Eviatar Ephraim, Kessler Alexander, Segal Samuel, Vaiman Michael, Kalmovich Limor Muallem
Department of Otolaryngology-Head and Neck Surgery, Assaf Harofeh Medical Center, Zerifin, Israel.
Am J Rhinol. 2006 Jan-Feb;20(1):40-2.
Disruption in the balance of the nasal flora influences infectious diseases of the nose. We characterized the changes in nasal flora of the middle meatus of patients with a symptomatic deviated nasal septum before and after septoplasty.
The study cohort included 33 patients with symptomatic deviated nasal septum who underwent septoplasty from 1998 to 2001. Cultures from the middle meatus were taken preoperatively and 1 month postoperatively.
Fifty-two percent of the preoperative cultures and 76% of the postoperative cultures were positive. The preoperatively cultured bacteria were similar to those usually cultured from the nose of a healthy individual-mainly Staphylococcus aureus and Corynebacterium. The postoperative cultures included bacteria not considered as being nasal flora and infrequently cultured from the nose: Pseudomonas, Haemophilus influenza, and Staphylococcus coagulase negative.
Symptomatic septal deviation does not influence nasalflora. The bacterial changes without clinical complaints that we found postseptoplasty might call for a more in-depth workup.
鼻内菌群平衡的破坏会影响鼻部传染病。我们对有症状的鼻中隔偏曲患者在鼻中隔成形术前和术后中鼻道鼻内菌群的变化进行了特征分析。
研究队列包括1998年至2001年接受鼻中隔成形术的33例有症状的鼻中隔偏曲患者。术前和术后1个月采集来自中鼻道的培养物。
术前培养物的52%和术后培养物的76%呈阳性。术前培养出的细菌与通常从健康个体鼻腔培养出的细菌相似——主要是金黄色葡萄球菌和棒状杆菌。术后培养物中包括不被视为鼻内菌群且很少从鼻腔培养出的细菌：假单胞菌、流感嗜血杆菌和凝固酶阴性葡萄球菌。
有症状的鼻中隔偏曲不影响鼻内菌群。我们在鼻中隔成形术后发现的无临床症状的细菌变化可能需要更深入的检查。
