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The effect of vidian neurectomy on nasal mucociliary clearance

Published online by Cambridge University Press:  29 June 2007

M. A. Greenstone*
Affiliation:
Clinical Lecturer, Cardiothoracic Institute and Nose Clinic, Brompton Hospital, Fulham Road, London SW3.
P. J. Stanley
Affiliation:
Clinical Lecturer, Cardiothoracic Institute and Nose Clinic, Brompton Hospital, Fulham Road, London SW3.
I. S. Mackay
Affiliation:
Consultant Surgeon, Reader, Host Defence Unit, Cardiothoracic Institute and Nose Clinic, Brompton Hospital, Fulham Road, London SW3.
P. J. Cole
Affiliation:
Consultant Surgeon, Reader, Host Defence Unit, Cardiothoracic Institute and Nose Clinic, Brompton Hospital, Fulham Road, London SW3.
*
Castle Hill Hospital, Cottingham, North HumbersideHU16 5JQ.

Abstract

The physiological factors controlling mucociliary transport are largely unknown. Nasal mucociliary clearance was measuredusing the saccharin test in seven patients who had previously undergone vidian neurectomy for vasomotor rhinitis. Persistent denervation was suggested by impaired tear secretion. The control group consisted of thirty-four patients with vasomotor rhinitis who had not had surgery. There was no significant difference in clearance times between the two groups, suggesting that mucociliary transport is well preservedin the absence of neural control.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1988

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