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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 35(5); 1992 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1992;35(5): 619-625.
A study about the mucociliary transport time in chronic sinusitis: about dissociated gel and sol layer transport time.
Sung Won Chae, Sang Hag Lee, Heung Man Lee, Seung Ho Lee, Jong Ouck Choi, Soon Jae Hwang
만성부비동염에서 비점막 점액섬모 수송기능에 관한 연구 - Gel층과 Sol층의 부조화에 관하여 -
채성원 · 이상학 · 이흥만 · 이승호 · 최종욱 · 황순재
고려대학교 의과대학 이비인후-두경부외과학교실
ABSTRACT

Delayed mucociliary clearance develops the pooling of nasal secretion in the nasal cavity and is a common cause of vicious cycle of symptoms in chronic sinusitis. Mucociliary clearance depends on the ciliary activity, the rheological property of the secretion and on the interaction between cilia and the mucous blanket. Recent reports noted that delayed mucociliary clearane in chronic sinusitis is due to the dissociated interaction between cilia and gel layer rather than ciliary activity. But there are few reports that respectively measured the transport time of gel and sol layers. We measured the transport time of gel layer with vegetable charcoal powder and of sol layers with saccharine solution for the evaluation of the dissociated interaction between cilia and gel layer. The results are as follows : 1) In the control group, the transport time of both layer is within 15 min and increased proportionally. 2) In chronic sinusitis without pooling of nasal secretion, both transport times are within 30 minutes, but show no difference to control groups. 3) In chronic sinusitis with pooling of nasal secretion, the transport time of both layers is dissociated each other. In summary, delayed mucociliary transport time in chronic sinusitis seemed due to dissociated interaction between the cilia and mucus layer.

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