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Abstract

OBJECTIVE: At present, endonasal paraseptal splints are devices frequently employed in rhinosurgery. We evaluated the local tolerance of a newly shaped device, the Guastella/Mantovani splint (G/M-SVS), with respect to the physiological mechanism of mucociliary clearance.

STUDY DESIGN AND SETTING: The study involved 20 patients who underwent septoplasty and/or turbinoplasty or other nasal surgical procedures. A sample of ciliated cells was obtained by nasal brushing and was examined ex vivo to determine the ciliary beat frequency (CBF) and morphology, before and 15 days after surgery.

RESULTS: Before surgery the mean CBF was 10.87 Hz ± 0.56 Hz and when splints were removed it was 10.25 Hz ± 1.9 Hz. Morphological evaluation of the ciliary motion after surgery demonstrated a normal, coordinated beat.

CONCLUSIONS: The G/M-SVS does not appear to interfere with the physiological mechanism of mucociliary clearance since CBF remain within a normal range.

SIGNIFICANCE: This is the first study that demonstrates an optimal tolerability and safety of the septo-valvular splints on nasal mucosa. (Otolaryngol Head Neck Surg 2004;130:558-62.)

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Nasal Ciliary Beat After Insertion of Septo-Valvular Splints

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