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Turkish Archives of Otolaryngology 2005; 43(3): 150-153 Abstract |
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Full Text in Turkish [PDF] 210 KB |
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Changes in Nasal and Nasopharyngeal Floras After Laryngectomy Total Larenjektomi Sonrası Nazal ve Nazofarengeal Floradaki Değişiklikler İ. Kaygusuz*, T. Karlıdağ*, E. Keleş*, Ş. Yalçın*, H.C. Alpay*, Y. Yakupoğulları** |
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| *Department of ENT, and **Department of Microbiology, Faculty of Medicine, Fırat University, Elazığ, Turkey |
| Key Words |
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| Total laryngectomy, nasal flora, nasopharyngeal flora |
| Abstract |
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Objectives:
The aim of
this work was to evaluate changes in nasal and nasopharyngeal microbial
floras after total laryngectomy. Methods:
Twenty
patients who performed total laryngectomy and 20 voluntary patients who
have same demographic characteristics with study group included to the
study. Nasal and nasopharyngeal smear cultures were obtained from these
groups and the microorganisms were isolated. Results:
Nasal flora
was detected as normal in 7 patients of study group and in 12 patients
of control group. One or more microorganisms (S. aureus in five patients,
beta-hemolytic streptoccoci in two patients, P. aeroginosa in two
patients, Acinetobacter spp. and Candida spp. in seven patients) were
isolated in 13 patients of study group. In nasal flora of control group
following microorganisms were detected; Candida spp. in one patient,
beta-hemolytic streptoccoc in one patient and S. aureus in six patients.
While nasopharyngeal flora were detected as normal in 14 patients of
control group and five patients of study group, one or more
microorganisms were isolated in six patients of control group (S. aureus
in one patient, beta-hemolytic streptoccoc in one patient, Klebsiella
spp. in three patients and E. coli in one patient) and 15 patients of
study group (S. aureus in five patients, beta-hemolytic streptoccoci in
six patients, Klebsiella spp. in five patients, Acinetobacter spp. in
one patient and Candida spp. in seven patients). When study group
compared to control group, microorganisms which not exist in normal
nasal and nasopharyngeal flora increased in study group in proportion to
control group. Conclusion: The certain changes in normal nasal and nasopharyngeal floras of patients who performed total laryngectomy. Therefore, if rhinitis, sinusitis, pharyngitis vs. would be treated in patients who performed total laryngectomy, the mentioned changes in flora should be taken into consideration. |
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| Accepted after revision: | April 8, 2005 | ||
| Correspondence: |
İrfan Kaygusuz, MD Fırat Üniversitesi Fırat Tıp Merkezi KBB Kliniği, 23200 Elazığ - Türkiye Phone: (0424) 233 35 35, Fax: (0424) 238 80 96 e-mail: kaygusuz_67@yahoo.com |
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Copyright © 2005 by the Turkish Otolaryngology & Head and Neck Surgery Foundation. |
