Department of Otolaryngology, Samsun Education and Research Hospital, Samsun, Turkey.
J Craniofac Surg. 2021;32(8):e702-e705. doi: 10.1097/SCS.0000000000007699.
Coronavirus Disease 2019 (COVID-19) is a viral pandemic emerging in East Asia and spreading rapidly to the rest of the world and continuing in our country. The number of studies examining the symptoms of the otolaryngology system and organs in COVID-19 patients is limited. The purpose of this study is to show whether COVID-19 infections cause any changes in nasal physiology in adult patients by measuring the mucociliary clearance (MCC) time with the saccharin test.
One hundred one patients with laboratory-confirmed COVID-19 infection (group 1, n = 42 smokers and group 2, n = 59 nonsmokers) and 87 individuals without COVID-19 infection as the control group (group 3, n = 33 smokers and group 4, n = 54 nonsmokers) were included in the study. A saccharin test was used to evaluate the nasal MCC time.
Mucociliary clearance test averages of the groups were determined as 473.571 ± 263.684, 442.966 ± 228.463, 468.333 ± 267.367, 412.629 ± 192.179 seconds, respectively. When the test durations were examined, the group with the most prolonged MCC duration was determined as the smoking COVID (+) patient group (473.571 ± 263.684 seconds). The second group, with the most prolonged MCC duration, was determined as the smoking control group (468.333 ± 267.367 seconds). No statistically significant difference was found in intergroup mucociliary clearance time (P = 0.760).
Although the authors found that smoking and viral infections prolong the MCC duration in our study, they did not find a statistically significant difference between the groups in terms of MCC duration.
2019 年冠状病毒病(COVID-19)是一种在东亚出现的病毒大流行,迅速传播到世界其他地区,并在我国持续存在。研究 COVID-19 患者耳鼻喉系统和器官症状的研究数量有限。本研究旨在通过糖精试验测量黏液纤毛清除(MCC)时间,显示 COVID-19 感染是否会导致成年患者的鼻腔生理发生任何变化。
本研究纳入了 101 例经实验室确诊的 COVID-19 感染患者(第 1 组,n=42 名吸烟者和第 2 组,n=59 名非吸烟者)和 87 例未感染 COVID-19 的个体作为对照组(第 3 组,n=33 名吸烟者和第 4 组,n=54 名非吸烟者)。使用糖精试验评估鼻 MCC 时间。
各组的黏液纤毛清除试验平均值分别为 473.571±263.684、442.966±228.463、468.333±267.367、412.629±192.179 秒。当检查测试持续时间时,发现 MCC 持续时间最长的组为吸烟 COVID(+)患者组(473.571±263.684 秒)。MCC 持续时间第二长的组为吸烟对照组(468.333±267.367 秒)。组间 MCC 时间无统计学差异(P=0.760)。
尽管作者在本研究中发现吸烟和病毒感染会延长 MCC 持续时间,但在 MCC 持续时间方面,各组之间无统计学差异。