Atlas of Ear, Nose and Throat Pathology

Many pathologists have little acquaintance with ear, nose concomitant biopsy have become commonplace in the and throat pathology. Some receive few specimens from management of throat disorders. It is hoped that. by ENT tissues; others are deterred from de

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Current Histopathology Consultant Editor Professor G. Austin Gresham, TO, SeD, MD, FRCPath. Professor of Morbid Anatomy and Histology, University of Cambridge

Volume Sixteen

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EAR, NOSE AND THROAT PATHOLOGY BY L. MICHAELS Professor of Pathology Department of Histopathology University College and Middlesex School of Medicine Institute of Laryngology and Otology 330 Gray's Inn Road London, WC1X8EE England

. , KLUWER ACADEMIC PUBLISHERS .~ DORDRECHT/BOSTON/LONDON

Distributors

British Library Cataloguing in Publication Data

for the United States and Canada: Kluwer Academic Publishers, PO Box 358, Accord Station, Hingham, MA 02018-0358, USA for all other countries: Kluwer Academic Publishers Group, Distribution Center, PO Box 322, 3300 AH Dordrecht, The Netherlands

Michaels, L. (Leslie), 1925~ Atlas of ear, nose and throat pathology. 1. Man. Ears, nose & throat. Diseases I. Title II. Series 617.51

Copyright

© 1990 by L. Michaels Softcover reprint of the hardcover 1st edition 1990 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical. photocopying, recording or otherwise, without prior permission from the publishers, Kluwer Academic Publishers BV, PO Box 17, 3300 AA Dordrecht, The Netherlands. Published in the United Kingdom by Kluwer Academic Publishers, PO Box 55, Lancaster, UK. Kluwer Academic Publishers BV incorporates the publishing programmes of D. Reidel. Martinus Nijhoff, Dr W. Junk and MTP Press. Typeset and originated by Speedlith Photolitho Ltd., Longford Trading Estate, Thomas Street, Stretford, Manchester M32 OJT Printed in Great Britain by Gibbons Barford, Willenhall. West Midlands, UK Bound by Butler and Tanner Ltd., Frome and London

ISBN-13: 978-94-010-6812-3 001: 10.1007/978-94-009-0727-0

8-ISBN-13: 978-94-009-0727-0

Library of Congress Cataloging in Publlication Data Michaels, L. (Leslie) Atlas of ear, nose, and throat patholo~IY j by L. Michaels. p. cm. - (Current histopathology; 'I. 16) Includes bibliographic references. ISBN-13: 978-94-010-6812-3

($140.00 U.S.) 1. Ear-Histopathology-Atlases. 2. NoseHistopathology-Atlases. 3. Throat. Histopathology-Atlases. I. Title. II. Series. [DN LM: 1. Otorhinolaryngologic Diseases-pathology-atlases. 2. Otorhinolaryngologic Neoplasms-pathology-atlases. W1 CU7E:8J BA v. 1 6 j WV 17M 621 a] RF47.5M5 1990 617.5'1075'0222-dc20 DNLMjDLC 90-4191 CI P for Library of Congress

Contents

1 2 3 4 5

6 7

8 9 10 11 12 13

5

Consultant Editor's Note 7 Introduction 8 Normal ear 9 Non-neoplastic conditions of the external and 18 middle ear Neoplasms of the ear 25 Inner ear 33 Normal histology and inflammatory conditions 40 of the nose and paranasal sinuses Epithelial and neuroectodermal neoplasms of 49 the nose and paranasal sinuses Non-epithelial and metastatic neoplasms of the 59 nose and paranasal sinuses Nasopharynx 67 Palatine tonsil and oropharynx 73 Normal anatomy, histology and heterotopia of 82 the larynx Infections and non-infectiv