The abundant glands situated in the lamina propria of the human anterior middle nasal turbinate were complex tubules that consist of serous, seromucous, and mucous cells, either singly or in combination. Serous granules were homogeneously dense, but could have a small lighter core. Seromucous granules had a dense rim and a large compartment of appreciably lighter density. Gradation between serous and seromucous granules made precise identification of these secretory cell types difficult. Mucous cells were of conventional morphology. The secretory tubules, which possessed a complement of myoepithelial cells, gradually transformed into ducts or the changeover was relatively sudden. The ductular portions of the tubules consisted either of tall prismatic cells or of shorter columnar cells, both of which lacked secretory granules, but had many mitochondria in their supranuclear cytoplasm. In many cases the ducts, for most of their length, consisted of secretory cells. These glands clearly participate in the elaboration of the glycoconjugate coat that serves to protect the nasal mucosa and keeps it from drying out.Key words : Nasal glands ; secretory granules ; intercellular canaliculi ; myoepithelium.
The ultrastructure of the lining epithelium of the human nasal passages has been studied in detail. In contrast, the glands in the submucosa have received far less attention. Few of the studies on such glands have identified the precise region from which they were obtained, an important consideration because these submucosal glands may show regional heterogeneity. The present study deals with glands that were obtained by biopsy only from the anterior middle turbinate. A number of new features of these glands are described.
Specimens from the anterior middle turbinate were obtained from 32 adult patients (male and female) by precise surgical biopsy. The specimens were secured Correspondence to Dr Robert A. Erlandson, Department of Pathology, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York NY 10021, USA. Tel. : j1-212 639-5917 ; fax j1-212 717-3203 ; e-mail : erlandsr!mskcc.org with the informed consent of each patient. The provenance of the samples and the methods by which they were prepared for light and electron microscopy were detailed in a previous article (Al-Rawi et al. 1998). To recapitulate briefly, the biopsies were obtained from patients who were undergoing functional endoscopic sinus surgery to relieve the symptoms of chronic rhinosinusitis which had proved refractory to aggressive medical and topical therapy. All the specimens had attached submucosal tissue, the basis for the present report. Specimens initially were fixed in full-strength Karnovsky's (1965) fluid, and postfixed in 2 % osmium tetroxide. They were embedded in Maraglas : DER 732 (Erlandson, 1964). After contrasting with uranyl acetate and lead citrate, thin sections were examined either in a Philips 410LS or in a Zeiss 902 electron microscope. Semithin sections were stained with toluid...