Effects of Otitis Media on the Eustachian Tube: An Animal Experiment

E. Sevil
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Abstract

Objective: To study the effect of the acute otitis media (AOM) on the middle ear mucosa and auditory tube in rabbits and to evaluate the results histologically. Material Methods: The study was carried out on 35 adult rabbits (New Zealand white rabbits), weighing 1500-1800 grams. The middle ear was inoculated with a bacterial suspension containing S. aureus to induce acute otitis media. Based on the exposure time of 1, 2, 4, 12, 24 weeks, the animals were classified into five groups. The rabbits in the acute otitis media group were killed after they were exposed for 1 and 2 weeks (acute), four weeks (subacute), or 12 and 24 weeks (chronic), and they were compared with the control group. The left control middle ear, the right inoculated bulla and the eustachian tube were removed. Sections of the temporal bones were dissected on block by covering the middle ear cavity and nasopharynx passing through the eustachian tube. Results: The goblet cells in the group AOM after one week was as dense as those in the control group. There was no difference between the groups in subepithelial edema, the number of eosinophils, subepithelial vasodilatation, intraepithelial gland formation and, subepithelial gland formation (p>0.05). The gland volume and the goblet cells density were extended to peak two weeks after the inoculation since there was primarily a volume increase in the components of the mucous gland. There was a significant increase in the volume of the gland layer within at least 12 weeks after the inoculation of the bacterial middle ear, primarily since there was an increase in a volume of
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中耳炎对耳咽管的影响:动物实验
目的:研究急性中耳炎(AOM)对家兔中耳黏膜及听管的影响,并对其组织学结果进行评价。材料方法:选用35只成年兔(新西兰大白兔),体重1500 ~ 1800克。用含金黄色葡萄球菌的细菌悬浮液接种中耳诱导急性中耳炎。按暴露时间1、2、4、12、24周分为5组。急性中耳炎组分别于暴露1、2周(急性)、4周(亚急性)、12、24周(慢性)后处死,与对照组比较。切除左对照中耳、右接种球及咽鼓管。经咽鼓管盖住中耳腔和鼻咽,以块状切除颞骨切片。结果:AOM组1周后杯状细胞密度与对照组相当。各组间上皮下水肿、嗜酸性粒细胞数量、上皮下血管扩张、上皮内腺形成和上皮下腺形成差异无统计学意义(p>0.05)。腺体积和杯状细胞密度在接种后2周达到峰值,主要是由于黏液腺的组成部分体积增加。在接种细菌中耳后至少12周内,腺体层的体积显著增加,主要是由于细菌中耳的体积增加
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