Hostname: page-component-848d4c4894-xfwgj Total loading time: 0 Render date: 2024-07-05T20:33:57.503Z Has data issue: false hasContentIssue false
  • English
  • Français

Eustachian tube submucosal glands in normal and pathological temporal bones

Published online by Cambridge University Press:  29 June 2007

Gilead Berger
Gilead Berger*
Affiliation:
Department of Otolaryngology, Meir General Hospital, Kfar Saba, Israel
*
Department of Otolaryngology, Meir General Hospital, 44281 KfarSaba, Israel
Get access Rights & Permissions [Opens in a new window]

Abstract

Histological data concerning the structure and the topographical distribution of the eustachian tube submucosal glands is presented in 94 serially-sectioned temporal bones with and without otitis media. The vast majority of the tubal glands are located adjacent to the nasopharynx in the pharyngeal and midportion regions. Mixed glands which contain equal amounts of mucoid and serous elements are found in all age groups, in most specimens, either with or without otitis media. Furthermore, the glandular tissue, along these two medial regions of the tube, does not disclose significant quantitative differences between normal and inflamed specimens. Temporal bones without otitis media harbour few glands in the lateral four regions of the tube, while those with otitis media show a moderate increase of gland formation which is more noticeable in the pretympanum than in the regions around the isthmus (pre-isthmus, isthmus and post-isthmus regions). It is apparent that chronic inflammatory conditions like simple chronic otitis media and secretory otitis media are more often accompanied by gland formation, along the lateral four regions of the tube than acute otitis media.

Keywords

Eustachian tubeOtitis media
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 107 , Issue 12 , December 1993 , pp. 1099 - 1105
Copyright
Copyright © JLO (1984) Limited 1993

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bak-Pedersen, K., Tos, M. (1972) The goblet cells in the human eustachian tube. Quantitative studies on density and distribution. Anatomische Anzeiger 132: 266–280Google ScholarPubMed
Bak-Pedersen, K., Tos, M. (1973) Mucous glands in the middle ear and osseous eustachian tube. Annals of Otology, Rhinology and Laryngology 82: 80–88Google Scholar
Beery, Q. C., Doyle, W. J., Cantekin, E. I., Bluestone, C. D. (1979) Longitudinal assessment of eustachian tube function in children. Laryngoscope 89: 1446–1456Google Scholar
Berger, G., Sade, J., Sachs, Z., Luntz, M. (1987) The involvement of the eustachian tube mucosal lining in acute and secretory otitis media. In The Eustachian Tube. Proceedings of the International Conference on Acute and Secretory Otitis Media, Part II. (Sade, J., ed.). Kugler Publications, Amsterdam, pp 55–61Google Scholar
Graves, G. O., Edwards, L. F. (1944) The eustachian tube. A review of its descriptive, microscopic, topographic and clinical anatomy. Archives of Otolaryngology 39: 359–399CrossRefGoogle Scholar
Hentzer, E. (1972) Ultrastructure of the middle ear mucosa in secretory otitis media. I. Mucous effusion. Acta Otolaryngologica 73: 467–75Google Scholar
Kitajiri, N., Hashida, Y., Sando, I., Doyle, W. S. (1985) Histopathology of otitis media in infants with cleft and high-arched palates. Annals of Otology, Rhinology and Laryngology 94: 44–50CrossRefGoogle ScholarPubMed
Matsune, S., Sando, I., Takahashi, H. (1992) Distributions of Eustachian tube goblet cells and glands in children with and without otitis media. Annals of Otology, Rhinology and Laryngology 101: 750–754Google Scholar
Moos, S. (1874) Beitrage zur normalen und pathologischen Anatomie und zur Physiologie des Eustachian Rohre, Kreidel, Wiesbaden, p 50.Google Scholar
Politzer, A. (1908). Lehrbuch der Ohrenheilkunde. Ferdinand Enke, Stuttgart, p 34.Google Scholar
Sade, J. (1966) Middle ear mucosa. Archives of Otolaryngology 84: 137–143Google Scholar
Sade, J. (1971) Cellular differentiation of the middle ear lining. Annals of Otology, Rhinology and Laryngology 80: 376–383Google Scholar
Sade, J., Wolfson, S., Luntz, M., Berger, G. (1987) The anatomical regions of the eustachian tube. In The Eustachian Tube. Proceedings of the International Conference on Acute and Secretory Otitis Media, Part II, (Sade, J., ed.). Kugler Publications, Amsterdam, pp 31–40Google Scholar
Sade, J., Luntz, M., Berger, G. (1988) The eustachian tube profile in children. A quantitative histopathological study of the ET lumen and mucosal lining involvement in acute and secretory otitis media. Advances in Oto-Rhino-Laryngology 39: 18–36Google Scholar
Tomoda, K., Morii, S., Yamashita, T.Kumazawa, T. (1981) Deviation with increasing age in histologic appearance of submucosal glands in human eustachian tubes. Acta Otolaryngologica 92: 463–167Google Scholar
Tos, M., Wiederhold, M., Larsen, P. (1984) Experimental long-term tubal obstruction in cats. Acta Otolaryngologica 97: 580–592CrossRefGoogle Scholar
Zollner, F. (1942). Anatomie Physiologie, Pathologie und Klinic der Ohrtrompete, Springer-Verlag, Berlin, p 12.Google Scholar