Advertisement

Medical Hypothesis and Perspectives

  • Roger Jankowski
Chapter

Abstract

Hypothesizing that the inferior turbinate is the homolog of the ectopterygoid bone does not fully account for the specific structure and functions of the mucosa covering this bone, which appears related to the role of the nose in filtering and conditioning inspired air and in the control of body temperature and water content. The microvasculature of the mucosa covering the inferior turbinate differs from that of other part of the nose; it consists of (1) a dense subepithelial network of capillaries, allowing passage of water into the lumen for evaporation and air-conditioning; (2) a system of capacitance vessels, which, when they distend, block the nasal lumen and, when they empty, open the nasal passages; changes in their volume will affect the filtering and air-conditioning functions of the nose; and (3) arteriovenous anastomosis which allows rapid passage of blood through the mucosa and is likely important in air-conditioning and in the countercurrent mechanisms that tend to keep the brain cool in a hot, dry climate (Widdicombe 1993).

Keywords

Allergic Rhinitis Paranasal Sinus Nasal Polyp Nasal Polyposis Inferior Turbinate 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Apter A, Gent J et al (1999) Fluctuating olfactory sensitivity and distorted odor perception in allergic rhinitis. Arch Otolaryngol Head Neck Surg 125:1005–1010PubMedGoogle Scholar
  2. Baroody FM, Mucha SM et al (2008) Nasal challenge with allergen leads to maxillary sinus inflammation. J Allergy Clin Immunol 121(5):1126–1132, e1127PubMedCrossRefGoogle Scholar
  3. Beham A, Beham-Schmid C et al (2000) Nasopharyngeal angiofibroma: true neoplasm or vascular malformation? Adv Anat Pathol 7(1):36–46PubMedCrossRefGoogle Scholar
  4. Cao Z, Gua Z et al (2010) Respiratory epithelial adenomatoid hamartoma of bilateral olfactory clefts associated with nasal polyposis: three cases report and literature review. Auris Nasus Larynx 37(3):352–356PubMedCrossRefGoogle Scholar
  5. Fitzhugh V, Miranni N (2008) Respiratory epithelial adenomatoid hamartoma: a review. Head Neck Pathol 2(3):203–208PubMedCrossRefGoogle Scholar
  6. Fokkens W, Lund V et al (2007) EPOS – European position paper on rhinosinusitis and nasal polyps 2007. Rhinology 45(suppl 20):1–139Google Scholar
  7. Georgel T, Jankowski R et al (2007) Adenomatoid hamartomas of the olfactory clefts. French ORL 92:274–281Google Scholar
  8. Georgel T, Jankowski R et al (2009) CT assessment of woodworkers’ nasal adenocarcinomas confirms the origin in the olfactory cleft. Am J Neuroradiol 30:1440–1444PubMedCrossRefGoogle Scholar
  9. Guo G, Paulino A (2002) Lipomatous variant of nasopharyngeal angiofibroma. Arch Otolaryngol Head Neck Surg 128:448–450PubMedGoogle Scholar
  10. Heinrich U, Brieger J et al (2007) Frequent chromosomal gains in recurrent juvenile nasopharyngeal angiofibroma. Cancer Genet Cytogenet 175:138–143PubMedCrossRefGoogle Scholar
  11. Jankowski R, Georgel T et al (2007) Endoscopic surgery reveals that woodworkers’ adenocarcinomas originate in the olfactory cleft. Rhinology 45(4):308–314PubMedGoogle Scholar
  12. Keith PK, Conway M et al (1994) Nasal polyps: effects of seasonal allergen exposure. J Allergy Clin Immunol 93(3):567–574PubMedCrossRefGoogle Scholar
  13. Lorentz C, Marie B et al (2012) Respiratory epithelial adenomatoid hamartomas of the olfactory clefts. Eur Arch Otorhinolaryngol 269(3):847–852PubMedCrossRefGoogle Scholar
  14. Nguyen DT, Nguyen PL et al (2012) How does measured olfactory function correlate with self-ratings of the sense of smell in patients with nasal polyposis. Laryngoscope 122(5):947–952PubMedCrossRefGoogle Scholar
  15. Rha K, Byun S et al (2003) Bilateral juvenile nasopharyngeal angiofibroma. Otolaryngol Head Neck Surg 128:891–893PubMedCrossRefGoogle Scholar
  16. Sternberg S (1954) Pathology of juvenile angiofibroma. Cancer 7(1):15–28PubMedCrossRefGoogle Scholar
  17. Wenig B, Heffner D (1995) Respiratory epithelial adenomatoid hamartomas of the sinonasal tract and nasopharynx: a clinicopathologic study of 31 cases. Ann Otol Rhinol Laryngol 104(8):639–645PubMedGoogle Scholar
  18. Widdicombe J (1993) The airway vasculature. Exp Physiol 78:433–452PubMedGoogle Scholar
  19. Zhang M, Sun X et al (2011) Biological distinctions between juvenile nasopharyngeal angiofibroma and vascular malformation. Acta Histochem 113:626–630PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag France 2013

Authors and Affiliations

  • Roger Jankowski
    • 1
  1. 1.Faculté de Médecine Service ORL - CHUUniversité de LorraineNancyFrance

Personalised recommendations