Primary and secondary response transplantation experiments in allograft tympanoplasty reveal that after various preservation procedures at least part of the original histoincompatibility between donor and recipient still exists. Clinical pathologic data are in accordance with this phenomenon. The abolished immune reactivity in successful allograft-tympanoplasty is placed in the light of acquired immunotolerance. The consequences of prior tissue-typing are discussed.
Get full access to this article
View all access options for this article.
References
1.
MarquetJSchepensRKuijpersW: Experiences with tympanic transplants. Arch Otolaryngol97: 58–66, 1973.
2.
GagnonNBPicheJLarochelleD: Homografts of the middle ear. Privileged tissue or privileged site. Arch Otolaryngol105: 35–38, 1979.
3.
KastenbauerEHochstrasserK: Der Einfluss des Konservierungsmittel Cialit auf die Proteinlöslichkeit und die Antigenität von allogenen und xenogenen Gehörknöchlchen und Trommelfelltransplantaten. Arch Otorhinolaryngol203: 225–231, 1973.
4.
KuijpersWvan den BroekP: Biological considerations for the use of homograft tympanic membranes and ossicles. Acta Otolaryngol80: 283–293, 1975.
5.
VeldmanJEBoezemanAJOverboschHC: Middle ear transplantation: A new concept in clinical otology, in Müller-RuchholtzWMüller-HermelinkHK, (eds): Advances in Experimental Medicine and Biology: Function and structure of the immune system. New York, Plenum Press1979, vol 114, pp 357–362.
6.
PoliquinJFCatanzaroARobbJ: Antigenicity of the guinea pig's tympanic membrane. Otolaryngol Head Neck Surg87: 852–858, 1979.
7.
StewartAHeslopBF: The immunological status of allografts in the middle ear. Acta Otolaryngol87: 539–544, 1979.
8.
VeldmanJE: Histophysiology and Electron microscopy of the Immune Response. Thesis. University of Groningen The Netherlands. Uitg Dijkstra-Niemeyer, Groningen, The Netherlands, 1970.
9.
VeldmanJEKaiserlingE: Interdigitating cells, in CarrJDaemsWT, (eds): The Reticuloendothelial System: Structure in Relation to Function, vol 1, Morphology New York Plenum Press, 1980, pp 381–415.
10.
LesinskiSG, (ed): Symposium on homograft tympanoplasty. Otolaryngol Clin North Am10: 3, 1977.
11.
SmithMFWBallantyneJC: The results of an International questionnaire in otologic homografts. Trans Am Acad Ophthalmol Otolaryngol80: 71–72, 1975.
12.
KuijpersWvan den BroekP: Fundamental aspects of incus transplantation. Laryngoscope82: 2174–2185, 1972.
13.
SchoorlRde la RievièreA BrutelVon den BorneAEG: Identification of T- and B-lymphocytes in human breast cancer with immunohistochemical techniques. Am J Pathol84: 529–543, 1976.
14.
VeldmanJEKuijpersWOverboschHC: Middle ear implantation: Its place in the immunohistophysiology of lymphoid tissue. Review Clin Otolaryngol3: 93–102, 1978.
15.
VeldmanJE: The middle ear: An immunologically privileged site for tolerance induction in otologic tissue grafting? in MandelTECheersCHoskingCSMcKenzieIFCNossalGJV, (eds): Proceedings of the III International Congress of Immunology: Progress in Immunology, ed III. Sydney, Australian Academy of Science, and Amsterdam, North Holland Publishing Co, 1977, pp 805–806.
16.
PerkinsR: Otologic homograft indications, techniques, and anatomic and functional results. Trans Am Acad Ophthalmol Otolaryngol80: 41–46, 1975.
17.
MarquetJ: Ten years of experience in tympanoplasty using homologous implants. J Laryngol Otol90: 897–905, 1976.
KuijpersWVeldmanJE: Transplantation in otolaryngology, in PoliquinJFRyanA, (eds): Immunology as Applied to Otolaryngology. Houston, College Hill Press, 1981.