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PATHOLOGY OF OTOSCLEROSIS

PATHOLOGY OF OTOSCLEROSIS Abstract THE RESULTS of surgical treatment of otosclerosis are certainly more fascinating than the practical results obtained from studies on the pathology of otosclerosis. In my opinion, conclusions which have been drawn from microscopic findings are disappointing from the practical point of view. Nevertheless, these studies must be continued because the final solution of the problem of otosclerosis must result from pathologic studies and not from surgery. For this reason I feel that it is timely to summarize the present status of the pathology of otosclerosis. This paper does not aim at a presentation of the bibliography, which has been much better accomplished in a résumé of the literature by the Central Bureau of Research of the American Otological Society, Inc., but rather gives my personal views based mainly on work covering the past 25 years. This presentation is permissible because my concept, presented in 1924,1 has to a certain References 1. Brunner, H.: Beiträge zur Histogenese des otosklerotischen Knochens , Ztschr. Hals-, Nasen- u. Ohrenh. 6:320, 1923 2. Beiträge zur Pathologie des knöchernen Innenohres mit besonderer Berücksichtigung der Otosklerose , Monatsschr. Ohrenh. 58:1-62, 1924. 3. Politzer, A.: Über primäre Erkrankung der knöchernen Labyrinthkapsel , Ztschr. Ohrenh. 25:309, 1894. 4. The cartilage at the frame of the windows and within the petrous bone is not hyaline cartilage but chondroid supporting tissue (Schaffer, Brunner) which is found only in a few places in the human body. 5. Manasse, P.: Neue Untersuchungen zur Otosklerosenfrage , Ztschr. Ohrenh. 82:76, 1922. 6. Schaffer, J.: Vorlesungen über Histologie und Histogenese , Leipzig, Wilhelm Engelmann, 1920. 7. Zawisch-Ossenitz ( Ztschr. mikrosk.-anat. Forsch. 6:76, 1926 8. 18:393, 1929 9. 42:595, 1937 10. Landauer ( J. Biol. Chem. 108:121, 1935). 11. Mayer, O.: Untersuchungen über die Otosklerose , Vienna, Alfred Hölder, 1917. 12. Weber, M. H. E.: Otosklerose und Umbau der Labyrinthkapsel , Leipzig, Poeschel & Trepte, 1935. 13. Exostoses and malformations of the internal ear may be likewise associated with otosclerosis, but by no means as frequently as the "blue mantles." For this reason these findings should not be classified as preotosclerotic changes. 14. Nager, F. R., and Meyer, M.: Erkrankungen des Knochensystems der Labyrinthkapsel , Berlin, S. Karger, 1932. 15. Weber 7 16. Wittmaack, K.: Die Otosklerose, auf Grund eigener Forschungen , Jena, Gustav Fischer, 1919. 17. This, of course, does not imply that there are haversian systems. 18. Brunner, H.: Otosclerosis Associated with Osteoporosis and Labyrinthitis Chronica Ossificans , Arch. Otolaryng. 49:184 ( (Feb.) ) 1949.Crossref 19. Brunner, H.: Über Spaltbildung in der knöchernen Innenohrkapsel , Wien. klin. Wchnschr. 44:173-176, 1931. 20. Jaffe, H. L., and Lichtenstein, J.: Osteoid Osteoma: Further Experience with This Benign Tumor of Bone , J. Bone & Joint Surg. 22:645, 1940. 21. Hamartomas represent an anomalous development. 22. Mayer, O.: Referat über die pathologische Anatomie und Pathogenese der Otosklerose , Deuxième Congrès international d' oto-rhinolaryngologie , Madrid, 1932, p. 7. 23. Brunner, H.: Über das Vorkommen von Gaucherzellen im Felsenbein nebst Bemerkungen zur kausalen Genese der Otosklerose , Ztschr. Hals-, Nasen- u. Ohrenh. 22:60, 1928. 24. Brunner, H.: Über die Veränderungen des Schläfebeines bei der Ochronose , Monatsschr. Ohrenh. 63:997, 1929. 25. Ewing, J.: Neoplastic Diseases , Ed. 2, Philadelphia, W. B. Saunders Company, 1928. 26. Siebenmann, F.: Über die Anfangsstadien und über die Natur der progressiven Spongiosierung der Labyrinthkapsel (Otospongiosis progressiva) , Verhandl. d. deutsch. otol. Gesellsch. 21:186, 1912. 27. Jaffe, H. L., and Lichtenstein, L.: Osteoid Osteoma: Further Experience with This Benign Tumor of Bone , J. Bone & Joint Surg. 22:645, 1940. 28. Ponseti, J., and Barta, C. K.: Osteoid Osteoma , J. Bone & Joint Surg. 29:767, 1947. 29. Sherman, M. S.: Osteoid Osteoma , J. Bone & Joint Surg. 29:918, 1947. 30. Jackson, A. S.: Osteoid Osteoma , Proc. Staff Meet., Mayo Clin. 24:380, 1949. 31. Jaffe, H. L.: Osteoid-Osteoma of Bone , Radiology 45:319, 1945. 32. Siebenmann, F.: Totaler knöcherner Verschluss beider Labyrinthfenster und Labyrinthitis serosa infolge progressiver Spongiosierung , Verhandl. d. deutsch. otol. Gesellsch. 20:267, 1911. 33. Since actual otosclerosis is a genuine tumor, it cannot be assumed that the (unknown) factor which causes the formation of a tumor of the bone should also cause an atrophy of Corti's organ and its nerve. 34. Brunner, H.: Otologische Diagnostik der Hirntumoren , Berlin, Urban & Schwanrzenberg, 1936. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Otolaryngology American Medical Association

