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This article is part of the supplement: 2nd Scientific Meeting of the Head and Neck Optical Diagnostics Society

Open Access Oral presentation

Using optical coherence tomography to monitor effects of electromechanical reshaping in septal cartilage

Heather Chen, Lingfeng Yu*, Cyrus Manuel and Brian Jet-Fei Wong

  • * Corresponding author: Lingfeng Yu

Author Affiliations

University of California, Irvine, USA

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Head & Neck Oncology 2010, 2(Suppl 1):O19  doi:10.1186/1758-3284-2-S1-O19

The electronic version of this article is the complete one and can be found online at: http://www.headandneckoncology.org/content/2/S1/O19


Published:29 October 2010

© 2010 Yu et al; licensee BioMed Central Ltd.

Oral presentation

Electromechanical reshaping (EMR) of cartilage is a promising noninvasive technique with potential for broad application in reconstructive surgery. EMR involves applying direct current electrical fields to localized stress regions and then initiating a series of oxidation-reduction reactions, thus effecting a shape change. Previous EMR studies have focused on macroscopic structural measurements of the shape change effect or monitoring of electrical current flow. Only limited investigation of structural changes in the tissue at the histologic level have been performed, and not in real time. This study is the first to use optical coherence tomography (OCT) to examine structural changes in cartilage during EMR. Two platinum needle electrodes were inserted into fixed rectangular rabbit nasal septal cartilage specimens. The spectral domain OCT probe was then positioned above the anode needle. A constant voltage of 6V was applied for 3 minutes, and images were obtained (8 frames/second). OCT was also performed in specimens undergoing dehydration under ambient conditions and during pH changes produced by the addition of HCl, as both processes accompany EMR. The OCT data identified distinct findings among the three conditions, suggesting that EMR causes a much greater degree of reshaping on a molecular level than dehydration or a change in pH alone. OCT provides a means to gauge structural changes in the tissue matrix during EMR. The application of OCT to image the EMR process will add to our understanding of the mechanisms of action involved and potentially facilitate optimization of this process.