Pau H W
Laryngol Rhinol Otol (Stuttg). 1983 May;62(5):210-5.
Vascularity changes in certain pathological findings of tympanic membranes were examined via a newly developed technique of fluorescence angiography. Characteristic pictures of fluorescence-stained vasculature were found in chronic inflammations or in neoplastic processes. Around the margins of perforations or over sclerotic plaques, there was decreased vascular marking with obviously increased vascular permeability. A lack of vascularisation was observed in cases of atrophic membranes. So-called glomus tumours showed an early onset of strong hyperfluorescence, representing the dense vascularisation of these neoplasms. Our findings in chronic inflammatory lesions such as perforations, sclerotic plaques, and atrophies strongly suggest disturbances of the blood supply. In consequence, areas with such vascularity changes should be excised widely during tympanoplasties and undercovered e.g. with temporal fascia. The high staining ability of the so-called glomus tumours may be of differential diagnostic value in certain cases.
通过一种新开发的荧光血管造影技术，对鼓膜某些病理表现中的血管变化进行了检查。在慢性炎症或肿瘤形成过程中发现了荧光染色脉管系统的特征性图像。在穿孔边缘或硬化斑块上方，血管标记减少，血管通透性明显增加。在萎缩性鼓膜病例中观察到血管化缺失。所谓的鼓室球瘤显示出早期强烈的高荧光，代表了这些肿瘤的密集血管化。我们在慢性炎症病变如穿孔、硬化斑块和萎缩中的发现强烈提示血液供应紊乱。因此，在鼓室成形术中，应广泛切除有这种血管变化的区域，并用例如颞肌筋膜覆盖。所谓鼓室球瘤的高染色能力在某些情况下可能具有鉴别诊断价值。
