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  • Pathogenic Factors in Bone ...
    Abramson, Maxwell; Moriyama, Hiroshi; Huang, Cheng C.

    Acta oto-laryngologica, 01/1984, Volume: 97, Issue: 5-6
    Journal Article

    Factors present in skin appear to enhance bone resorption in chronic otitis media. These skin factors were replicated in a series of experiments using an animal model. The presence of activated granulation tissue is a universal finding in bone resorption in otitis media. Skin promotes bone resorbing connective tissue by the action of keratin as a foreign body, by the enhancement of middle ear sepsis, by stimulation and activation of inflammatory cells and most importantly through the creation of pressure.