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ABSTRACT: The aim of this study was to explore the changes of the extracellular matrix in nasal mucosa by a guinea pig model of prolonged allergic-induced rhinitis.
Thirty-two male Hartley guinea pigs were randomly divided into four groups: allergen challenged groups (Group 2 w, Group 6 w and Group 12 w) and a control group. Ovalbumin-sensitized guinea pigs were repeatedly challenged with allergen twice a week from 2 weeks to 12 weeks. Matched control groups were challenged with physiological saline. Nasal mucosa were obtained from the animals killed. Hematoxylin-Eosin, Masson's trichrome, and immunohistochemical staining against transforming growth factor-beta1 (TGF-beta1), Collagen III and Collagen I were performed to nasal mucosa.
(1) Pathological examination showed obvious infiltration of eosinophils and the enlarged thickness of epithelial layer of nasal mucosa in the experiment groups. (2) The area ratios of blue stained in the extracellular matrix of nasal mucosa were increased. The area ratios of blue stained were statistically different in Group 6 w and Group 12 w compared with the control group. (3) The increasing absorbance of TGF-beta1 were statistically different in the experiment groups with the control group. The absorbance of Collagen III and Collagen I showed a rising trend along prolonged allergen challenged in the experiment groups.
Prolonged allergen challenge and the inflammation of nasal mucosa, can lead to the increasing of the inflammation relevant factors and the deposit of collagen in the extracellular matrix of nasal mucosa.
Lin chuang er bi yan hou ke za zhi = Journal of clinical otorhinolaryngology 03/2013; 27(5):255-8, 263.
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ABSTRACT: To determine the normal level of nitric oxide through mouth and nose in healthy adult people. From it the normal values were obtained to provide theory support for the prevention and cure of breathe system diseases, such as asthma, allergic rhinitis and so on.
One hundred and eighty two healthy nanjing adults were recruited,including 89 males and 93 females. NIOX system was used to obtain the values of exhaled NO through mouth and nose. The relativity between NO and gender, age, height, body mess index, time, ambient NO were analyzed with maltiple linear regression and correlation.
Exhaled NO values were (17 +/- 7) ppb and correlated significantly with height and age. Regression equation: Y (FENO) = -65.784 + 0.102X1 (age) + 0.442X2 (height), P < 0.05. NNO values were (79 +/- 35) ppb.
FENO normal values and NNO normal values are easy to obtain and have good compliance and high sensitivity, which correlated with height, age, et al.
Lin chuang er bi yan hou ke za zhi = Journal of clinical otorhinolaryngology 09/2012; 26(17):769-71.
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ABSTRACT: To discuss the characteristics of skin prick test (SPT) and immumofluorescence method (IFM) in detecting the atopy of dermatophagoides pteronyssinus (Dp) and dermatophagoides farinae (Df)and explore the relationship of them.
Four hundred and ninety-one patients with two or more symptoms of nasal obstruction,itching, sneezing and rhinorrhea received SPT and serum specific IgE detection using IFM.
SPT was more sensitive than IFM in detecting the atopy of Dp and Df (P < 0.05). If using the IFM as the gold standard, the sensitivity of SPT was all above 95% with the specificity a little bit lower than 80%. These two methods had a positive correlation in detecting the atopy of Dp and Df (r = 0.779, 0.776; P < 0.01). The sIgE concentrations of these two mites were highly correlated with each other (r = 0.954, P < 0.01), the SPT was highly correlated with each other (r = 0. 946, P < 0.01).
SPT was more sensitive than IFM in detecting the atopy of Dp and Df. In most cases, SPT can replace IFM to detect patients' allergia on mites. Besides, it is good enough to detect either of the serum specific IgE concentrations of Dp and Df.
Lin chuang er bi yan hou ke za zhi = Journal of clinical otorhinolaryngology 03/2012; 26(5):212-4.
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ABSTRACT: The aim of this study was to use a guinea pig model of prolonged allergic-induced rhinitis to characterize the feature of nasal mucosa remodeling.
Forty-eight male Hartley guinea pigs were randomly divided into six groups: allergen challenged groups (Group OVA(2w) , Group OVA(6w) and Group OVA(12w)) and control groups respectively (Group Sal(2w), Group Sal(6w) and Group Sal(12w)). Each group had 8 guinea pigs. To develop a guinea pig model of nasal mucosa remodeling, ovalbumin-sensitized guinea pigs were repeatedly challenged with allergen twice a week from two weeks to 12 weeks. Matched control groups were challenged with physiological saline. Nasal lavage was performed 24 hours after the last intranasal challenge. Then nasal mucosa were obtained. HE, AB-PAS, MT, and immunohistochemical staining against transforming growth factor-beta1 (TGF-beta1) were performed. Eosinophil cationic protein (ECP) and OVA-special IgE (OVA-sIgE) were detected by ELISA in nasal lavage fluid.
