Escada Pedro
Serviço de Otorrinolaringologia, Hospital de Egas Moniz, Lisboa, Portugal.
Acta Med Port. 2013 May-Jun;26(3):200-7. Epub 2013 Jun 28.
The exact distribution of the human olfactory mucosa can only be determined in studies that evaluate the entire olfactory region. The purpose of this study is to determine the distribution of human olfactory mucosa in the nasal cavities, by performing the histological analysis, by light microscopy, of anatomical specimens of the olfactory region obtained from cadavers.
The specimens were taken during the autopsy of fresh cadavers. In each of the specimens, the distance between the cribiform plate and the lower limit of the olfactory region was determined in three different locations of the septal and lateral walls.
Of the 230 anatomical specimens available, 217 were excluded for medical or technical reasons. Morphometric studies were performed on 13 specimens (total 156 measurements). The lower limit of the olfactory mucosa in the nasal septum was 15.9 ± 3.2 mm, 15.3 mm ± 3 and 16 ± 2.8 mm in the anterior, middle and posterior olfactory regions. The lower limit of the olfactory mucosa in the turbinate wall was 15.3 ± 2.4 mm, 14.8 ± 2.3 mm and 12.3 ± 1.9 mm in the equivalent regions. The minimum value observed was 12 mm.
The olfactory mucosa extends through the upper and middle turbinates and the confronting nasal septum in a minimum distance of 12 mm and that may exceed 16 mm. Knowing the exact distribution of the olfactory mucosa can guide the collection of this tissues in humans, for diagnostic or therapeutic purposes.
人类嗅觉黏膜的确切分布只能在评估整个嗅觉区域的研究中确定。本研究的目的是通过对从尸体获取的嗅觉区域解剖标本进行组织学分析(光学显微镜观察),来确定人类鼻腔中嗅觉黏膜的分布。
标本取自新鲜尸体的尸检过程。在每个标本中,在鼻中隔和侧壁的三个不同位置确定筛板与嗅觉区域下限之间的距离。
在可得的230个解剖标本中,因医学或技术原因排除了217个。对13个标本进行了形态计量学研究(共156次测量)。鼻中隔上嗅觉黏膜的下限在前、中、后嗅觉区域分别为15.9±3.2毫米、15.3±3毫米和16±2.8毫米。鼻甲壁上嗅觉黏膜在相应区域的下限分别为15.3±2.4毫米、14.8±2.3毫米和12.3±1.9毫米。观察到的最小值为12毫米。
嗅觉黏膜延伸穿过上鼻甲和中鼻甲以及相对的鼻中隔,最小距离为12毫米,可能超过16毫米。了解嗅觉黏膜的确切分布可为人类出于诊断或治疗目的采集该组织提供指导。