Epithelial Mucosal Changes and An Inflammation Process of the Cavum Nasi Due to Inhaled Sawdust

Yusmawati Yusran, Humairah Medina Liza Lubis

Abstract


Woodworkers are particularly susceptible to inhalation of sawdust exposure. Exposure to sawdust for a long time causes various health problems and causes the damage of the epithelium to a barrier. This study aims to identify whether inhaled sawdust can cause changes in the nasal mucosa and the occurrence of an inflammatory process. This study was a cross-sectional analytical study. Data were collected from July 2021 to January 2022 from the nasal cavity swab of 35 woodworkers who had worked for 1 to >5 years. The assessment was carried out by cytological examination to identify epithelial changes in the form of mild and moderate dysplasia, while the inflammation was found in the form of acute and chronic inflammation. Twenty-six (74.3%) samples were normal, 7 (20%) samples had mild dysplasia, and 2 (5.7%) samples had moderate dysplasia. Whereas 20 (57.1%) were found to have no inflammation, 8 (22.9%) were with acute inflammation, and 7 (20.0%) were found to have chronic inflammation). Fisher’s exact test showed a relationship between the inflammatory process and epithelial changes (p 0.020). In conclusion, sawdust inhaled showed changes in the epithelial mucosa and inflammatory processes of the nasal cavity.


Keywords


cavum nasi; epithelial mucosal changes; inflammation process; wood sawdust

Full Text:

PDF

References


Ridasta BA. Penilaian Sistem Manajemen Keselamatan dan Kesehatan Kerja di Laboratorium Kimia. Higeia J Public Heal Res Dev. 2020;4(1):64-75. http://journal.unnes.ac.id/sju/index.php/higeia

Darwis AM, Naiem MF, Latief AWL, Maharja R, Noviponiharwani, Rahim MR, et al. Kejadian Cedera pada Karyawan Industri Percetakan di Kota Makassar Occurance of Injury of Worker in the Printing Industry in Makassar City. Jkmm. 2020;3(1). https://doi.org/10.30597/jkmm.v3i1.10281

Haworth N, Hughes S. The International Labour Organization. In Handbook of Institutional Approaches to International Business; 2012. https://doi.org/10.4337/9781849807692.00014

Yunus M, Raharjo W, Fitriangga A. Faktor-faktor yang berhubungan dengan kejadian infeksi saluran pernapasan akut (ISPA) pada pekerja PT . X. Kesehatan. 2020;6(1):21-30. https://doi.org/10.26418/jc.v6i1.43349

Mescher AL. Junqueira ’ s Basic Histology Text and Atlas. Fourteenth Edition. Mc Graw Hill; 2016. p. 292–308

Eroschenko VP. DiFiore’s atlas of histology with functional correlations. 11th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2008.

Kasangana KK, Chadwiya MC, Masekameni D, Makonese T. Exposure to Wood Dust and Health Effects: A Review of Epidemiological Evidences from Developing Countries. 2017;(October). https://www.researchgate.net/publication/323826306_Exposure_to_Wood_Dust_and_Health_Effects_A_Review_of_Epidemiological_Evidences_from_Developing_Countries

Gallo S, Bandi F, Preti A, Facco C, Ottini G, Candia FD. et al. Exploring the role of nasal cytology in chronic rhinosinusitis. Acta Otorhinolaryngol Ital. 2020;40(5):368-376. https://doi.org/10.14639/0392-100X-N0711

Pendolino AL, Scarpa B, Ottaviano G. Relationship Between Nasal Cycle, Nasal Symptoms and Nasal Cytology. Am J Rhinol Allergy. 2019;33(6):644-649. https://doi.org/10.1177/1945892419858582

Heffler E, Landi M, Caruso C, Fichera S, Gani F, Guida G. et al. Nasal cytology: Methodology with application to clinical practice and research. Clin Exp Allergy. 2018;48(9):1092-1106. https://doi.org/10.1111/cea.13207