(1) The levels of OVA-sIgE in nasal lavage fluid in Group OVA(6w) and Group OVA(12w) were significantly different from Group OVA(2w), while the levels of ECP had no significant difference among the experiment groups. The levels of OVA-sIgE and ECP in experiment groups were significantly different from control groups respectively (P < 0.01). (2) Grade 0 and Grade 1 of epithelial damage were significantly different in Group OVA(6w) and Group OVA(12w) when compared with from Group OVA(2w) (P < 0.01). At the same time, Grade 0 and Grade 1 of epithelial damage were statistically different in the experiment groups when compared with the respectively control groups (P < 0.05). (3) Goblet gland hyperplasia and collagen deposit within the extracellular matrix (ECM) were easily found in Group OVA(6w) and Group OVA(12w) compared with Group OVA(2w) (P < 0.01). The number of goblet gland and the ratio of collagen deposit were statistically more in Group OVA(6w) and Group OVA(12w) than in Group Sal(6w) and Group Sal(12w) (P < 0.05). That feature of the ratio of collagen deposit did not show in Group OVA(2w) versus Group Sal(2w). (4) Increased TGF-beta1 expressions were observed in Group OVA(6w) and Group OVA(12w) compared with Group OVA(2w) (P < 0.01). Those increasing expressions were also observed in experiment groups rather than in the respectively control groups (P < 0.01).
Epithelial damage, goblet cells hyperplasia and collagen deposition in ECM were observed as the features of remodeling in this guinea pig model of allergic rhinitis under prolonged allergen challenge. Epithelial damage, excessive expression of related cytokines and enhancement activity of enzymes were observed in early time after challenge of allergen. The features of goblet cells hyperplasia and collagen deposition in ECM were observed at a later stage.
Lin chuang er bi yan hou ke za zhi = Journal of clinical otorhinolaryngology 03/2012; 26(5):218-22.
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ABSTRACT: To investigate the possible effects of intranasal corticosteroids on the focal bacterial colonization and mucosal histomorphological changes in experimental acute bacterial maxillary sinusitis in rabbits.
Acute bacterial maxillary sinusitis was induced in 48 rabbits. They were divided into 4 groups: antibiotic group (group A), antibiotic and corticosteroid combination group (group B), corticosteroid group (group C), and control group (group D). Six rabbits in each group were sacrificed to obtain secretions from the maxillary sinuses for bacterial culture after they had been treated for 2 or 4 weeks. Maxillary sinuses were removed for whole-mount histological analysis.
The differences between bacterial culture ratios in groups A and B compared with groups C and D were significant after treatment for 4 weeks (p < 0.05), but there was no significant difference between groups A and B (p > 0.05). Semi-quantitative analyses showed that epithelial ulceration and ciliary loss in groups A and B were less pronounced than that in groups C and D (p < 0.05). Infiltration by inflammatory cells diminished more significantly in group B than in groups C and D (p < 0.05). A significant difference in inflammatory cell infiltration between groups A and B was found at the fourth week (p < 0.05). Ultrastructural changes showed a similar trend in both group A and group B.
Intranasal corticosteroids may lessen infiltration by inflammatory cells, and their combined application does not decrease the effects of antibiotic therapy in our study. In the treatment of acute bacterial maxillary sinusitis, intranasal corticosteroids cannot be a substitute for antibiotic treatment as a single therapy, but intranasal corticosteroids administered with antibiotics provide better efficacy.
ORL 01/2009; 71(2):57-65. · 0.91 Impact Factor
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ABSTRACT: To study the feasibility of engineering cartilage tissue in a tube lined with epithelium and implanting allogenic chondrocytes in a novel scaffold that is made of chitosan nonwoven cloth coated with poly(DL-lactide-co-glycolide).
Laboratory research.
Allogenic chondrocytes were obtained from the auricles of 1-month-old New Zealand white rabbits. After the cells were cultured in vitro for 3 or 4 passages, they were implanted in the scaffolds to form composite grafts and then transplanted into the rabbits. After 6, 12, and 18 weeks, the general histologic characteristics were investigated.
