Scanning electron microscopy and histomorphology of the epiglottis in dromedaries: A study revealing unusual structure with the probable functional role.

While epiglottis is essentially a mammalian structure, studying its microstructure in any placental model will add an important information to the field of comparative anatomy and the related branches of biology. The aim of this study was to describe the structure of the epiglottis in dromedary camels using light and scanning electron microscopy (SEM), with reference to the possible functions. A total of 11 epiglottis cartilages from 11 larynges were used. The study revealed unusual, deeply situated glands just beneath the cartilage plate. They have unusually, wide surface-openings, while their ducts were partly located within the cartilage. This is presumed to be an adaptation to the need for rapid and efficient mucosal surface hydration in the arid conditions. The possible secretion transport mechanisms in these glands were also discussed. Furthermore, the SEM revealed for the first time, the presence of taste buds in camel epiglottis. However, in histological sections, visibility of taste buds was dependent upon the staining techniques. The taste buds were not seen with standard H& E stain, as they blended imperceptibly with the surrounding epithelium. Conversely, Mallory's trichrome showed contrasting colors, and taste buds were visible. In conclusion, camel epiglottis has an unusual structure, which may be correlated to environmental adaptation and important for the general health of upper respiratory tract in this species.

Morphology and chemical characteristics of subepithelial laminar nerve endings in the rat epiglottic mucosa.

The laminar nerve endings are distributed in the laryngeal mucosa, and described as sensory receptors evoked by laryngeal pressure changes. The present study aimed to determine detailed morphological characteristics of the laryngeal laminar endings of the rat. Immunohistochemistry for Na(+)-K(+)-ATPase, α(3) subunit, showed that laminar endings were distributed in the entire laryngeal surface of the epiglottis. The parent axons of the endings were thick in diameter, and they were branched and continued to the endings. In some cases, several endings from different parent axons fused into a large complex structure of 500 µm in width. The laminar endings were also immunoreactive for vesicular glutamate transporter 1 (vGLUT1) and vGLUT2, but not for P2X(3) purinoceptor. Around the laminar endings, terminal Schwann cells with immunoreactivity for S-100 protein were closely associated with axon terminals. Use of scanning electron microscopy with alkaline maceration method showed that the terminal Schwann cells consisted of a rounded perinuclear region and lamellar cytoplasmic processes. Ultrastructurally, axon terminals with numerous mitochondria were partly covered with Schwann cell sheath, and some terminals intruded into the epithelial layer. Clear vesicles of 50 nm in diameter were also observed especially in small cytoplasmic processes of 400 nm to 1 µm in size. The results in the present study suggested that the laminar endings in epiglottic mucosa have morphological characteristics of slowly adapting mechanoreceptors and contribute to sensation of laryngeal pressure via mucosal tension.

Quantitative study of ageing epiglottal taste buds in humans.

OBJECTIVES: This investigation aimed to demonstrate age-related changes of taste buds on the human epiglottis using histomorphometrical analysis. METHODS: Histological observation and measurement of taste bud density were performed on oral and laryngeal surfaces of 237 human epiglottises (138 male and 99 females). The cases were divided into two age groups: 67 cases in the younger group, for subjects aged 10-39 years and 170 cases in the older group, for those aged 70-98 years. Each epiglottis was investigated at the upper and middle height levels. RESULTS: The mean density of taste buds significantly decreased on the laryngeal surfaces in the older group. Most taste buds were present in the upper height level on the laryngeal surfaces which were covered with thin and flat stratified squamous epithelium. The covering epithelium revealed developed epithelial ridges on the oral surfaces without taste buds. These results suggest a relationship between the existence of taste buds and the thickness of the covering epithelium. CONCLUSIONS: The presence of taste buds in the epiglottises of elderly people was demonstrated. In addition, the decrease of these taste buds with advancing age was clarified.

Mast cells in elastic cartilage of the human epiglottis.

Light and transmission electron microscopy revealed in the elastic cartilage of the human epiglottis the presence of mast cells. Cytoplasmic granules of these cells contain characteristic cylindrical bodies, whose texture is different from that found in cytoplasmic granules of mast cells from other sites. The presence of mast cells in elastic cartilage, described for the first time, and the different substructure of their cytoplasmic granules, is considered as another proof of the heterogeneity of that cell type.

[The laryngeal involvement in Kaposi's sarcoma in the acquired immunodeficiency syndrome]. / Afectación laríngea por sarcoma de Kaposi en el síndrome de inmunodeficiencia adquirida.

Kaposi's sarcoma (KS) is a malignant vascular neoplasm characterized, in its classical form, by a slow evolutive course, beginning in the lower extremities. Lately have been reported more and more cases of this entity associated with the acquired immunodeficiency syndrome (AIDS), running much more aggressively. In ENT-pathology are not uncommon this kind of neoplasm in the oral cavity and oropharynx. However at larynx's level such descriptions till now had been sporadic. The AA. present a KS case sitting in the epiglottis of an AIDS patient. They emphasize the importance of a throughout ENT-examination of these patients and also remark the necessity of performing various and deep biopsies in order to gain a diagnosis that can be relied on. Finally, they review the updated management alternatives for this sort of pathology.

