐factor experiment that excludes other interfering
factors on maxillary growth, a young rat model was established to simulate the various degrees of
palatal trauma. Eight maxillary parameters were measured to evaluate the impact of palatal trauma
on maxillary growth. Furthermore, the acellular dermal matrix (ADM) was applied to cure the
palatal trauma and alleviate the adverse impact of bone denudation on the maxillary growth. Micro‐
CT scanning and histology analyses were used. One‐way ANOVA with least significant difference
(LSD) post‐test was used to evaluate the statistical significance. The palatal trauma mainly disturbed
the transverse development of the maxilla. ADM promotes mucosa healing, but there is still an
inhibitory effect on maxillofacial growth.
Keywords: palatal wound healing; acellular dermal matrix; maxillary growth; mucoperiosteal
trauma
1. Introduction
The hard palate sits at the front of the roof of the mouth and contains the palatine
bone, making up two‐thirds of the palate, separating the oral cavity and nasal cavity,
participating in feeding and speech [1]. Palatal tumor or fracture, cyst resection, or scar
contracture after surgical repair can lead to palatal trauma [2–4]. In the pediatric
population, the child’s propensity to place objects in their mouth, or sabotage physical
accidents, along with their unsteady gait, makes palatal trauma more common.
Meanwhile, patients with cleft palate who receive palatoplasty or the use of relaxation
incision also suffer from palatal trauma caused by surgery [5]. Palatal trauma in the adult
population affects their phonation and mastication. In children and adolescents at the
Citation: Liu, Y.; Zhang, S.;
Sakran, K.A.; Yin, J.; Lan, M.;
Yang, C.; Wang, Y.; Zeng, N.;
Huang, H.; Shi, B. Observation of
Palatal Wound Healing Process
Following Various Degrees of
Mucoperiosteal and Bone Trauma in
a Young Rat Model. Biology 2022, 11,
1142. https://doi.org/10.3390/
biology11081142
Academic Editor: Guo‐Hao Lin
Received: 28 June 2022
Accepted: 21 July 2022
Published: 29 July 2022
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