Initial exploration of non-invasive diagnosis of eosinophilic chronic rhinosinusitis with nasal polyps via nasal brush sampling.
10.13201/j.issn.2096-7993.2025.07.004
- Author:
Zhipeng CHEN
1
;
Jian GUO
2
;
Wenyi CHEN
3
;
Yuan MENG
2
;
Daxiao LI
1
;
Junhui ZHOU
1
;
Zhongjue WANG
1
Author Information
1. Department of Ophthalmology and Otorhinolaryngology，the Second People's Hospital of Longgang District，Shenzhen，518112，China.
2. Department of Pathology，the Second People's Hospital of Longgang District.
3. Department of Otorhinolaryngology Head and Neck Surgery，the Third Affiliated Hospital of Sun Yat-sen University.
- Publication Type:Journal Article
- Keywords:
cilia;
eosinophils;
intranasal brushing;
nasal polyps
- MeSH:
Humans;
Male;
Female;
Middle Aged;
Adult;
Nasal Polyps/complications*;
Sinusitis/complications*;
Aged;
Chronic Disease;
Adolescent;
Nasal Mucosa/pathology*;
Young Adult;
Rhinitis/complications*;
Eosinophilia/pathology*;
Child;
Eosinophils/pathology*;
Rhinosinusitis
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2025;39(7):617-623
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To identify the key epithelial cell characteristics that can accurately diagnose eosinophilic chronic sinusitis with nasal polyps（ECRSwNP） through nasal brush sampling and comparing with the pathological results of nasal polyp tissue sections. Methods:Ninety-one patients underwent surgery in the Ophthalmology and ENT Department of the Second People's Hospital of Longgang District, Shenzhen, from January 2022 to July 2024 were selected. The cohort comprised 58 males and 33 females（mean age: 41.4 years; range: 12.0-71.0）. The clinical characteristics of the patients, including gender, age, disease duration, smoking and drinking history, asthma history, subjective symptoms, sinus CT, and nasal endoscopy scores, were recorded. Nasal brush sampling of nasal polyps and inferior turbinate mucosa was performed before surgery to obtain cytological specimens, and nasal polyp tissues were collected during surgery. The demographic and clinical characteristics of patients with eosinophilic and non-eosinophilic nasal polyps were compared, as well as the relationship between nasal brush cytology of nasal polyps and inferior turbinate and nasal polyp histopathology. Statistical analysis was performed using SPSS 23.0 software. Results:Among the 91 patients, no significant differences were observed between ECRSwNP and NECRSwNP patients in terms of age, gender, smoking status, alcohol consumption, and disease duration. The nasal brush cell population in ECRSwNP patients was more likely to contain eosinophils（P<0.001） and less likely to contain lymphocytes and plasma cells（P<0.001）. Additionally, the ciliated cells in ECRSwNP patients exhibited larger widths（P=0.036）, shorter cilium lengths（P<0.001）, and more disordered arrangements（P<0.001） compared to NECRSwNP patients. In nasal brush cells from the inferior turbinate, ECRSwNP patients also showed shorter cilium lengths（P<0.001） and shorter cilia（P=0.024） compared to NECRSwNP patients. Conclusion:There are significant differences in obtaining epithelial cytological information from nasal polyps or inferior turbinates through nasal brush sampling between ECRSwNP and NECRSwNP patients.
