F. Ikarashi et al., PNEUMATIZATION OF TYMPANIC TYMPANIC BULLA AFTER BLOCKAGE OF THE VENTILATION ROUTE THROUGH THE EUSTACHIAN-TUBE IN THE PIG, The Annals of otology, rhinology & laryngology, 105(10), 1996, pp. 784-790
To examine whether gas exchange occurs in the middle ear air cell syst
em independent of the: eustachian tube (ET), we occluded the middle ea
r clefts of piglets, whose tympanic bullae closely resemble the human
mastoid air cell system, and investigated subsequent changes in the ai
r cell system. We anticipated that pneumatization and development of t
he air cell system would continue if gas were exchanged through the mu
cosa lining the air cell system. if, on the other hand, mastoid air ce
lls depend on the ET, mastoid development would be impaired or arreste
d. In noninflamed ears, pneumatization was maintained, and development
of the air cell system continued after the middle ear cleft had been
occluded with an acrylate adhesive and the bullar air cell system was
thus excluded from any communication with the ET. These results indica
te that the normal middle ear air cell system has the capacity to perf
orm gas exchange independently of the ET, with gas exchange appearing
to occur through the submucosal capillary network.