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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    European archives of oto-rhino-laryngology and head & neck 240 (1984), S. 159-166 
    ISSN: 1434-4726
    Keywords: Anaesthetic agents ; Tympanic membrane ; Structure ; Local application
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Four different local anaesthetic agents were tested on the tympanic membrane of the rat in order to detect any structural changes. Specimens were obtained for examination under the light microscope 10 min, 24 h, 1 week, and 2 weeks after exposure to each anaesthetic. The histological changes observed were, in general, rather similar for all agents tested, although certain differences were noted. The initial change observed was damage of the outer epithelial layers, later also accompanied by changes in the corresponding endothelial cover. No perforations were observed macroscopically. The healing process was characterized by hyperplasia of the connective tissue layers of the drum. However, the most prominent feature of this process was the hyperplastic epithelium, ingrowing from the periphery of the membrane to cover denuded areas. During certain stages of the healing process the thickness of the membrane amounted to 40 times that of the normal drum. The initial changes appeared severe both with the clinically more potent and effective anaesthetics (phenol and Bonain's liquid), and with Xylocaine spray.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    European archives of oto-rhino-laryngology and head & neck 253 (1996), S. 205-213 
    ISSN: 1434-4726
    Keywords: Nasal neuropeptides ; Perennial rhinitis ; Mucosal glands ; Immunofluorescence ; Electron microscopy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In order to study morphological effects on the nasal and sinus mucosa, New Zealand White rabbits underwent either unselective, regional sectioning of sensory and parasympathetic nerve branches or topical treatment of the mucosa with capsaicin. Ten days after treatment, mucosal specimens were analyzed by light and electron microscopy. Immunohistochemistry was used to evaluate neuropeptides present, in particular substance P, calcitonin gene-related peptide, vasoactive intestinal peptide and neuropeptide Y. In surgically denervated rabbits, mucosal glands were found to be enlarged and contained an increased number of zymogen granules having a bipartite substructure. Topical capsaicin application caused localized epithelial changes in the sinus mucosa and maxilloturbinal region of the nose, including clotting of cilia and an increased number of goblet cells. Reduced amounts of all neuropeptides investigated were found in the surgically denervated animals, while topical capsaicin treatment had only marginal effects on the mucosal neuropeptide content. The morphological changes observed after surgical denervation suggest an imbalance between neural stimulation and secretory capacity of the mucosal glands. These findings could explain the difference in clinical effect noted between sectioning of the vidian nerve and topical treatment with capsaicin in patients with perennial rhinitis.
    Type of Medium: Electronic Resource
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