medigraphic.com
SPANISH

Anales de Otorrinolaringología Mexicana

Anales de Otorrinolaringología Mexicana
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2013, Number 2

<< Back Next >>

Otorrinolaringología 2013; 58 (2)

Use of intranasal colorant for measurement of nasal mucociliary clearance time: a new technique with fluorescein

Luis Fernando Macías VLF, Canales MM, Morales CGM
Full text How to cite this article

Language: Spanish
References: 14
Page: 67-72
PDF size: 206.03 Kb.


Key words:

nasal mucociliary clearance, intranasal colorant, fluorescein.

ABSTRACT

Background Measurement of nasal mucociliary clearance time with saccharine test is the gold standard for experimental models. Despite all the benefits of such test, it depends on the cooperation from the individual being tested, and rests as well on subjective elements during exploration.
Objective To determine the feasibility of use of intranasal colorant for the evaluation of nasal mucociliary clearance, and to describe a novel technique using topical fluorescein.
Participants and method An experimental analytic transversal study in which 15 healthy individuals were tested for both Anderson’s saccharine test and the measurement of mucociliary clearance time with the application of sterile sodium fluorescein and visualizing the transport towards the oropharynx with endoscopes.
Results The clearance time recorded for both test were similar (p = 0.88). The results of the saccharine test in our study group were similar to those already published.
Conclusions As far as the authors are aware, there are not studies published that compare the use of nasal colorant versus the clinical standard for nasal mucociliary clearance time. Using a visual element during the test adds objectivity and is of particular use for patients with gustatory disturbances.


REFERENCES

  1. Corbo GM, Foresi A, Bonfito P, Mugnano A, et al. Measurement of nasal mucociliary clearance. Arch Dis Child 1989;64:546-550.

  2. Borin A, Abib E Jr, Araujo Cl, Martínez LL, Rodríguez H. Standarizing selection criteria in nasal medication studies. Braz J Otorhinolaryngol 2009;75:872-878.

  3. Jorissen M. Correlations among mucociliary transport, ciliary function and ciliary structure. Am J Rhinol 1998;12:53-58.

  4. Jorissen M, Willems T, De Boeck K. Diagnostic evaluation of mucociliary transport: from symptoms to coordinated ciliary activity after ciliogenesis in culture. Am J Rhinol 2000;14:345-352.

  5. Mladina R, Gjuric M. The saccharin test in comparison with cytologic findings in assesing nasal mucosa function. HNO 1990;38:102-104.

  6. Andersen I, Proctor DF. Measurement of nasal mucociliary clearance. Eur J Respir Dis Suppl 1983;64(Suppl 27):37-40.

  7. Stanley P, MacWilliam L, Greenstone M, Mackay I, Cole P. Efficacy of a saccharin test for screening to detect abnormal mucociliary clearance. Br J Dis Chest 1984;78:62-65.

  8. Kleinschmidt E, Witt G. Evaluation of nasal mucociliary clearance with a modified saccharin test. Laryngorhinootologie 1995;74:286-288.

  9. Brondee L, Sönstabö R, Clement P, van Ryckeghem W, van der Broek M. Value of the Tc99m particle test and the saccharin test in mucociliary examinations. Rhinology 1983;21:135-142.

  10. Coromina J, Sauret J. Nasal mucociliary clearance in patients with nasal polyposis. ORL J Otorhinolaryngol Relat Spec 1990;52:311-315.

  11. Koufman JA. The otolaryngologic manifestations of gastroesophageal reflux disease (GERD): a clinical investigation of 225 patients using ambulatory 24 hour pH monitoring and an experimental investigation of the role of acid and pepsin in the development of laryngeal injury. Laryngoscope 1991;101(Suppl 53):1-78.

  12. Del Gaudio JM. Direct nasopharyngeal reflux of gastric acid is a contributing factor in refractory chronic rhinosinusitis. Laryngoscope 2005;115:946-957.

  13. Hanna BC, Wormald PJ. Gastroesophageal reflux and chronic rhinosinusitis. Curr Opin Otolaryngol Head Neck Surg 2012;20:15-18.

  14. Hellin-Meseguer D, Merino-Gálvez E. Nasal mucociliary transport in normal subjects. An Otorrinolaringol Ibero Am 1994;21:503-519.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Otorrinolaringología. 2013;58