Herbert RA, Janardhan KS, Pandiri AR, Cesta MF, Miller RA. Nose, Larynx, and Trachea. Boorman’s Pathology of the Rat; 2018. p. 391–435. https://doi.org/10.1016/B978-0-12-391448-4.00022-8

Watts AM, Cripps AW, West NP, Cox AJ. Modulation of allergic inflammation in the nasal mucosa of allergic rhinitis sufferers with topical pharmaceutical agents. Front Pharmacol. 2019;10(MAR). https://doi.org/10.3389/fphar.2019.00294

Beigzadeh Z, Pourhassan B, kalantary S, Golbabaei F. Occupational exposure to wood dust and risk of nasopharyngeal cancer: A systematic review and meta-analysis. Environ Res. 2019;171(December 2018):170-176. https://doi.org/10.1016/j.envres.2018.12.022

Suryani M, Setiani O, Nurjazuli N. Analisis Faktor Risiko Paparan Serbuk Kayu terhadap Gsngguan Fungsi Paru pada Pekerja Industri Pengolahan Kayu PT. Surya Sindoro Sumbing Wood Industry Wonosobo. J Kesehat Lingkung Indones. 2005;4.

Özler GS, Akoğlu E. Impairment of nasal mucociliary clearance time in wood industry workers. Eur Arch Otorhinolaryngol. 2020;277(2):493-496. https://doi.org/10.1007/s00405-019-05729-6

Neghab M, Jabari Z, Kargar Shouroki F. Functional disorders of the lung and symptoms of respiratory disease associated with occupational inhalation exposure to wood dust in Iran. Epidemiol Health. 2018;40:e2018031. https://doi.org/10.4178/epih.e2018031

Kherde PM, MishraNV, Chitta SS, Gahukar SD. Influence of sawdust on peak expiratory flow rate in sawmill workers of central India working in unprotected environment and its correlation with

duration of exposure. National Journal of Physiology, Pharmacy and Pharmacology. 2017;1(Issue 1):68-73.

Indriyani D, Darundiati Y, Dewanti N. Analisis Risiko Kesehatan Lingkungan Pajanan Debu Kayu Pada Pekerja Di Industri Mebel Cv. Citra Jepara Kabupaten Semarang. J Kesehat Masy. 2017;5(5):571–80.

Sinaga JM. Hubungan antara Kadar Debu Kayu dengan Faal Paru Sebelum, Saat, Sesudah Bekerja pada Pekerja Industri Pengolahan Kayu Perusahaan X. Tesis. Universitas Sumatera Utara; 2019:2-3. URL https://repositori.usu.ac.id/handle/123456789/16950

Karnen Garna Baratawidjaja IR. Imunologi Dasar. Eleventh edition. Jakarta: Fakultas Kedokteran Universitas Indonesia; 2014. p. 50-75.

Grubbs H, Kahwaji CI. Physiology, Active Immunity [Internet]. StatPearls - NCBI Bookshelf. Published online 2021. Available from: https://www.ncbi.nlm.nih.gov/books/NBK513280/

Harkema JR, Carey SA, Wagner JG. The nose revisited: a brief review of the comparative structure, function, and toxicologic pathology of the nasal epithelium. Toxicol Pathol. 2006;34(3):252-269. https://doi.org/10.1080/01926230600713475

Nina Marliana RMW. Imunoserologi. 1st ed. Vol. 1. Kementerian Kesehatan Republik Indonesia; 2018.