The cobweb-like matrix was observed approximately 1 week after the chondrocytes had been implanted in the scaffolds. At 6 weeks, the matrix was secreted, and there were immature chondrocytes in the grafts. At 12 weeks, the allogenic cartilage in the tube lined with epithelium had been created. Chondrocytes were almost mature and the lacunae had formed. At 18 weeks, the neocartilage was similar to native cartilage.
It is feasible to produce allogenic cartilage in a tube lined with epithelium by implanting allogenic chondrocytes into a novel scaffold made of chitosan nonwoven cloth coated with poly(DL-lactide-co-glycolide).
Archives of otolaryngology--head & neck surgery 01/2009; 134(12):1258-62. · 1.92 Impact Factor
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ABSTRACT: To discuss the application of frontal drill in revision endoscopic frontal sinus surgery.
The clinical data of 11 adult patients (18 sides) suffering from chronic recurrent frontal sinusitis were analyzed retrospectively. The patients received revision endoscopic frontal sinus surgery with frontal drill because of difficulty in confirming ostia under endoscope. Postoperatively all cases were followed up to evaluate the efficacy.
The ostia of frontal sinus were successfully opened with this method in all cases, and no serious complications occurred except hemorrhage due to injury of anterior ethmoidal artery in 1 case. After 7 to 35 months follow-up postoperatively, the symptoms vanished in all cases and none recurred. The endoscopic examinations showed well-opening of frontal sinus ostia.
Localization of frontal ostium with frontal drill is a simple, convenient, safe and effective accessorial method for revision endoscopic frontal sinus surgery.
Lin chuang er bi yan hou ke za zhi = Journal of clinical otorhinolaryngology 11/2008; 22(20):924-6.
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ABSTRACT: To evaluate the diagnostic significance of multiple detector-row spiral CT(MSCT) in patients with obstructive sleep apnea hypopnea syndrome (OSAHS).
Sixty-seven patients with OSAHS and 40 volunteers were scanned. The CT imagings from the nasopharyngeal floor to the glottis obtained. The relevant dimensions of area, diameter, thickness of retropharyngeal tissue were measured in some regions in imagings including nasopharynx, oral pharynx and hypopharynx, as well as the narrowest region in pharynx.
1) The values of area, left-right diameter and front-back diameter of oral pharyngeal imagings of patients with OSAHS were narrowest regions which were (133.5 +/- 32. 9) mm2, (12.5 +/- 2.0) mm, (10.4 +/- 1.8) mm respectively. The value of above parameters of oral pharyngeal imagings of volunteers were (238.5 +/- 46.5) mm2, (20.4 +/- 3.1) mm, (21.1 +/- 4.0) mm respectively. The values of two groups had marked difference by statistics (P< 0.01). 2) The narrowest regions were located in oral pharynx in the imagings of 58 patients with OSAHS, which located in soft palate site in 19 patients, in oral pharynx site in 11 patients and in retro-lingua site in 28 patients. The narrowest regions were located in nasopharynx in the imagings of 3 patients. None of the narrowest region was found in hypopharynx. The narrowest regions, which all located in oral pharynx, were measured in the imagings of 24 volunteers. 3) The values of area, left-right and front-back diameter of the narrowest regions of imaging of 58 patients with OSAHS among 67 patients were (75.6 +/- 17.9) mm2, (10.6 +/- 2.1) mm, (6.9 +/- 1.0) mm respectively. The values of bove parameter of the most narrowest regions of imagings of volunteer were (187.3 +/- 35.6) mm2, (21.4 +/- 4.3) mm, (15.6 +/- 2.7) mm respectively. There were significant difference in statistics among the data of these groups (P < 0.01).
The imagings of MSCT may provide accurate diagnosis in OSAHS. Patients with OSAHS always had anatomically narrow in pharynx, especially in oral pharynx.
Lin chuang er bi yan hou ke za zhi = Journal of clinical otorhinolaryngology 07/2008; 22(13):600-2.
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ABSTRACT: In this paper are reviewed the current situation and research progress of cartilage tissue engineering, including seeding cell, three-dimensional cytoskeleton, cell culture system and evaluation of artificial cartilage behavior, animal model, and clinical trial.
Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi 11/2007; 24(5):1196-9.
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ABSTRACT: To explore the resilience of oral pharyngeal wall in patients with obstructive sleep apnea hypopnea syndrome (OSAHS).
