Mechanical dysfunction in the mucosal oedema formation of patients with nasal polyps

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2014-06-01
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Pezato, Rogerio [UNIFESP]
Voegels, Richard Louis
Pinto Bezerra, Thiago Freire
Perez-Novo, Claudina
Stamm, Aldo Cassol [UNIFESP]
Gregório, Luiz Carlos [UNIFESP]
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Background: Nasal polyposis (NP) is characterized by an anomalous tissue growth with oedema and a lack of extracellular matrix. in this study, we investigated whether a mechanical disfunction of the forces that act in oedema formation is present in NP.Methods: We compared the interstitial hydrostatic pressure behaviour during a saline solution infusion between healthy nasal mucosa (inferior and middle turbinate from 10 patients) and inflamed nasal mucosa from NP patients (inferior, middle turbinate and a nasal polyp from 6 patients). We used Controlled Disc Stimulation equipment to compare the curve Pressure/Volume created during the saline solution infusion.Results:The pressure at 0.2 ml infusion was lower in the middle turbinate of NP patients than in the middle turbinate of control patients. the lowest P/V mean assessed was in the polypoid tissue.Conclusions: the interstitial hydrostatic pressure showed different behaviour during liquid infusion in nasal mucosa from NP patients when compared with healthy nasal mucosa. This study allows us to cogitate on a new pathophysiological mechanism contributing to the development of the NP.
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Rhinology. Utrecht: Int Rhinologic Soc, v. 52, n. 2, p. 162-166, 2014.
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