Prasad ML, Perez-Ordonez B. Chapter 3 - Nonsquamous Lesions of the Nasal Cavity, Paranasal Sinuses, and Nasopharynx. In: Diagnostic Surgical Pathology of the Head and Neck (Second Edition). W.B. Saunders; 2009. P. 111-189. https://doi.org/10.1016/B978-1-4160-2589-4.00003-6

Genter MB, Doty RL. Toxic exposures and the senses of taste and smell. Handb Clin Neurol. 2019;164:389-408. https://doi.org/10.1016/B978-0-444-63855-7.00022-8

Nho R. Pathological effects of nano-sized particles on the respiratory system. Nanomedicine Nanotechnology, Biol Med. 2020;29:102242. https://doi.org/10.1016/j.nano.2020.102242

Löfstedt H, Hagström K, Bryngelsson IL, Holmström M, Rask-Andersen A. Respiratory symptoms and lung function in relation to wood dust and monoterpene exposure in the wood pellet industry. Ups J Med Sci. 2017;122(2):78-84. https://doi.org/10.1080/03009734.2017.1285836

Hough KP, Curtiss ML, Blain TJ, et al. Airway Remodeling in Asthma. Front Med (Lausanne). 2020;7:191. Published 2020 May 21. https://doi.org/10.3389/fmed.2020.00191

Akhouri S, House SA. Alergic Rhinitis [Internet]. StatPearls - NCBI Bookshelf. Published online 2021. Available from: https://www.ncbi.nlm.nih.gov/books/NBK538186/

Galet P, Nguyen DT, Russel A, Jankowski R, Vigouroux C, Rumeau C. Intestinal and non-intestinal nasal cavity adenocarcinoma: Impact of wood dust exposure. Eur Ann Otorhinolaryngol Head Neck Dis. 2018;135(6):383-387. https://doi.org/10.1016/j.anorl.2018.08.012

Kherde PM, Mishra N V, Chitta SS, Gahukar SD. Influence of sawdust on peak expiratory flow rate in sawmill workers of central India working in unprotected environment and its correlation with duration of exposure. Natl J Physiol Pharm Pharmacol. 2017;7(1):68-73. https://doi.org/10.5455/njppp.2016.6.0616525072016

Bussi M, Gervasio CF, Riontino E, Valente G, Ferrari L, Pira E. et al. Study of ethmoidal mucosa in a population at occupational high risk of sinonasal adenocarcinoma. Acta Otolaryngol. 2002;122(2):197-201. https://doi.org/10.1080/00016480252814225

Golden R. Identifying an indoor air exposure limit for formaldehyde considering both irritation and cancer hazards. Crit Rev Toxicol. 2011;41(8):672-721. https://doi.org/10.3109/10408444.2011.573467

Khumaidah, Khumaidah. Analisis Faktor-faktor yang berhubungan gangguan fungsi paru pada pekerja mebel PT Jati Furnindon Desa Suwawal Kecamatan Mlonggo Kabupaten Jepara. Thesis. Universitas Diponegoro; 2016. http://eprints.undip.ac.id/25008/

Ghelli F, Bellisario V, Squillacioti G, Grignani E, Garzaro G, Buglisi M. et al. Oxidative stress induction in woodworkers occupationaly exposed to wood dust and formaldehyde. J Occup Med Toxicol. 2021;16(1). https://doi.org/10.1186/s12995-021-00293-4

Lovato A, Staffieri C, Ottaviano G, Cappellesso R , Giacomelli L, Bartolucci GB et al. Woodworkers and the inflammatory effects of softwood/hardwood dust: evidence from nasal cytology. Eur Arch Oto-Rhino-Laryngology. 2016;273(10):3195-3200. https://doi.org/10.1007/s00405-016-3989-2




DOI: https://doi.org/10.18196/mmjkk.v23i1.16623

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.


      

Editorial Office:
Journal Room, G1 (Biomedic) Building, Ground Floor, Faculty of Medicine and Health Science Universitas Muhammadiyah Yogyakarta, 
Jalan Lingkar Selatan (Brawijaya), Tamantirto, Kasihan, Bantul, Daerah Istimewa Yogyakarta, Indonesia
Phone: +62 274 387 656 (ext: 231)
WA : +62 811-2650-303
Website: http://journal.umy.ac.id/index.php/mm 
E-mail: mmjkk@umy.university

Creative Commons License
Mutiara Medika: Jurnal Kedokteran dan Kesehatan is licensed under a Creative Commons Attribution 4.0 International License. View My Stats