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Ultrastructural ciliary changes of maxillary sinus mucosa following functional endoscopic sinus surgery: an image analysis quantitative study

Published online by Cambridge University Press:  08 March 2006

Ahmed Bassiouny ,
Ahmed M. Atef ,
Mahmoud Abdel Raouf ,
Safaa Mohamed Nasr ,
Magdy Nasr  and
Essam Ezzat Ayad
Ahmed Bassiouny
Affiliation:
Department of Otorhinolaryngology, Cairo University, Egypt.
Ahmed M. Atef
Affiliation:
Department of Otorhinolaryngology, Cairo University, Egypt.
Mahmoud Abdel Raouf
Affiliation:
Department of Otorhinolaryngology, Cairo University, Egypt.
Safaa Mohamed Nasr
Affiliation:
Department of Biomedial Sciences, Cairo University, Egypt.
Magdy Nasr
Affiliation:
Department of Otorhinolaryngology, Cairo University, Egypt.
Essam Ezzat Ayad
Affiliation:
Department of Pathology, Cairo University, Egypt.
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Abstract

This was a study of the effect of functional endoscopic sinus surgery (FESS) on the ciliary regeneration of maxillary sinus mucosa in patients with chronic maxillary sinusitis, using objective quantitative methods. Twenty specimens from the mucosa of both the superolateral wall and the ostium of the maxillary sinus were sampled during FESS and then six to 12 months later. They were light examined first by light microscopy and then by scanning electron microscopy in combination with image analysis software in order to study the cilia under higher magnification and to calculate proportion of the field that was ciliated. Samples were taken and studied at Cairo University hospital. This study showed that the maxillary sinus mucosa in chronic sinusitis is capable of regeneration and could return towards normal with the improvement of ventilation and drainage of the maxillary sinus following FESS. There were no significant changes in the degree of glandular hyperplasia, goblet cells or pathological glands after surgery.

Keywords

Maxillary SinusSinusitisUltrastructure ciliaMicroscopy electron scanning
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 117 , Issue 4 , April 2003 , pp. 273 - 279
Copyright
© Royal Society of Medicine Press Limited 2003

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