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Biomedical subjects

M Hawke

Publications and source records attributed to M Hawke.

At least 127 records · Page 7Linked to original sources

The anterior process of the malleus.

The anterior process of the malleus has been recognized and its unique embryological development described for some time. However, most authorities, while describing it in the fetus and the child, claim that it atrophies with age and offer no theory as to its function. This study examined the horizontal serial sections of whole temporal bones of 50 ears, from donors of various ages from a 24 week fetus to extreme old age. Measurements indicate that, while the anterior process of the malleus seems to get smaller with increasing age, its anatomical consistency would indicate a physiological function. It is proposed that the anterior malleal process, in conjunction with the anterior malleal ligament, acts as the fulcrum of the axis of rotation of the malleus/incus complex and also acts as a damper to resonant oscillations of the complex at low frequencies.

Adult↗

The cytopathology of middle ear effusions (a new technique).

This article describes a simple technique for the dissolution of the mucus elements within middle ear effusions and the subsequent separation of the cells contained. After the mucus and mucopolysaccharides within middle ear effusions have been dissolved, the cells can be separated allowing for absolute cell counts with automated counters, smears for examination with light microscopy and differential cell counts, and transmission electron microscopic examination of the cell population. Transmission electron microscopy was utilized in this study to evaluate the amount of cellular distortion and artifact that resulted from the separation of these cells from the middle ear effusions and to evaluate the relative status of preservation of these cells. The ability to preserve, count, and identify the cellular component of middle ear effusions will be of value in attempting to understand the pathogenesis of otitis media with effusion.

Blood Cell Count↗

The natural history of otosclerosis. A correlation of the volume and activity of the otosclerotic lesion with age.

Two-hundred and fifty years after Valsalva's discovery that fixation of the stapes could be a cause of deafness, there is still a lack of knowledge about the etiology and pathogenesis of otosclerosis. The purpose of this study was to obtain more information about the natural history of this disease by correlating the volumes and activity of otosclerotic lesions within the temporal bone to the patient's age and sex. Fifty temporal bones from 33 patients (19 females and 14 males) with otosclerotic lesions were reviewed microscopically. The degrees of activity of these foci were assessed and, using a computer based technique known as "digitizing", the volumes of each otosclerotic lesion were calculated. The results of this study indicate that there is no statistical difference in volumes between males and females. From the results obtained, it is suggested that there appear to be two growth patterns of the otosclerotic lesion: one pattern grows for a very short period and then becomes dormant or inactive. The other type of otosclerosis shows a continuing growth and progression throughout life.

Adolescent↗

Histopathological findings in clinical gentamicin ototoxicity.

The temporal bone histopathological findings in a case of gentamicin sulfate-induced hearing loss and vertigo in an anephric patient undergoing hemodialysis are presented. A study of the sensory neuroepithelium of the cristae and maculae disclosed the presence of vacuoles with clubbing of the sensory cells. In the cochlea, loss of the innermost row of outer hair cells in the basal turn was the most prominent feature. These findings are discussed in light of reports of similar morphological changes in laboratory studies of gentamicin ototoxicity.

Ear, Inner↗

Telescopic otoscopy and photography of the tympanic membrane.

High resolution wide field photographs of the external canal, tympanic membrane, and middle ear can now be readily taken using a Hopkin's Lens Fiberoptic Tele-otoscope with a high intensity flash generator and light source. The equipment required and the technique used are described and sample photographs presented. The old adage that one picture is worth a thousand words holds true for illustrating tympanic membrane and middle ear pathology. The pictures taken have proved to be extremely valuable in following the course of disease within an ear. When ears are examined for photographic purposes the examiner tends to look at the ears in greater detail and develops an appreciation of the subtle departures from normal which occur.

Ear Canal↗

The Ontario Temporal Bone Bank program and the University of Toronto Temporal Bone Histopathology Laboratory.

