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Elevated nitric oxide metabolite levels in chronic sinusitis

Decreased exhaled nitric oxide (NO) is found in chronic sinusitis. NO metabolites (nitrates, nitrites, and S-nitrosothiols) were measured in sinus lavages with a rabbit model of chronic sinusitis. NO metabolite levels (mean ± SD) were 3.0 ± 1.6 μmol/L in uninfected rabbits, 10.7 ± 11.4 μmol/L in inf...

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Published in:Otolaryngology-head and neck surgery 2000-10, Vol.123 (4), p.357-362
Main Authors: Schlosser, Rodney J., Spotnitz, William D., Peters, Edward J., Fang, Kezhong, Gaston, Benjamin, Gross, Charles W.
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container_issue 4
container_start_page 357
container_title Otolaryngology-head and neck surgery
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creator Schlosser, Rodney J.
Spotnitz, William D.
Peters, Edward J.
Fang, Kezhong
Gaston, Benjamin
Gross, Charles W.
description Decreased exhaled nitric oxide (NO) is found in chronic sinusitis. NO metabolites (nitrates, nitrites, and S-nitrosothiols) were measured in sinus lavages with a rabbit model of chronic sinusitis. NO metabolite levels (mean ± SD) were 3.0 ± 1.6 μmol/L in uninfected rabbits, 10.7 ± 11.4 μmol/L in infected animals, and 7.6 ± 5.4 μmol/L in postantrostomy recovering animals. Infected sinuses had elevated levels of NO metabolites that were statistically significant ( P < 0.01) when compared with uninfected sinuses. Mucociliary transport velocity was measured in uninfected (16.0 ± 5.7 mm/minute), infected (5.2 ± 1.3 mm/minute), and recovery phases (3.0 mm/ minute). Endoscopic appearance, light and electron microscopy, and bacterial cultures improved during recovery. Elevated levels of NO metabolites were found during chronic sinusitis and began to return to normal levels during recovery. The possible link between NO in epithelial autotoxicity and host defense mechanisms warrants further investigation. (Otolaryngol Head Neck Surg 2000;123:357-62.)
doi_str_mv 10.1067/mhn.2000.107405
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subjects Animals
Chronic Disease
Disease Models, Animal
Microscopy, Electron, Scanning
Mucociliary Clearance
Nasal Mucosa - metabolism
Nasal Mucosa - microbiology
Nasal Mucosa - ultrastructure
Nitric Oxide - analysis
Nitric Oxide - metabolism
Pneumococcal Infections - physiopathology
Rabbits
Reference Values
Severity of Illness Index
Sinusitis - metabolism
Sinusitis - physiopathology
title Elevated nitric oxide metabolite levels in chronic sinusitis
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