A scanning electron microscopic study of the equine upper respiratory tract.

The surface features of the upper respiratory tract of 20 clinically normal horses of various ages and types were studied with scanning electron microscopy. In the rostral part of the nasal cavity, there was a wide zone of non-ciliated epithelium whereas, caudally, the surface was well ciliated. This latter type of epithelium extended into the nasopharynx and guttural pouches although scattered areas of non-ciliated microvillous cells were also found.

Substance P immunoreactive nerve fibers of the canine laryngeal mucosa.

Substance P (SP) immunoreactive nerve endings in the laryngeal mucosa were studied by PAP immunohistochemistry with light and electron microscopy. SP immunoreactive sensory endings were observed in the epithelium as intra-epithelial free nerve endings and taste bud-like structures. A small number of autonomic SP immunoreactive nerve fibers were observed running parallel to arterioles which were over 30 micron in diameter and terminated in glandular cells. Contrary to findings by silver impregnation, intraepithelial free nerve endings were more frequently observed on the lower surface of the vocal cord. The taste bud-like structures were classified into two different types: simple terminations and reticular terminations, according to the mode of the SP immunoreactive nerve fiber. Immature or degenerated taste bud-like structures in the larynx were assumed to be mechanical receptors because these receptors lacked outer taste pores and taste hairs.

Electron microscopic study on the epiglottic mucosa in human fetuses.

The differentiation of the epiglottic mucosa in human fetuses has so far been studied only by light microscopy. So, we studied the epiglottic mucosa in human fetuses (at gestational ages from the 7th to 21st week) by scanning (SEM) and transmission electron microscopies (TEM), and could disclose more detailed features of cellular differentiation of this mucosa. These results and the review of the literatures lead to the following conclusions: 1. Primary cilia appeared in the epiglottic mucosa around the 7th week of gestation. 2. Ciliated cells and the stratified squamous epithelium of the lingual surface appeared at the similar period as reported by others, but our study revealed that the squamous cells are immature even at the 21st week. 3. Glycogen granules in non-ciliated cells decreased paralleling the differentiation of the cells, suggesting that they provide a source of energy necessary for the cell differentiation.

The transitional zone in the epithelium lining the mouse epiglottis.

The epithelium lining the caudal surface of the mouse epiglottis occupies the transitional zone between the keratinized stratified squamous epithelium, continuing from the oral cavity, and the ciliated columnar epithelium, extending into the laryngeal cavity. The epithelium showed gradations ranging from stratified squamous through stratified cuboidal to ciliated stratified low-columnar type. It is suggested that the epithelium is identical with the 'intermediate epithelium' in the mouse nasopharynx.

Light and electron microscopic studies of localized laryngeal amyloidosis.

We performed light and electron microscopic studies in a case of localized supraglottic laryngeal amyloidosis involving a 55-year-old woman. Tissue specimens were stained with hematoxylin and eosin, and alkaline Congo red with or without permanganate (KMnO4) treatment, and were also examined with peroxidase-antiperoxidase immunohistochemistry. Biopsy specimens from the epiglottis showed diffuse replacement of the subepithelial region by amyloid, which showed a typical green birefringence under polarized light. Tissue affinity for Congo red was persistent after the KMnO4 treatment. However, the tissue sections showed a positive reaction only to the anti-P component antibody. Electron microscopic studies revealed some disorders of the plasma cells, suggesting that these cells play an important role in focal production of amyloid fibrils.

Intercellular junctions in upper airway submucosal glands of the rat: a tracer and freeze fracture study.

The structure of intercellular tight junctions of rat airway submucosal glands was examined by freeze fracture techniques and their permeability assessed by the use of colloidal lanthanum. The submucosal glands were organized into three distinct regions: a) serous tubules and b) mucous tubules lined, respectively, by serous and mucous cells, and c) ducts lined by cuboidal epithelial cells, containing few secretory granules, and some ciliated cells. The mean number of parallel fibrils constituting the tight junctions between serous cells was 3.6 +/- 0.4, which was significantly smaller than those between any of the other cell types. Colloidal lanthanum permeated the tight junctions between serous cells up to the level of the acinar lumen. There was a progressive increase in the mean number of parallel fibrils of tight junctions between mucous (5.1 +/- 0.6), ductal (5.4 +/- 0.5), and ciliated cells (8.5 +/- 0.7); none of these junctions was permeated by colloidal lanthanum. These results imply that tight junctions between serous cells are more permeable to small water-soluble solutes than those present in the more proximal portions of the gland. Gap junctions were observed between serous cells and between mucous cells, suggesting that these secretory cells may be electotronically and metabolically coupled.