The first temporal bone histopathology laboratory in Canada was established at the University of Toronto in 1966. Its organization is outlined. More than 600 bones have been processed and more than 45 publications produced. These are broadly classified as new discoveries, new techniques of temporal bone processing, clinical pathological case reports, and papers on clinical entities. The laboratory has a major teaching role for the trainee in otolaryngology. The history of the temporal bone bank program in North America and of the Ontario Temporal Bone Bank is outlined.

California↗

Osteopetrosis of the temporal bone.

Osteopetrosis is a rare hereditary disorder of bone development. We examined the right temporal bone of a 17-year-old boy with recessive osteopetrosis and a conductive hearing loss and describe the histopathologic characteristics. The conductive deafness in this case was caused primarily by recurrent otitis media.

Adolescent↗

Artificial eustachian tube-induced keratin foreign-body granuloma.

The pathogenesis of granulation tissue that arises periodically around artificial Eustachian tubes was elucidated by histologic examination of 15 cases of tube granuloma. All cases showed the presence of a keratin foreign-body granuloma. The implanted squames incited a foreign-body type of granulomatous reaction and produced a friable vascular exuberant mass that surrounded the artificial Eustachian tube. Histologically, the tube granuloma was characterized by the presence of irregular ovoid slit-like spaces that contained keratin squames, and it was surrounded by foreign-body giant cells.

Adult↗

Pathogenesis and detection of aminoglycoside ototoxicity.

Aminoglycoside antibiotics are widely prescribed in the treatment of serious gram negative sepsis. The more recently developed members of this group, although purporting to be less ototoxic, are also capable of producing inner ear damage in sufficiently high doses. This paper reviews the morphological, histochemical, and electrophysiological evidence concerning the mode of action of aminoglycosides on the auditory and vestibular systems and discusses the available methods for the detection of possible clinical ototoxicity. Guidelines are proposed to assist the otolaryngologist when advising about the prevention of ototoxicity and the management of patients with established auditory or vestibular dysfunction.

Aminoglycosides↗

Occult intralabyrinthine schwannoma.

Report of a case of an intralabynrinthine schwannoma discovered unexpectedly during a labyrinthectomy for intractable vertigo, and description of the light and electron microscopic appearances. Although only 18 of these tumors have been previously reported, it is possible that some cases which are categorized as peripheral vertigo of unknown origin, may be due to an occult Schwannoma. All material removed during surgical procedures on the inner ear should therefore be submitted for histopathological examination.

Female↗

Epstein-Barr virus RNA. V. Viral RNA in a restringently infected, growth-transformed cell line.

