The Evaluation of Nasal Mucociliary Activity After Septoplasty and External Septorhinoplasty

Abstract

The aim of this study was to evaluate the nasal mucociliary activity after septoplasty (SP) and external septorhinoplasty (eSRP). Twenty patients who had SP operation (group 1) and 15 patients who had eSRP operation (group 2) were enrolled in the study. On each case, mucociliary clearance (MCC) measurement was performed by saccharine test before surgery, and on the first and third months of postoperative period. Saccharine clearance time (SCT) of 28 healthy volunteers were measured to establish control values. The mean SCT in control group was 8.79 ± 2.63 min, in group 1 patients before surgery was 14.03 ± 1.68 min, in group 2 patients before surgery was 14.34 ± 1.70 min. The preoperative SCT values of the group 1 and group 2 were significantly higher than healthy controls (p \ 0.05). While there were statistically significant differences between preoperative and postoperative third month SCT values of group 1 patients, and postoperative first month and postoperative third month SCT values of group 1 patients (p \ 0.05), there was no statistically significant difference between preoperative and postoperative first and third months SCT values of group 2 patients. Nasal septal deviation impairs the nasal mucociliary activity. Septoplasty operation positively affects the MCC mechanism. On the other hand, we observed no significant effect of eSRP operation on mucociliary activity on the first and third months of postoperative period as compared with preoperative.

Aging as the Impact Factor on Septoplasty Success

“…10 Sakallıoglu et al declared that septoplasty operation positively affects the MCC mechanism. 11 We also found MCC time significantly decreased after septoplasty for both the groups. Improvement in MCCt after septoplasty is independent from the age factor.…”

Outcomes of mucociliary clearance and rhinomanometrical changes in nasal pathology

“…The purpose of this study was to demonstrate the changes of the mucociliary clearance in particular diseases, or to highlight the possible risk factors for its prolonged duration [6][7][8][9] . Rhinitis and chronic rhinosinusitis have an undeniable role in the mucociliary clearance decreased performance, according to a US In a study on patients with deviated septum, who underwent septoplasty intervention, it has been shown that this pathology has a direct effect on the mucociliary clearance and that surgery has good effects in restoration of the mucociliary function in affected patients 10 .…”

A comparative study of effect of deviated nasal septum on nasal mucociliary clearance and to comprehend the effect of septal and turbinate surgeries on restoring the mucociliary clearance

“…The same procedure was repeated on other side of nose after a gap of 30 minutes. 15,16 Pre-operative preparations were same for all the 40 patients and all cases were done under general anesthesia. Twenty of the 40 patients had deviated nasal septum who underwent endoscopic septoplasty, and the rest 20 had deviated septum and compensatory inferior turbinate hypertrophy who underwent endoscopic septoplasty with partial inferior turbinectomy.…”

“…Similar results were observed by Oner et al in their study of evaluation of nasal mucociliary activity after septoplasty. 15 Yigit et al investigated the effect of septoplasty on NMC time using radioscintigraphy. In their study the NMC time preoperatively was significantly higher than the control group.…”