Systematic Review: Peran Sel, Jaringan, dan Kolagen dalam Penyembuhan Perforasi Membran Timpani

Authors

  • Antonius Christanto Universitas Sebelas Maret
  • Risya Cilmiaty Universitas Sebelas Maret
  • Made Setiamika Universitas Sebelas Maret
  • Ratih Dewi Yudhani Universitas Sebelas Maret
  • Paramasari Dirgahayu Universitas Sebelas Maret

DOI:

https://doi.org/10.54259/sehatrakyat.v4i4.5771

Keywords:

Angiogenesis, Collagen, Fibroblast, FGF, IL-1β

Abstract

Tympanic membrane perforation is a significant clinical concern that can lead to hearing impairment and recurrent ear infections. This study aims to review the roles of Interleukin-1 beta (IL-1β), Fibroblast Growth Factor (FGF), fibroblasts, keratinocytes, granulation tissue, and collagen density during the wound-healing phases of the tympanic membrane.A Systematic Journal Review was conducted by analyzing studies retrieved from PubMed, Scopus, ScienceDirect, and Google Scholar databases published between 2020 and 2025. Of the 400 records screened,, 10 studies met the inclusion criteria. The findings revealed that IL-1β plays a key role in the inflammatory phase by modulating immune responses and recruiting healing cells. FGF stimulates fibroblast and keratinocyte proliferation, which are essential for extracellular matrix (ECM) remodeling and re-epithelialization. Moreover, granulation tissue formation and collagen deposition are critical determinants of structural integrity and healing quality. Overall, tympanic membrane repair requires synergistic interactions among molecular mediators, cellular components, and biomaterial support to optimize tissue regeneration. These findings provide a scientific basis for developing more effective regenerative and tissue-engineering strategies for middle ear therapy.

Downloads

Download data is not yet available.

References

Alharbi, S. M., Al Asseri, W. Y., Al Ardi, T., & Al-Qahtani, A. S. (T.t.). Myringoplasty outcome. Five-year experience at a tertiary teaching hospital.

Arifin, A. F. H., Firda, F. A., Al Farosi, U. T., Brilliantama, F. A., Clarista, S. A., & Ridhoi, K. K. V. (T.t.). Literature Review: Diagnosis dan Tatalaksana Perforasi Membran Timpani.

Barrientos, S., Stojadinovic, O., Golinko, M. S., Brem, H., & Tomic-Canic, M. (2008). Growth factors and cytokines in wound healing. Wound Repair and Regeneration, 16(5), 585–601. https://doi.org/10.1111/j.1524-475X.2008.00410.x

Chen, K., Rao, Z., Dong, S., Chen, Y., Wang, X., Luo, Y., Gong, F., & Li, X. (2022). Roles of the fibroblast growth factor signal transduction system in tissue injury repair. Burns & Trauma, 10, tkac005. https://doi.org/10.1093/burnst/tkac005

Dai, J., Shen, J., Chai, Y., & Chen, H. (2021). IL-1β Impaired Diabetic Wound Healing by Regulating MMP-2 and MMP-9 through the p38 Pathway. Mediators of Inflammation, 2021, Article ID 6645766. https://doi.org/10.1155/2021/6645766

Leong, M., Murphy, K. D., & Phillips, L. G. (2016). Wound healing. Dalam Wound Healing (hlm. 130). Elsevier.

Li, A., Liang, Z., Chen, H., Yang, Y., Xu, Y., Gao, X., & Chen, J. (2022). Endoscopic closure of tympanic membrane anterior perforation using a strip-type chondroperichondrial graft. Medicine, 101(33), 1–7.

Mamun, A. A., Shao, C., Geng, P., Wang, S., & Xiao, J. (2024). Recent advances in molecular mechanisms of skin wound healing and its treatments. Frontiers in Immunology, 15, 1395479. https://doi.org/10.3389/fimmu.2024.1395479

Moore, A. L., Marshall, C. D., Barnes, L. A., Murphy, M. P., Ransom, R. C., & Longaker, M. T. (2018). Scarless wound healing: Transitioning from fetal research to regenerative healing. Wiley Interdisciplinary Reviews: Developmental Biology, 7(2). https://doi.org/10.1002/wdev.309

Mullin, J. A., Rahmani, E., Kiick, K. L., & Sullivan, M. O. (2023). Growth factors and growth factor gene therapies for treating chronic wounds. Bioengineering & Translational Medicine. e10642. https://doi.org/10.1002/btm2.10642

Pan, Y., Yang, D., Zhou, M., Liu, Y., Pan, J., Wu, Y., Huang, L., & Li, H. (2023). Advance in topical biomaterials and mechanisms for the intervention of pressure injury. iScience.

Sainsbury, E., do Amaral, R., Blayney, A. W., Walsh, R. M., O’Brien, F. J., & O’Leary, C. (2022). Tissue engineering and regenerative medicine strategies for the repair of tympanic membrane perforations. Biomaterials and Biosystems, 6, 100046. https://doi.org/10.1016/j.bbiosy.2022.100046

Shafiek, M. S. (2025). The Role of Cytokines in Wound Healing: Insights into Mechanisms, Therapy, and Innovations. Translational Health Sciences, 1(1), 25–39.

Teh, B. M., Marano, R. J., Shen, Y., Friedland, P. L., Dilley, R. J., & Atlas, M. D. (2013). Tissue Engineering of the Tympanic Membrane. Tissue Engineering, Part B: Reviews, 19(2). https://doi.org/10.1089/ten.teb.2012.0389

Zheng, D., Huang, C., Zhu, X., Huang, H., & Xu, C. (2021). Performance of Polydopamine Complex and Mechanisms in Wound Healing. International Journal of Molecular Sciences, 22(19), 10563. https://doi.org/10.3390/ijms221910563

Downloads

Published

2025-11-15

How to Cite

Antonius Christanto, Risya Cilmiaty, Made Setiamika, Ratih Dewi Yudhani, & Paramasari Dirgahayu. (2025). Systematic Review: Peran Sel, Jaringan, dan Kolagen dalam Penyembuhan Perforasi Membran Timpani. Sehat Rakyat: Jurnal Kesehatan Masyarakat, 4(4), 1236–1252. https://doi.org/10.54259/sehatrakyat.v4i4.5771