Nasal cytology in children with chronic rhinosinusitis or nasal septum deviation

*Eliza Brożek-Mądry, Mieczysław Chmielik

Summary
Summary
Introduction. Nasal cytology enables to estimate the condition of nasal mucous membrane in patients with nasal pathology. The elements evaluated with this examination include epithelial cells and alluvial cells, such as lymphocytes and granulocytes.
Material and method a group of 30 children with chronic rhinosinusitis without polyps and 30 children with nasal septum deviation were included into the investigation. Patients had no symptoms of acute infection. Both groups had an exfoliative cytologic examination of mucosa and the specimen were obtained from the lower middle concha. Then the specimen were fixed with alcohol on the microscope slides and dyed with hematoxillin-eosyne. A microscopic evaluation of the cytograms was conducted by one person.
Results. The most common cytogram observed in chronic rhinosinusitis was neutrophilic one, while in nasal septum deviation it was normal. The specimen with presence of morphotic elements, such as red blood cells were observed only in patients with nasal septum deviation.
Conclusions. 1. inflammatory character of cytology in patients with chronic rhinosinusitis. 2. exposition to mucosal microdamage in patients with nasal septum deviation. 3. Non-invasiveness of cytologic examination. 4. differences in cytology between a group of children with CRS without polyps and a group of children with nasal septum deviation.

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