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Original Article

Deviation with Increasing Age in Histologic Appearance of Submucosal Glands in Human Eustachian Tubes

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Pages 463-467 | Received 22 Dec 1980, Published online: 08 Jul 2009
 

Abstract

73 tubal specimens from the temporal bones of 37 autopsy cases of various ages (8 fetuses. 12 children, 4 young adults. 36 middle-aged adults. and 14 elderly adults) were examined histologically to study the deviation with increasing age in the submucosal glands of Eustachian tube. The tubal glands consisted of acini (terminal secretory portions) and three duct systems (intercalated. striated and excretory ducts). Cytoiogically, they were of the mixed type with crescents. it was observed that the mucous acinar cells were predominant in children. as compared with the serous acinar cells. These latter increased prominently in middle age. ac. companied by a decrease in the number of mucous cells. Among the elderly, both types of acinar cells decreased and tended to be atrophic. On the other hand, oncocytic changes of the ductal epithelia were discovered in the pharyngeal part of Eustachian tubes of subjects over 60 years old. These aging changes may play an important role in the pathophysiology of patency and exci-etory processes of the Eustachian tube.

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