The role of matrix vesicles in the pathogenesis of tympanosclerosis.

In a histological and electron microscopical study the authors investigated the pathogenesis of tympanosclerosis. Emphasis was placed on the role of extracellular lysosomes (= matrix lysosomes). The function of such matrix lysosomes is connected with the two-stage degradation of the connective tissue. This system gets out of control in tympanosclerosis. Inflammatory and immunological processes are suggested to be superimposed on this lysosomal action.