PATHOLOGY OF OTOSCLEROSIS

A.M.A. Archives of Otolaryngology , Volume 55 (3) – Mar 1, 1952

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References (24)

Publisher
American Medical Association
Copyright
Copyright © 1952 American Medical Association. All Rights Reserved.
ISSN
0096-6894
DOI
10.1001/archotol.1952.00710010379008
Publisher site
See Article on Publisher Site

Abstract

Abstract THE RESULTS of surgical treatment of otosclerosis are certainly more fascinating than the practical results obtained from studies on the pathology of otosclerosis. In my opinion, conclusions which have been drawn from microscopic findings are disappointing from the practical point of view. Nevertheless, these studies must be continued because the final solution of the problem of otosclerosis must result from pathologic studies and not from surgery. For this reason I feel that it is timely to summarize the present status of the pathology of otosclerosis. This paper does not aim at a presentation of the bibliography, which has been much better accomplished in a résumé of the literature by the Central Bureau of Research of the American Otological Society, Inc., but rather gives my personal views based mainly on work covering the past 25 years. This presentation is permissible because my concept, presented in 1924,1 has to a certain References 1. Brunner, H.: Beiträge zur Histogenese des otosklerotischen Knochens , Ztschr. Hals-, Nasen- u. Ohrenh. 6:320, 1923 2. Beiträge zur Pathologie des knöchernen Innenohres mit besonderer Berücksichtigung der Otosklerose , Monatsschr. Ohrenh. 58:1-62, 1924. 3. Politzer, A.: Über primäre Erkrankung der knöchernen Labyrinthkapsel , Ztschr. Ohrenh. 25:309, 1894. 4. The cartilage at the frame of the windows and within the petrous bone is not hyaline cartilage but chondroid supporting tissue (Schaffer, Brunner) which is found only in a few places in the human body. 5. Manasse, P.: Neue Untersuchungen zur Otosklerosenfrage , Ztschr. Ohrenh. 82:76, 1922. 6. Schaffer, J.: Vorlesungen über Histologie und Histogenese , Leipzig, Wilhelm Engelmann, 1920. 7. Zawisch-Ossenitz ( Ztschr. mikrosk.-anat. Forsch. 6:76, 1926 8. 18:393, 1929 9. 42:595, 1937 10. Landauer ( J. Biol. Chem. 108:121, 1935). 11. Mayer, O.: Untersuchungen über die Otosklerose , Vienna, Alfred Hölder, 1917. 12. Weber, M. H. E.: Otosklerose und Umbau der Labyrinthkapsel , Leipzig, Poeschel & Trepte, 1935. 13. Exostoses and malformations of the internal ear may be likewise associated with otosclerosis, but by no means as frequently as the "blue mantles." For this reason these findings should not be classified as preotosclerotic changes. 