Elastic fiber microfibrils: filaments that anchor the epithelium of the epiglottis.

Electron microscope study of the epiglottis in the rat and mouse reveals bundles of tubular-shaped filaments (11 nm diameter) that anchor the basal lamina of the epithelial lining. These anchoring filaments are present both on the laryngeal and oral surfaces of the organ. The filaments are shown to be continuous to elastic fiber microfibrils (EFM) of elastic fibers in the underlying connective tissue. It is suggested that EFM in adults function as anchoring filaments for cells and connective tissue fibers.

The histology and fine structure of glands in the rat respiratory tract.

The structure of rat respiratory glands has been investigated by light and electron microscopy. The glands exhibited a tubulo-acinar organization. Individual secretory units were composed of serous tubules or serous demilunes and mucous tubules with narrow lumens at the blind end (proximally), and of mucous ducts with wide lumens which opened to the tracheal lumen distally. Near the junction of the duct with the trachea, mitochondria-rich cells and a few ciliated cells were interspersed with mucous cells. It was found that the histology as well as the ultrastructure of the secretory product of these gland cells varied depending upon the location of the glands in the airway. For this reason, the glands of the epiglottis, larynx and trachea have been described separately. Epiglottal glands consisted of many mucous tubules, a few serous elements and an occasional mucous duct. Laryngeal glands contalned many serous and mucous tubules and a few mucous ducts. Tracheal glands were composed of serous tubules, a few mucous tubules and prominent bucous ducts. Serous tubule cell granules formed a uniform population within a cell profile but varied in cells of the epiglottis, compared with those of the larynx and trachea. Granules in mucous tubule cells differed from those of serous cells. Mucous cell granules also appeared uniform within a single cell but differed from cell to cell and at different levels of the respiratory tract. A particular granule type was predominant at each level. Cells of mucous ducts differed somewhat from those of mucous tubules and comprised two general secretory cell populations. Proximal mucous duct cells contained abundant granules that generally resembled those of mucous tubule cells but were localized in two areas of the cytoplasm. Dilated cisternae of rough endoplasmic reticulum with a bizonal content similar in density of zones seen in mature granules further characterized proximal mucous duct cells. The distal mucous duct cell generally contained sparse apical granules and lacked dilated rough endoplasmic reticulum.

High resolution scanning electron microscopy of elastic cartilage.

The elastic cartilage of the rat epiglottis was studied with a high-resolution SEM technique. The chondrocytes were found to be anchored in their lacunae by fibrils running in from the territorial matrix. This matrix exhibited a dense network of fibrils arranged tangentially around the lacunar cavity. The fibrils of the inter-territorial matrix however, formed a three dimensional network of sheets with interconnecting fibrils. The SEM has shown up for the first time a substructure in the fibrils in the form of circular protuberances arranged circumferentially around the fibrils and forming ridges 12--19 nm apart. We suggest that the fibrils are collagen, and the protuberances are the proteoglycans attached to the collagen fibrils. Globules seen attached to the fibrils are most probably 'matrix granules' as observed in other kinds of cartilage. The total inability to visualize elastin with the high resolution SEM is puzzling.

Ultrahistochemistry of matrix vesicles in elastic cartilage.

Matrix vesicles in the elastic cartilage of epiglottis were negative for acid phosphatase, alkaline phosphatase, and ATPase. This is in agreement with the very rare occurrence of mineralization of elastic cartilage. Only the lysosomes of the chondrocytes showed a positive reaction for acid phosphatase, and a positive reaction for alkaline phosphatase and ATPase was found in relation to the cells of the perichondrium.

The elastic cartilage in the normal rat epiglottis. I. Fine structure.

Chondrocytes of the rat epiglottis contain large amounts of glycogen and lipids, which often make the cells resemble fat cells. The content of lipids is interpreted as being related to the function of the cells. The membranes of some of the large vacuoles are stained with ruthenium red. The cells give rise to long cytoplasmic processes. As in hyaline cartilage the intercellular substance consists of a fine network containing proteoglycan granules together with thicker cross striated fibers. Furthermore elastic fibers are found, consisting of amorphous and microfibrillar parts. In the matrix, both lysosome-like granules and more or less empty vesicles are observed. Accumulations of a finely particulate electron dense material and of a translucent amorphous material containing membrane bound granules are found in some lacunae situated in the outer part of the cartilage. These accumulations are possibly related to the development of collagenous and elastic fibers.

Appearances of the larynx after radiation therapy.

Laryngeal tomography and lateral Xerox radiographs from 21 cases of carcinoma of the larynx previously treated by irradiation were analyzed. Although false negatives and false positives did occur, radiology made a useful contribution to the diagnosis or exclusion of recurrence in a number of cases. The most relevant positive findings were: 1. Ulceration, 2. Asymmetrical swelling, 3. Failure of tumor mass to shrink.