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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 29(5); 1986 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1986;29(5): 607-16.
A Histochemical Study of the Glycoprotein on Mucosa of Chronic Paranasal Sinusitis
Jeong Bae Kim, MD2, and Choong Hwan Kim, MD1
1;Department of Otolaryngology, College of Medicine, Chung-Ang University, 2;Department of Otolaryngology, Republic of Korea Special Warfare Command, Korea
慢性副鼻洞炎 粘膜에 있어 糖蛋白의 組織化學的 硏究
金正培2 · 金中煥1
中央大學校 醫科大學 耳鼻咽喉科學敎室1;특전사령부 의무대 이비인후과2;
ABSTRACT

Nasal secretions include water, cellular elements, electrolytes, immunoglobulins, enzymes, serum protein, and mucous glycoproteins. The first defense line is the nasal mucus layer, while the second line is the cilliary beating. The third defense line is the epithelium and submucosa. The purposes of the present study are to know both histologic findings and functional activity of sinus mucosa simultaneously, and to investigate whether glycoproteins are different in mucosa by pathologic types(infiltrating, edematous, fibrous, & mixed). The results were as follows : 1) Severely damaged mucosa of infiltrating and edematous type was not shown positive Periodic acid-Schiff(PAS) or Alcian Blue(AB) reaction of mucus layer. 2) As cilliated cell was lost, goblet cells with positive PAS and AB reaction were increased in numbers. 3) The sinusitis mucosa with damaged epithelium was showing thickened PAS positive basement membrane. 4) Degree of glandular cell hypertrophy was variable. Also in same specimen, secretory activity of gland was variable ; active and inactive. 5) As a result of this study, it was suggested that secretory phase was related to sinus mucosa gland, and that glycoprotein in mucus layer and basement membrane served as protectant.

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