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-Adrenoreceptor Blockade with Phenoxybenzamine Does Not Affect the Ability of the Nose to Condition Air
1 The Section of Otolaryngology-Head and Neck Surgery, University of Chicago, Chicago, IL, USA
2 The Section of Pulmonary and Critical Care Medicine, University of Chicago, Chicago, IL, USA
* To whom correspondence should be addressed. E-mail: rnacleri{at}surgery.bsd.uchicago.edu.
The primary function of the nose is to warm and humidify air. We have previously shown that raising nasal mucosal temperature by immersing feet in warm water increases the amount of water evaporated by the nose as air passes through it (nasal conditioning capacity). To investigate further the effect of nasal mucosal temperature on nasal conditioning capacity, we raised the temperature through
-adrenoreceptor blockade by intranasally administering phenoxybenzamine. We hypothesized that blocking
-adrenoreceptors during inhalation of cold, dry air would lead to an increase in nasal blood flow, surface temperature, and nasal conditioning
capacity, as measured by the water gradient. After appropriate pilot studies, we performed a double-blind, placebo-controlled, 2-way cross-over study in 9 non-atopic, healthy subjects by studying the effect of treatment with intranasal phenoxybenzamine. Nasal mucosal temperature increased significantly after administration of phenoxybenzamine and was associated with a significantly smaller net decrease in nasal mucosal temperature after exposure to cold, dry air (P<0.05). However, there were no significant differences in nasal conditioning capacity between
treatments (P>0.05). Phenoxybenzamine decreased the symptom of rhinorrhea after exposure to
cold, dry air (P<0.05), but congestion was not different between individuals given phenoxybenzamine and placebo (P>0.05). Our data demonstrate that phenoxybenzamine, despite raising mucosal temperature and not affecting nasal volume, did not affect the ability of
the nose to warm and humidify air.
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