Kooli H, Zhioua A, Zekri S, Najeh D, Jaafoura M H, Ferjaoui M
Hôpital Charles Nicolle, Service O.R.L, Boulevard 9 Avril 1938, 1006 Tunis, Tunisie.
Rev Laryngol Otol Rhinol (Bord). 2001;122(5):291-4.
The mucous membrane lining the interior of the larynx was studied in autopsy specimens taken from 21 infant larynxes, with ages ranging from 1 to 15 years. Only those larynxes in which the epithelial mucosal structures were preserved were set aside for study. A standard histological technique was applied. Paraffin sections were stained with haematoxylin-eosin, PAS, Masson's triple stain and orcine. The epithelium of the ventricles, ventricular bands and subglottis was found to be of respiratory type. On the vocal folds, the lining was non-keratinising squamous epithelium. These findings are consistent with those found in the literature. Findings that differed were as follows: the laryngeal surface of the epiglottis is classically described as having a respiratory type of epithelium, whereas we found it to be of non-keratinising stratified squamous type. The literature describes the epithelium of the ventricular bands as respiratory. While in our series we found stratified squamous in 56% and respiratory in 44%. Other findings are imprecise in the literature, and need definition; the finding of taste papillae in six cases without age correlation; and the richness of follicles in the lymphoid tissue at the epiglottis and ventricles of children aged more than 3 months.
对取自21个年龄在1至15岁婴儿喉部的尸检标本中的喉内部黏膜进行了研究。仅将那些上皮黏膜结构得以保存的喉部留作研究之用。采用了标准的组织学技术。石蜡切片用苏木精-伊红、PAS、马松三色染色法和苔黑酚进行染色。发现心室、室带和声门下区的上皮为呼吸型。在声带,其衬里为非角化复层鳞状上皮。这些发现与文献中的发现一致。不同的发现如下:会厌的喉面传统上被描述为具有呼吸型上皮,而我们发现其为非角化复层鳞状型。文献将室带的上皮描述为呼吸型。而在我们的系列研究中,我们发现56%为复层鳞状上皮,44%为呼吸型上皮。文献中的其他发现不精确,需要明确;6例发现味蕾但与年龄无关;以及3个月以上儿童会厌和心室处淋巴组织中滤泡丰富。