[Dependence of the physiological nasal cycle on the activity of mucociliary transport of paranasal sinus mucosa].
The endoscopic technique was used to manage bilateral isolated cystic sinusitis in 40 patients. Thirty two and eight patients underwent surgery on maxillary and sphenoidal sinuses respectively. Mucociliary transport in mucosal blood flow and confluence of sinuses were monitored intraoperatively. The physiological nasal cycle was fixed prior to surgery. Active mucociliary transport (MCT) was observed in maxillary and sphenoidal sinuses at the side of nasal cycle vasoconstriction. In all the patients natural anastomoses between sinuses were widely open; the patients differed in terms of the structure of osteomeatal complex and posterior cells of the ethmoidal labyrinth. Pathomorphological studies revealed pseudocysts in 90% of the patients. Envelopes of pseudocysts showed signs of chronic inflammation with immunologically governed alteration that is believed to be responsible for the large duration of the inflammatory process.
Krasnozhen
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VN
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D007070:Immunoglobulin A / Q000276:immunology; D008297:Male; D008875:Middle Aged; D009079:Mucociliary Clearance / Q000502:physiology*; D009297:Nasal Mucosa / Q000166:cytology* / Q000276:immunology; D010256:Paranasal Sinuses / Q000166:cytology* / Q000276:immunology; D055815:Young Adult
D007070:Immunoglobulin A