NASAL CYTOLOGY AND BACTERIOLOGY IN CHILDREN WITH CHRONIC SINUSITIS

*Eliza Brożek-Mądry, Lechosław P. Chmielik, Mieczysław Chmielik

Summary
Introduction: Both nasal cytology and culture examination are quite simple procedures to perform in children due to their painless and non-invasive character. The results of these tests can help in evaluation of the mucous membrane and further in diagnostics and therapy.
Aim: The assessment of nasal cytology and bacteriology in children with chronic sinusitis. Introduction of preliminary results for further investigation.
Material and method: A group of thirty-five children with chronic rhinosinusitis underwent nasal cytology – the exfoliative method – both from the inferior nasal concha and from underneath the middle concha. They also had a culture taken from underneath the middle concha and from the maxillary sinus during the sinus surgery. Exfoliated material for nasal cytology was transferred onto microscope slides, fixed with 95% alcohol and dyed with haematoxylin-eosin. Such prepared cytology was next evaluated under a biological microscope, Motic model 2820. This evaluation included the presence and count of epithelial cells such as columnar, squamous, basal and goblet cells and also alluvial cells such as neutrophils, lymphocytes, eosinophils and monocytes.
Results: Nasal cytology was compared in the aspect of areas it was taken from. We also compared the results of bacteriological examination obtained from the maxillary sinus and from underneath the middle nasal concha.
Conclusions: Cytological examination in patients with chronic rhinosinusitis may reveal its inflammatory character. In children it seems more valuable to obtain a specimen for cytological examination from the area of the middle meatus and middle concha. The bacteriology results give some indications for further research.

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