Deitmer T, Scheffler R
Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde der Westfälischen Wilhelms Universität Münster.
Laryngorhinootologie. 1990 Apr;69(4):221-5. doi: 10.1055/s-2007-998179.
To investigate the pathogenesis of swimmer's sinusitis, a group of 20 swimmers and 20 controls were interviewed and examined. Clinical examination was followed by rhinomanometry, sonography of the maxillary sinuses, a saccharin test to assess mucociliary transport in the nose, and a viable cytological sampling of the nasal mucosa. Anamnesis showed a preponderance of symptoms of sinusitis and chronic rhinitis in the swimmer group, as well as a reddening of the nasal mucosa and a swelling of the adenoids. Sonography showed mucosal thickening in the antrum in more cases among the swimmers. Rhinomanometry, the saccharin test, and viable cytological sampling revealed no significant differences between the groups. It is argued that pathogenesis is more probable through cooling of the skin of the face and the whole body than through entrance of water into the upper respiratory tract.
为了研究游泳者鼻窦炎的发病机制，对20名游泳者和20名对照组人员进行了访谈和检查。临床检查之后进行了鼻阻力测量、上颌窦超声检查、评估鼻腔黏液纤毛传输功能的糖精试验以及鼻腔黏膜活细胞采样。既往史显示，游泳者组中鼻窦炎和慢性鼻炎症状更为常见，同时伴有鼻黏膜发红和腺样体肿大。超声检查显示，游泳者中更多病例存在窦腔黏膜增厚。鼻阻力测量、糖精试验和活细胞采样结果显示，两组之间无显著差异。有人认为，发病机制更可能是由于面部和全身皮肤受凉，而非水进入上呼吸道所致。
