An Electron Histochemical and Ultrastructural Evaluation of Human Nasal Septal Cartilage Grafts Stored in Merthiolate® and Alcide®
Cartilage is used widely in reconstructive surgery. The inaccessiblity of live cartilage homografts and the limited extended survival record of preserved cartilage used as grafts (1) during surgery creates a need to understand the factors related to post-operative graft resorbtion. Structural changes in chemically preserved human nasal septum (HNS) and a decrease in the lower stiffness (2) of these tissues suggest compositional changes. The purpose of this study was to assess the chronic affects of the chemical preservatives MerthiolateR and AlcideR on HNS using S.E.M., T.E.M. and the proteoglycan specific electron dense stain quinolinic blue (QB) (3).HNS removed during rhinoplasty or after storage at 4 ° C for 6 months in Mertiolate R or AlcideR were diced into 1 mm cubes while immersed in fixative. Either 1.5% glutaraldehyde-4% paraformaldehyde in 0.1 M cacodylate with 4 mM CaCl2, or 2.5% glutaraldehyde in a critical electrolyte solution of 25mM Na acetate-0.3 M MgCl2 with 0.05% QB were used.