Effects of septoplasty on the nasal flora.
BACKGROUND
Disruption in the balance of the nasal flora influences infectious diseases of the nose. We characterized the changes in nasal flora of the middle meatus of patients with a symptomatic deviated nasal septum before and after septoplasty.


METHODS
The study cohort included 33 patients with symptomatic deviated nasal septum who underwent septoplasty from 1998 to 2001. Cultures from the middle meatus were taken preoperatively and 1 month postoperatively.


RESULTS
Fifty-two percent of the preoperative cultures and 76% of the postoperative cultures were positive. The preoperatively cultured bacteria were similar to those usually cultured from the nose of a healthy individual-mainly Staphylococcus aureus and Corynebacterium. The postoperative cultures included bacteria not considered as being nasal flora and infrequently cultured from the nose: Pseudomonas, Haemophilus influenza, and Staphylococcus coagulase negative.


CONCLUSIONS
Symptomatic septal deviation does not influence nasalflora. The bacterial changes without clinical complaints that we found postseptoplasty might call for a more in-depth workup.
Department of Otolaryngology-Head and Neck Surgery, Assaf Harofeh Medical Center, Zerifin, Israel.
Ephraim
E
Eviatar
Alexander
A
Kessler
Samuel
S
Segal
Michael
M
Vaiman
Limor Muallem
LM
Kalmovich
D000328:Adult; D001419:Bacteria / Q000145:classification / Q000302:isolation & purification*; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009297:Nasal Mucosa / Q000382:microbiology*; D015508:Nasal Obstruction / Q000601:surgery*; D009300:Nasal Septum / Q000473:pathology / Q000601:surgery*; D012225:Rhinoplasty / Q000379:methods*