Skip to main content Accessibility help
×
Home

Structural characteristics of septal cartilage and mucoperichondrium

  • F Aksoy (a1), Y S Yildirim (a2), H Demirhan (a3), O Özturan (a1) and S Solakoglu (a4)...

Abstract

Aim:

During nasal septum surgery, elevation of mucoperichondrium from the anterior nasal septum may be more difficult than from the medial and posterior septum. This study aimed to evaluate any histological structural differences between the anterior and posterior nasal septum cartilage, mucoperichondrium and intervening tissue.

Material and method:

Unilateral mucoperichondrial flap elevation without infiltration was performed, after nasal tip and dorsum decortication, in four patients undergoing open septorhinoplasty. Full-thickness samples, including cartilage and mucoperichondrium, were removed from the anterior and posterior nasal septum and examined under light and electron microscopy.

Results:

Light microscopy showed no difference between anterior and posterior septum specimens regarding perichondrial thickness and subperichondrial cell density. Demarcation between cartilage and perichondrium and between perichondrium and lamina propria was more regular in the posterior versus the anterior septum. Electron microscopy showed no difference in chondroblast activity at the two sites.

Conclusion:

The observed tissue demarcation irregularities may explain the greater reported difficulty in elevating anterior versus posterior nasal septum mucoperichondrium. Immunohistochemical examination would further elucidate these interstructural connections.

Copyright

Corresponding author

Address for correspondence: Op Dr Yavuz Selim Yıldırım, Elbistan Devlet Hastanesi Kulak Burun Boğaz Kliniği, 46300, Karaelbistan, Kahramanmaraş, Turkey Fax: +90 344 4138005 E-mail: dryavuzselim@yahoo.com

Footnotes

Hide All

Presented at the Annual Conference in the 33rd Year of The European Academy of Facial Plastic Surgery, 1–5 September 2010, Antalya, Turkey

Footnotes

References

Hide All
1Fawcett, DW, Jensh, RP. Respiratory system. In: Bloom, and, Fawcett, DW, eds. Concise Histology. New York: Chapman & Hall, 1997;230–3
2Ozturan, O, Miman, MC. The cranial nerve “zero” and the vomeronasal organ [in Turkish]. T Klin J ENT 2001;1:166–71
3Kierszenbaum, AL. Respiratory System, Histology and Cell Biology, 2nd edn. Mosby Inc, Philadelphia, 2002;371–4
4Richmon, JD, Sage, AB, Shelton, E, Schumacher, BL, Sah, RL, Watson, D. Effect of growth factors on cell proliferation, matrix deposition, and morphology of human nasal septal chondrocytes cultured in monolayer. Laryngoscope 2005;115:1553–60
5Kaiser, ML, Karam, AM, Sepehr, A, Wong, H, Liaw, LH, Vokes, DE et al. Cartilage regeneration in the rabbit nasal septum. Laryngoscope 2006;116:1730–4
6Holden, PK, Liaw, LH, Wong, BJ. Human nasal cartilage ultrastructure: characteristics and comparison using scanning electron microscopy. Laryngoscope 2008;118:1153–6
7Culav, EM, Clark, CH, Merrilees, MJ. Connective tissues: matrix composition and its relevance to physical therapy. Phys Ther 1999;79:308–19
8Ustünel, I, Cayli, S, Güney, K, Celik-Ozenci, C, Tanriöver, G, Sahin, Z. Immunohistochemical distribution patterns of collagen type II, chondroitin 4-sulfate, laminin and fibronectin in human nasal septal cartilage. Acta Histochem 2003;105:109–14
9Yazıcı, İ, Yavuzer, R, Gözil, R, Erdoğan, D, Atabay, K. Collagen microanatomy of the human septum cartilage. Turk Plast Surg 2008;16:7983

Keywords

Related content

Powered by UNSILO

Structural characteristics of septal cartilage and mucoperichondrium

  • F Aksoy (a1), Y S Yildirim (a2), H Demirhan (a3), O Özturan (a1) and S Solakoglu (a4)...

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed.