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Evaluation of nasal mucociliary activity in iatrogenic hypothyroidism

  • Rhinology
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Abstract

Our aim was to evaluate the effects of iatrogenic, acute and deep hypothyroidism on nasal mucociliary clearance. A total of 46 patients undergoing total or near total thyroidectomy for differentiated thyroid cancer between March and June 2012, and scheduled to undergo radioactive iodine (I-131) ablation therapy followed with an induced hypothyroidism for routine screening were included in the study. Mucociliary clearance test was made during hypothyroid and euthyroid periods in all the patients included in the study. Of the 46 patients included in the study, 37 (%80.4) were females, 9 (%19.6) were males, and the average mucociliary clearance times were 16.78 and 9.58 min during hypothyroid and euthyroid periods, respectively. When the results were compared statistically, mucociliary clearance time measured during hypothyroidism period was found to be significantly longer than the one measured during euthyroid period. Mucociliary clearance time was found to be long during iatrogenic acute and deep hypothyroid periods. During these periods, patients should be followed closely for lower and upper respiratory tract infections.

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References

  1. Keleş N (2003) Nazal spreylerde kullanılan benzalkonyum klorurun mukozal etkileri. Turk Arch Otolaryngol 41:31–35

    Google Scholar 

  2. Black RR, Maxon HR (1991) Benign diseases of the thyroid gland. In: Richar Z (ed) Otolaryngology, 3rd edn. W.B. Saunders, Philadelphia, pp 2483–2497

    Google Scholar 

  3. Asai K, Haruna S, Otori N, Yanagi K, Fukami M, Moriyama H (2000) Saccharin test of maxillary sinus mucociliary function after endoscopic sinus surgery. Laryngoscope 110:117–122

    Article  PubMed  CAS  Google Scholar 

  4. Lale AM, Mason JD, Jones NS (1998) Mucociliary transport and its assessment: a review. Clin Otolaryngol 23:388–396

    Article  PubMed  CAS  Google Scholar 

  5. Deitmer T (1989) Physiology and pathology of the mucociliary system. Special regards to mucociliary transport in malignant lesions of the human larynx. Arc Otorhinolaryngol 43:1–136

    CAS  Google Scholar 

  6. Sun SS, Hsieh JF, Tsai SC, Ho Yj, Kao CH (2000) The role of rhinoscintigraphy in the evaluation of nasal mucociliary clearance function in patients with sinusitis. Nucl Med Commun 21:1029–1032

    Article  PubMed  CAS  Google Scholar 

  7. Wanner A, Hirsch JA, Greneltch DE (1973) Tracheal mucous velocity in beagles after chronic exposure to cigarette smoke. Arch Environ Health 27:370–371

    Article  PubMed  CAS  Google Scholar 

  8. Wanner A (1977) State of the art. Clinical aspects of mucociliary transport. Am Rev Resp Dis 116:73–125

    PubMed  CAS  Google Scholar 

  9. Sakakura Y, Ukai K, Majima Y, Murai S, Harada T, Miyoshi Y (1983) Nasal mucociliary clearance under various conditions. Acta Otolaryngol (Stockh) 96:651–654

    Article  Google Scholar 

  10. Maurizi M, Paludetti G, Todisco T, Almdori G, Ottaviani F, Zappone C (1984) Ciliary ultrastructure and nasal mucociliary clearance in chronic and allergic rhinitis. Rhinology 22:233–240

    PubMed  CAS  Google Scholar 

  11. Wanner A (1983) Allergic mucociliary dysfunction. Laryngoscope 93:68–70

    Article  PubMed  CAS  Google Scholar 

  12. Ritter FN (1967) The effects of hypothyroidism upon the ear, nose and throat. A clinical and experimental study. Laryngoscope 77:1427–1479

    Article  PubMed  CAS  Google Scholar 

  13. dos Santos KTP, Dias NH (2010) Audiologic evaluation in patients with acquired hypothyroidism. Braz J Otorhinolaryngol 76:478–484

    Google Scholar 

  14. Weisskopf A (1960) Connective tissue: a synthesis of modern thought and its impact on the understanding of nasal disease. Laryngoscope 70:1029–1059

    Article  PubMed  CAS  Google Scholar 

  15. Proud GO, Lange RD (1957) The effect of thyroidectomy on the nasal mucosa of experimental animals. Laryngoscope 67:201–207

    PubMed  CAS  Google Scholar 

  16. Luster M, Lippi F, Jarzab B, Perros P, Lassmann M, Reiners C et al (2005) rhTSH-aided radioiodine ablation and treatment of differentiated thyroid carcinoma: a comprehensive review. Endocr Relat Cancer 12:49–64

    Article  PubMed  CAS  Google Scholar 

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Correspondence to İsmail Önder Uysal.

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Uysal, İ.Ö., Gökakın, A.K., Karakuş, C.F. et al. Evaluation of nasal mucociliary activity in iatrogenic hypothyroidism. Eur Arch Otorhinolaryngol 270, 3075–3078 (2013). https://doi.org/10.1007/s00405-013-2439-7

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  • DOI: https://doi.org/10.1007/s00405-013-2439-7

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