Applied with multiple detector-row spiral CT, 24 patients with OSAHS and 10 volunteers were scanned from nasopharynx to hypopharynx under the normal breathing state and the breathing state of Muller maneuver. The relevant dimensions of area and thickness of retropharyngeal soft tissue were measured in some level in imagings including the soft palatal level, the lingual level and the epiglottic level, then the resilience of these levels were calculated according to the above data.
The values of resilience of oral pharyngeal wall were larger in patients with OSAHS than those in the volunteers. The difference of the values of resilience in soft palatal level and lingual level was statistically significant (P < 0.01). The values of thickness of retropharyngeal soft tissue in the soft palatal level, the lingual level and the epiglottic level were respectively (7.5 +/- 2.2) mm, (4.8 +/- 1.3) mm, and (2.3 +/- 0.2) mm. There was a significant difference in the thickness in soft palatal level between the patients with OSAHS and the volunteers (P < 0.01). The indexes of Pearson correlation of between the thickness of retropharyngeal soft tissue and the resilience of the pharyngeal wall decreased from the soft palatal level to the epiglottic level in these two groups. Only the value of correlation coefficient in the soft palatal level was statistically significant in patients with OSAHS.
The study suggested that the resilience of pharyngeal wall could be quantitated by applying with multiple detector-row spiral CT. The resilience of oral pharyngeal and its correlation with thickness of retropharyngeal soft tissue may be the highest in soft palatal level.
Lin chuang er bi yan hou ke za zhi = Journal of clinical otorhinolaryngology 03/2007; 21(3):97-9.
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ABSTRACT: To realize the epidemic features of rhinosinal inflammatory diseases in children and their correlation with asthma in Nanjing,China.
A questionnaire survey on children chronic rhinosinusitis (CRS) and airway diseases was conducted among 1087 elementary school children, aged from 9 to 10, of seven schools in Nanjing city by random cluster sampling, from March to September, 2004. The questionnaires include such questions as age, gender, family history, basis diseases, inducements, environment, therapy, correlative lower airway diseases and so on. The survey included screening suspects of CRS and allergic rhinitis (AR) by filling up the questionnaires by their parents and then special examination withtion of asthma of children was obtained by inquiring whether children were diagnosed by physician in last 12 months. The results were dealt with statistics.
Nine hundred and eighty nine questionnaires were returned. The response rate was 91% and 942 questionnaires were available. The prevalence rate of CRS of children aged from 9 to 10 was 8.8% in Nanjing city. The prevalence rate of AR was 5.1%. The prevalence rate of asthma of children was 5.3%. The incidences of asthma of children with CRS and AR were 19.3% and 39.6% respectively, while that of children without rhinosinal inflammatory diseases was 1. 8%. The results showed that the differences of the incidences of asthma between children with CRS, AR and without rhinosinal inflammatory diseases were statistically significant( P <0.01).
Chronic rhinosinusitis is a common disease in children. The prevalence rates of CRS and AR in children aged from 9 to 10 in Nanjing city were 8.8% and 5. 1%. The incidence of asthma in children with rhinosinal inflammatory diseases is markedly higher than that in children without these diseases.
Lin chuang er bi yan hou ke za zhi = Journal of clinical otorhinolaryngology 11/2006; 20(20):928-30.
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ABSTRACT: Abstract The frontal sinus surgery is difficult to perform but the ethmoid bulla is a relative, constant landmark in the middle turbinate that can improve the surgery. The purpose of this study was to evaluate the validity, security, and predominance of approaches to the frontal sinus via the route anterior to the ethmoid bulla. The data from 370 endoscopic frontal sinus surgery cases from our center were integrated and retrospectively analyzed. Three hundred twenty-nine patients underwent frontal sinus surgery via the route anterior to the ethmoid bulla. An additional 27 patients underwent frontal sinus surgery with mini-trephination, 13 patients with the Draf II procedure, and 1 patient had applied MELP (modified endoscopic Lothrop procedure). No serious complications occurred; however, there were 3 cases of eyelid ecchymosis and 1 case of anterior ethmoid artery bleeding. In all, 319 patients (86.2%) were cured, an improvement was noted in 36 of the patients (9.7%), and there was no improvement in 15 patients (4.1%). Frontal sinus surgery via the route anterior to the ethmoid bulla is valid, relatively safe, and can be applied in most cases involving frontal disease.
International surgery 98(2):149-155. · 0.36 Impact Factor
