Effects of septoplasty on the nasal flora

Am J Rhinol. Jan-Feb 2006;20(1):40-2.


Background: Disruption in the balance of the nasal flora influences infectious diseases of the nose. We characterized the changes in nasal flora of the middle meatus of patients with a symptomatic deviated nasal septum before and after septoplasty.

Methods: The study cohort included 33 patients with symptomatic deviated nasal septum who underwent septoplasty from 1998 to 2001. Cultures from the middle meatus were taken preoperatively and 1 month postoperatively.

Results: Fifty-two percent of the preoperative cultures and 76% of the postoperative cultures were positive. The preoperatively cultured bacteria were similar to those usually cultured from the nose of a healthy individual-mainly Staphylococcus aureus and Corynebacterium. The postoperative cultures included bacteria not considered as being nasal flora and infrequently cultured from the nose: Pseudomonas, Haemophilus influenza, and Staphylococcus coagulase negative.

Conclusion: Symptomatic septal deviation does not influence nasalflora. The bacterial changes without clinical complaints that we found postseptoplasty might call for a more in-depth workup.

MeSH terms

  • Adult
  • Bacteria / classification
  • Bacteria / isolation & purification*
  • Cohort Studies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Nasal Mucosa / microbiology*
  • Nasal Obstruction / surgery*
  • Nasal Septum / pathology
  • Nasal Septum / surgery*
  • Rhinoplasty / methods*