Skip to main content
Log in

A Contribution to the pathogenesis of otosclerosis

  • Published:
Archives of oto-rhino-laryngology Aims and scope Submit manuscript

Zusammenfassung

In einer histochemischen und ultrastrukturellen Untersuchung werden die pathologischen Bindegewebsveränderungen bei der Otosklerose analysiert. Die Erkrankung führt zu einer komplexen Schädigung aller Bindegewebskomponenten. Es finden sich morphologische Anhalte für einen Enzymdefekt, der dem initialen pathologischen Reiz aufgelagert sein kann. Die beobachtete chondrozytäre Chondrolyse unterstreicht die Bedeutung der Knorpelreste in der otischen Kapsel als pathogenetischen Faktor der Otosklerose.

Summary

In a histochemical and electron microscopical study the pathogenesis of Otosclerosis was investigated. The morphological changes in the extra- and intracellular space indicated a complex metabolic disturbance of all tissue components. The observed chondrocytic chondrolysis stressed the role of the cartilage remnants in the otic capsule as an etiological factor. There was morphological evidence of a superimposed enzymatic defect.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  • Ali SY (1977) Matrix vesicles and apatite nodules in arthritic cartilage. In: Willoughby DA, Giroud JP, Velo CP (eds): Perspectives in inflammation. MTP Press Ltd, Lancaster, UK, p 211

    Google Scholar 

  • Altmann F, Glasgold A, Macduff JP (1967) The incidence of otosclerosis as related to race and sex. Ann Otol 76:377

    Google Scholar 

  • Anderson HC (1976) Matrix vesicles of cartilage and bone. In: Bourne GH (ed): The biochemistry and physiology of bone. Vol IV, Academic Press, New York, p 135

    Google Scholar 

  • Anson BJ, Cauldwell EW, Bast TH (1948) The fissula ante fenestram of the human otic capsule. Ann Otol 57:103

    Google Scholar 

  • Arnold W (1976) Veränderungen im Bereich der Mittelohrschleimhaut bei der Otosklerose. Acta Otolaryngol 81:185

    Google Scholar 

  • Arnold W, Plester D (1977) Histologische und klinische Aspekte bei florider Otospongiose der Steigbügel-Fußplatte mit Beziehung zur Perilymphe. Arch Oto-Rhino-Laryngol 215:159

    Google Scholar 

  • Bretlau P (1971) Otosclerosis. Electron microscopic studies of biopsies from the labyrinthine capsule. Arch Otolaryngol 93:551

    Google Scholar 

  • Chevance LG, Bretlau P, Jørgensen MB, Causse J (1970) Otosclerosis. An electron microscopic and cytochemical study. Acta Otolaryngol (Suppl) 272:5

    Google Scholar 

  • Fullmer HM, Lillie RD (1958) The oxytalan fiber: A previously undescribed connective tissue fiber. J Histochem Cytochem 6:425

    Google Scholar 

  • Fullmer HM, Sheetz JB, Narkates AJ (1974) Oxytalan connective tissue fibres: A review. J Oral Pathol 3:291

    Google Scholar 

  • Guild IR (1944) Histologic otosclerosis. Ann Otol 53:246

    Google Scholar 

  • Hall DA (1976) The ageing of connective tissue. Academic Press, London, New York, San Francisco

    Google Scholar 

  • Höhling HJ, Steffens H, Stamm G (1976) Transmission microscopy of freeze dried unstained epiphyseal cartilage of the guinea pig. Cell Tissue Res 167:243

    Google Scholar 

  • Holdsworth CE, Endahl GL, Soifer N, Richardson KE (1973) Aberrant behavior of phosphofructokinase from otosclerotic stapedes. Arch Otolaryngol 98:191

    Google Scholar 

  • Jonas I, Riede UN (1979) Der Einfluß von Flavichromin auf das orthodontisch stimulierte Parodontium. Fortschr Kieferorthop 40:70

    Google Scholar 

  • Kosokabe (1922) In: Müller E (1959) Schalleitungsschwerhörigkeiten. Ihre Ursachen und Entstehung. Thieme, Stuttgart

    Google Scholar 

  • Lim DJ, Saunders WH (1975) Active otosclerotic foci in the stapes. Acta Otolaryng 80:255

    Google Scholar 

  • Lindsay JR (1973) Histopathology of otosclerosis. Arch Otolaryngol 97:24

    Google Scholar 

  • Mann W, Riede UN, Jonas I, Beck Chl (1980) The role of matrix vesicles in the pathogenesis of tympanosclerosis. Acta Otolaryngol 89:43

    Google Scholar 

  • Morrison AW (1967) Genetic factors in otosclerosis. Ann Roy Coll Surg Engl 41:202

    Google Scholar 

  • Müller E (1959) Schalleitungsschwerhörigkeiten. Ihre Ursachen und Entstehung. Thieme, Stuttgart

    Google Scholar 

  • Nylen B (1949) Histopathological investigations on the localization, number activity, and extent of otosclerotic foci. Uppsala Läk-Fören Förh 51:1

    Google Scholar 

  • Rabinovitch AL, Anderson C (1976) Biogenesis of matrix vesicles in cartilage growth plates. Fed Proc 35:112

    Google Scholar 

  • Rannie I (1963) Observations on the oxytalan fibre of the periodontal membrane. Trans Eur Orthod Soc p 127

  • Riede UN, Staubesand J (1977) A unifying concept for the role of matrix vesicles and lysosomes in the formal pathogenesis of diseases of connective tissues and blood vessels. Beitr Pathol 160:3

    Google Scholar 

  • Romeis B (1968) Mikroskopische Technik. 16th ed., R. Oldenbourg, München Wien

    Google Scholar 

  • Rüedi L (1963) Pathogenesis of otosclerosis. Arch Otolaryngol 78:469

    Google Scholar 

  • Shambaugh GE (1959) Surgery of the ear. Saunders, Philadelphia — London

    Google Scholar 

  • Silverberg R (1971) Wachstum und Altern des Skeletts. Acta Rheumatol (Suppl) 26

  • Soifer N, Weaver K, Endahl GL, Holdsworth CE Jr (1970) Otosclerosis. A review. Acta Otolaryngol (Stockh) (Suppl) 269

  • Spycher MA, Moor H, Ruettner JR (1969) Electron microscopic investigations on aging and osteoarthrotic human artìcular cartilage. II. The fine structure of freeze-etched aging hip joint cartilage. Z Zellforsch 98:512

    Google Scholar 

  • Staubesand J (1976) Nachweis intra- und extrazellulärer Lysosomen in der haemodynamisch fehlbelasteten Arterienwand der Ratte. Verh Dtsch Ges Path 60:148

    Google Scholar 

  • Thyberg J (1974) Electron microscopic studies on the initial phases of calcification in guinea pig epiphyseal cartilage. J Ultrastruct Res 46:206

    Google Scholar 

  • Turnbridge R, Tattersall RN (1952) The fibrous structure of normal and abnormal skin. Clin Sci 11:315

    Google Scholar 

  • Wuthier RE (1976) Lipids of matrix vesicles. Fed Proc 35:117

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mann, W., Jonas, I., Riede, U.N. et al. A Contribution to the pathogenesis of otosclerosis. Arch Otorhinolaryngol 226, 161–176 (1980). https://doi.org/10.1007/BF00455131

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00455131

Schlüsselwörter

Key words

Navigation