14. Nager, F. R., and Meyer, M.: Erkrankungen des Knochensystems der Labyrinthkapsel , Berlin, S. Karger, 1932. 15. Weber 7 16. Wittmaack, K.: Die Otosklerose, auf Grund eigener Forschungen , Jena, Gustav Fischer, 1919. 17. This, of course, does not imply that there are haversian systems. 18. Brunner, H.: Otosclerosis Associated with Osteoporosis and Labyrinthitis Chronica Ossificans , Arch. Otolaryng. 49:184 ( (Feb.) ) 1949.Crossref 19. Brunner, H.: Über Spaltbildung in der knöchernen Innenohrkapsel , Wien. klin. Wchnschr. 44:173-176, 1931. 20. Jaffe, H. L., and Lichtenstein, J.: Osteoid Osteoma: Further Experience with This Benign Tumor of Bone , J. Bone & Joint Surg. 22:645, 1940. 21. Hamartomas represent an anomalous development. 22. Mayer, O.: Referat über die pathologische Anatomie und Pathogenese der Otosklerose , Deuxième Congrès international d' oto-rhinolaryngologie , Madrid, 1932, p. 7. 23. Brunner, H.: Über das Vorkommen von Gaucherzellen im Felsenbein nebst Bemerkungen zur kausalen Genese der Otosklerose , Ztschr. Hals-, Nasen- u. Ohrenh. 22:60, 1928. 24. Brunner, H.: Über die Veränderungen des Schläfebeines bei der Ochronose , Monatsschr. Ohrenh. 63:997, 1929. 25. Ewing, J.: Neoplastic Diseases , Ed. 2, Philadelphia, W. B. Saunders Company, 1928. 26. Siebenmann, F.: Über die Anfangsstadien und über die Natur der progressiven Spongiosierung der Labyrinthkapsel (Otospongiosis progressiva) , Verhandl. d. deutsch. otol. Gesellsch. 21:186, 1912. 27. Jaffe, H. L., and Lichtenstein, L.: Osteoid Osteoma: Further Experience with This Benign Tumor of Bone , J. Bone & Joint Surg. 22:645, 1940. 28. Ponseti, J., and Barta, C. K.: Osteoid Osteoma , J. Bone & Joint Surg. 29:767, 1947. 29. Sherman, M. S.: Osteoid Osteoma , J. Bone & Joint Surg. 29:918, 1947. 30. Jackson, A. S.: Osteoid Osteoma , Proc. Staff Meet., Mayo Clin. 24:380, 1949. 31. Jaffe, H. L.: Osteoid-Osteoma of Bone , Radiology 45:319, 1945. 32. Siebenmann, F.: Totaler knöcherner Verschluss beider Labyrinthfenster und Labyrinthitis serosa infolge progressiver Spongiosierung , Verhandl. d. deutsch. otol. Gesellsch. 20:267, 1911. 33. Since actual otosclerosis is a genuine tumor, it cannot be assumed that the (unknown) factor which causes the formation of a tumor of the bone should also cause an atrophy of Corti's organ and its nerve. 34. Brunner, H.: Otologische Diagnostik der Hirntumoren , Berlin, Urban & Schwanrzenberg, 1936.

Journal

A.M.A. Archives of OtolaryngologyAmerican Medical Association

Published: Mar 1, 1952

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