Clinical and Experimental Study on Thermoregulatory System and its Relation with Vasomotor Rhinitis

Main Article Content

Somnath Saha
Nirmalya Kumar Majumder
D P Thombre

Abstract

Introduction


Much of the perennial cold are of vasomotor origin still a less appreciated phenomenon even among the medical personnel, much of which is dubbed in a cursorily in the clinical analogue of a west paper wrap as ‘allergic rhinitis’.  This study was attempted to find out the role of thermoregulatory system with causation of vasomotor rhinitis and assessing role of hypothalamus in causation of vasomotor rhinitis.


Materials and Methods


In this study conducted during the period of July 1987 to August 1988, 20 normal adult individuals were taken as control and thermoregulatory study was done on them. The results were compared with cases of vasomotor rhinitis/non-allergic rhinopathy cases. In experimental study thermoregulatory study was done on albino rats before and after stereotaxis of anterior and posterior hypothalamic nuclei and the result were compared before stereotaxis and post stereotaxis.


Results


Among human study in clinical subjects, patient suffering from vasomotor rhinitis showed a definite shift towards thermoregulatory imbalance both for generalized body caloric fluctuation and particularly on the nasal mucosa. Post-vidian neurectomy results for thermoregulation test was highly significant. In animal study post-hypothalamic stereotaxis temperature measurement showed minimal depression. Dorsal anterior hypothalamic lesion ablation showed significant derangement in the thermoregulatory tolerance profile of the rats’ belly temperature. Posterior hypothalamic lesion showed that there may be some amount of derangements in the thermoregulatory tolerance, which however is not statistically conclusive. Thermoregulatory control is done at hypothalamus, particularly at anterior hypothalamic nuclei level and posterior hypothalamic nuclei in the brain. Thermoregulatory study proves a close correlation between non allergic rhinitis with imbalance in central thermal regulation by hypothalamus.


Conclusion


Thermoregulatory study in control and clinical subjects proves a close correlation between vasomotor rhinitis and sympathetic, parasympathetic system.

Article Details

How to Cite
1.
Saha S, Majumder NK, Thombre DP. Clinical and Experimental Study on Thermoregulatory System and its Relation with Vasomotor Rhinitis. BJOHNS [Internet]. 2019Dec.29 [cited 2024May16];27(3):213-22. Available from: https://www.bjohns.in/journal3/index.php/bjohns/article/view/10
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Main article
Author Biographies

Somnath Saha, Calcutta National Medical College & Hospital

Head of Department, Department of Ent & Head-Neck Surgery, CNMC&H.

Nirmalya Kumar Majumder, JIPMER, Puducherry.

Ex-Director & Professor, 

Department of ENT, JIPMER, Puducherry.

D P Thombre, JIPMER, Puducherry.

Ex-Professor & Head, Department of Physiology, JIPMER, Puducherry

References

Kaliner MA, Farrar JR. Consensus review and definition of nonallergic rhinitis with a focus on vasomotor rhinitis, proposed to be known henceforth as Nonallergic Rhinopathy Part 1. Introduction. The World Allergy Organization Journal 2009, 2(6):97

Settipane RA. Epidemiology of vasomotor rhinitis. World Allergy Organ J. 2009; 2(6):115-8

Stachler RJ. Comorbidities of asthma and the unified airway. Int Forum Allergy Rhinol. 2015; 5(suppl 1):S17-S22

Frieri M, Kumar K, Boutin A. Review: Immunology of sinusitis, trauma, asthma, and sepsis. Allergy Rhinol (Providence) 2015; 6:205-14

Frieri M. Asthma linked with rhinosinusitis: An extensive review. Allergy Rhinol (Providence) 2014; 5:41-9

Dawes JD, Prichard MM. Studies of the vascular arrangements of the nose. J Anat. 1953; 87:311-22

Millonig AF, Harris HE, Gardner WJ. Effect of autonomic denervation on nasal mucosa; interruption of sympathetic and parasympathetic fibers. Arch Otolaryngol. 1950; 52:359-72

Konno A, Togawa K. Role of the vidian nerve in nasal allergy. Ann Otol Rhinol Laryngol. 1979; 88(pt. 1):258-66

Yao A, Wilson JA, Ball SL. Autonomic nervous system dysfunction and sinonasal symptoms. Allergy & rhinology (Providence, R.I.) 2018; 9, 2152656718764233. doi:10.1177/2152656718764233

König JFR, Klippel RA. The Rat Brain. A stereotaxic Atlas of the Forebrain and Lower Parts of the Brain Stem. Williams and Wilkins, Amsterdam 1963

Onoe H, Watanabe Y, Ono K, Koyama Y, Hayaishi O. Prostaglandin E2 exerts an awaking effect in the posterior hypothalamus at a site distinct from that mediating its febrile action in the anterior hypothalamus. J. Neurosci. 1992;12 (7): 2715-25 PMID 1613554

Fundamental neuroscience for basic and clinical applications. Haines Duane E, Ard MD. 4th ed. Philadelphia, PA: Elsevier/Saunders. 2013. ISBN 9781437702941. OCLC 794603152

Nakamura K, Morrison SF. A thermosensory pathway mediating heat-defense responses. Proceedings of the National Academy of Sciences of the United States of America 2010; 107(19), 8848-53 doi:10.1073/pnas.0913358107

Drettner B. Vascular reactions of the human nasal mucosa on exposure to cold. Uppsala: Acta oto-laryngologica, suppl. 1961;166, 109 pages

Barrett K E, Barman SM, Yuan JX-J, Brooks H. Ganong's Review of Medical Physiology, 26th Ed. 2019; New York, McGraw-Hill Education LLC

Eccles R, Lee RL. The influence of the hypothalamus on the sympathetic innervation of the nasal vasculature of the cat. Acta Otolaryngol (Stockh) 1981; 91:127-34.

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