Skip to main content

Advertisement

Log in

The effect of radiotherapy on mucociliary clearance in patients with laryngeal and nasopharyngeal cancer

  • Head and Neck
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

The present study aimed to demonstrate how the nasal mucociliary transport times are affected in the patients receiving radiotherapy for head–neck tumor in two different anatomic localizations. The study included 44 patients receiving radiotherapy under the diagnoses of the nasopharyngeal and laryngeal cancer. The mucociliary transport times of both groups were measured via saccharine tablets before radiotherapy, and at months 3 and 6 after radiotherapy. The difference between the groups was statistically evaluated. The pre-irradiation (pre-RT) mean transport times of NPC and LC patients were 9.7 and 9.1 min, respectively. The difference in the mucociliary transport times between these two groups was not statistically significant (p = 0.49). The mean transport time was 26.1 min at post-RT month 3, 23.9 min, at month 6; the change from pre-RT to month 3 was significant (p < 0.05) and the change from month 3 to 6 was not statistically significant (p = 0.182). The mean transport time of the LC patients was 16.8 min. At post-RT month 3, 12.4 min. at month 6; the change from pre-RT to month 3 (p < 0.05) and the change from month 3 to 6 were statistically significant (p = 0.007). It was found that radiotherapy affected the physiological conditions of the patients with nasopharyngeal cancer in a more severe and sustained way compared to the LC patients, which negatively affects the patient’s response to the treatment by the resulting organic and psychological effects.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Jafek BW, Dodson BT (2001) Nasal Obstruction. In: Bailey BJ, Jonson JT, Jockler RK (eds) Head and neck surgery otolaryngology, 3rd. Lippincott Williams and Wilkins, Philadelphia, pp 294–308

    Google Scholar 

  2. Meyerhoff WL, Shaefer SD (1991) Physiology of the nose and paranasal sinuses. In: Paparella MM, Shumrick DA, Gluckman JL, et al (eds) Otolaryngology, vol I. WB Saunders, Philadelphia, pp 15–331

    Google Scholar 

  3. Sun SS, Hsieh JF, Tsai SC, Yj Ho, Kao CH (2000) The role of rhinoscintigraphy in the evaluation of nasal mucociliary clearance function in patients with sinusitis. Nucl Med Commun 21(11):1029–1032

    Article  CAS  PubMed  Google Scholar 

  4. Schwob J, Szumowski M, Leopard AD, Emko P (1993) Histopathology of olfactory mucosa İn Kallmann’s syndrome. Ann Otol Rhinol Laryngol 102:117–122

    Article  CAS  PubMed  Google Scholar 

  5. Surico G, Muggeo P, Mappa L, Muggeo V, Conti V, Lucarelli A et al (2001) Impairment of nasal mucociliary clearance after radiotherapy for childhood head cancer. Head Neck 23(6):461–466

    Article  CAS  PubMed  Google Scholar 

  6. Lou PJ, Chen WP, Tai CC (1999) Delayed irradiation effects on nasal epithelium in patients with nasopharyngeal carcinoma. An ultrastructural study. Ann Otol Rhinol Laryngol 108(5):474–480

    Article  CAS  PubMed  Google Scholar 

  7. Rusznak C, Devalia JL, Lozewicz S, Davies RJ (1994) The assessment of nasal mucociliary clearance and the effects of drugs. Respir Med 88(2):89–101

    Article  CAS  PubMed  Google Scholar 

  8. Di Guida D, Gali J, Calcagni ML, Corina L, Paludetti G, Ottaviani F et al (2000) Rhinoscintigraphy: a simple radioisotope technique to study the mucociliary system. Clin Nucl Med 25(2):27–30

    Google Scholar 

  9. Gupta SC, Chandra S, Singh M (2006) Effects of irradiation on nasal mucociliary clearance in head and neck cancer patients. Indian J Otolaryngol Head Neck Surg 58(1):46–50

    PubMed Central  CAS  PubMed  Google Scholar 

  10. 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 1(1):117–122

    Article  Google Scholar 

  11. Kao CH, Jiang RS, Wang SJ, Yeh SH (1994) Influence of age, gender, and ethnicity on nasal Mucociliary clerance function. Clin Nucl Med 19(9):813–816

    Article  CAS  Google Scholar 

  12. Sakakura Y, Ukai K, Majima Y (1983) Nasal mucociliary clearance under various conditions. Acta Otolaryngol (Stockh). 96(1–2):167–173

    Article  CAS  Google Scholar 

  13. Uslu H, Uslu C, Varoglu E, Demirci M, Seven B (2004) Effects of septoplasty and septal deviation on nasal mucociliary clearence. Int J Clin Pract 58(12):1108–1111

    Article  CAS  PubMed  Google Scholar 

  14. Stringer SP, Stiles W, Slattery WH, Krumerman J, Parsons JT, Mendelhall WM (1995) Nasal mucociliary clearence after radiation therapy. Laryngoscope 105(4pt 1):380–382

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

We did not receive financial support for this article.

Conflict of interest

In the article, there is no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Caner Kılıç.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kılıç, C., Tunçel, Ü., Cömert, E. et al. The effect of radiotherapy on mucociliary clearance in patients with laryngeal and nasopharyngeal cancer. Eur Arch Otorhinolaryngol 272, 1517–1520 (2015). https://doi.org/10.1007/s00405-014-3082-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00405-014-3082-7

Keywords

Navigation