A continuous lymphoblastoid cell line, IB-4, was established by infection and growth transformation of normal neonatal B lymphocytes with the B95-8 isolate of Epstein-Barr virus (EBV). The IB-4 cells contained the intranuclear antigen, EBNA, but not early antigen, EA. The fragments produced by the digestion of intracellular episomal viral DNA (density, 1.700 to 1.720 g/cm3) with EcoRI restriction endonuclease were identical in size to the A, B, C, E, F, G, and H fragments of virion DNA. As expected from the previous observation that episomal intracellular DNA is circular, the fragment containing the rightward terminal sequences of EBV DNA in IB-4 cells was larger than the corresponding fragment of linear viral DNA, probably as a consequence of covalent linkage to the leftward terminal fragment. Also, two fragments, EcoRI-I and -J, which were adjacent to each other in the virion DNA, were absent from the intracellular DNA. The labeled EcoRI-J of viral DNA hybridized instead to a new fragment equal in size to EcoRI-I and -J combined. Analysis of viral RNA in IB-4 cells showed that RNAs encoded by more than 30% of the viral DNA comprised approximately 0.06% of the nuclear RNA, whereas RNAs encoded by 20% and 10% of the viral DNA comprised approximately 0.06% and 0.003% of the polyadenylated and polyribosomal RNAs, respectively. Viral mRNA (polyribosomal RNA) was encoded by DNA which mapped at 0.05 x 10(8) to 0.36 x 10(8) daltons and to a lesser extent by DNAs which mapped at 0.62 x 10(8) to 0.67 x 10(8), 0.70 x 10(8) to 0.73 x 10(8), and 1.13 x 10(8) to 1.15 x 10(8) daltons in the B95-8 genome. The most agundant nuclear viral RNAs were encoded primarily by DNA which mapped at the same loci; but RNAs encoded by many other fragments of viral DNA could also be detected among nuclear RNAs. Viral mRNA(s) (polyribosomal) was encoded by about 40% of the internal reiteration and by 25% of the BamHI-H fragments which mapped from 0.32 x 10(8) to 0.36 x 10(8) daltons, nuclear RNAs were encoded by at least 57% of the internal reiteration and 40% of BamHI-H. These data indicate that there is selective accumulation of some viral RNAs within the nucleus of IB-4 cells and that there is selective post-transcriptional processing of these RNAs. Finer mapping of the DNA which encodes mRNA (polyribosomal) in IB-4 cells indicated that some of this DNA is deleted in the DNA of the P3 HR-1 virus, the only isolate of EBV which cannot initiate growth transformation. These data, therefore, support the hypothesis that expression of this region of EBV genome is important for growth transformation or for the maintenance of restrigent infection.

B-Lymphocytes↗

Peripheral facial paralysis secondary to metastatic malignant melanoma. A clinicopathologic report.

We report a case of disseminated malignant melanoma in which the initial sign was an isolated peripheral facial palsy on the left side. The cause of the palsy was established five months later, with the appearance of metastatic axillary nodes. The temporal bones demonstrated tumor infiltration within the marrow spaces of the petrous apices bilaterally. The left facial nerve was also extensively involved with melanoma to the level of the geniculate ganglion.

Autopsy↗

Surgery and histopathology of the stapes in osteogenesis imperfecta tarda.

Fourteen stapedectomies were performed on ten patients with osteogenesis imperfecta tarda. Clinically, the footplates were softer and more tenuously fixed than in otosclerosis and floating footplates seemed more common. Stapes and stapes fragments from all 14 operations were examined microscopically. The histopathology of osteogenesis imperfecta was contrasted to that of otosclerosis. We believe that the greater degree of structural disorganization and greater area occupied by resorption spaces clearly distinguish the new bone formed in osteogenesis imperfecta from otosclerosis.

Adolescent↗

Histologic processing and examination of a 4,000-year-old human temporal bone.

We believe this is the first report of a mummy temporal bone successfully processed by decalcification and serial sectioning. The condition of the bone required modifications of standard processing technique. Examination of the sections revealed evidence of antemortem otitis media and mastoiditis. The technique described should prove useful in otopathological studies of other paleontological specimens.

Histological Techniques↗

Hearing without hair cells? A case report.

Audiograms from a five year old accident victim with a profound hearing loss are compared to temporal bone and brain stem histological findings. One temporal bone was evaluated using surface preparation and transmission electron microscope techniques. The other temporal bone was evaluated using serial section procedures. No sensory cells were present in either cochlea. This unusual finding is discussed. Evaluation of ventral cochlear nuclei showed a 50 per cent loss of neurons on both sides.

Auditory Threshold↗

Foreign body granulomas of the ear.

Foreign body granulomas of the ear are seldom looked for, but probably common occurrences. They may be due to exogenous or endogenous material which became implanted in the course of trauma or treatment in the external or middle ear. They provoke inflammation which may be subclinical, clinical, or masked by concurrent infection. They can aggravate chronic infection, initiate acute local inflammation, or jeopardize surgical success. Histologically, the foreign material is seen lying freely or partially encapsulated within chronic inflammatory tissue, in close proximity to foreign body giant cells. Medical treatment can only succeed when the offending agent is surgically removed.

Acute Disease↗