ORL
Review
Rhinomanometry: An UpdateHirschberg A.Semmelweis University, Faculty of Medicine, Department of ORL and HNS, Budapest, Hungary
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Article / Publication Details
Received: July 19, 2001
Accepted: October 18, 2001
Published online: September 12, 2002
Issue release date: July – August
Number of Print Pages: 5
Number of Figures: 1
Number of Tables: 2
ISSN: 0301-1569 (Print)
eISSN: 1423-0275 (Online)
For additional information: https://www.karger.com/ORL
Abstract
Rhinomanometry has been widely accepted and used as an objective method to assess nasal patency for more than two decades. Much knowledge was obtained with its application in nasal pathophysiology and measuring techniques are still an issue for continuous improvement. Background, concept and current techniques, past, present and future, reliability, indications and contraindications are discussed in details. Special attention is paid to problems of definition, correlation between rhinomanometric data and subjective sensation of nasal patency and calibration. It is concluded that rhinomanometry applied together with acoustic rhinometry gives the most reliable objective information on nasal patency in an authentic rhinologic laboratory.
© 2002 S. Karger AG, Basel
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References
-
Pallanch JF: Rhinomanometry: The application of objective airway testing in the clinical evaluation of nasal obstruction; in McCaffrey TV (ed): Rhinologic Diagnosis and Treatment. New York, Thieme, 1997, pp 87–124.
- Fairley JW, Durham LH, Ell SR: Correlation of subjective sensation of nasal patency with nasal inspiratory peak flow rate. Clin Otolaryngol 1993;18:19–22.
- Jones AS, Crosher R, Wight RG, Lancer JM, Beckingham E: The effect of local anaesthesia of the nasal vestibule on nasal sensation of airflow and nasal resistance. Clin Otolaryngol 1987;12:461–464.
- Jones AS, Willatt DJ, Durham LM: Nasal airflow: Resistance and sensation. J Laryngol Otol 1989;103:909–911.
- Clarke RW, Jones AS, Charters P, Sherman I: The role of mucosal receptors in the nasal sensation of airflow. Clin Otolaryngol 1992;17:383–387.
- Eccles R, Lancashire B, Tolley NS: Experimental studies on nasal sensation of airflow. Acta Otolaryngol 1987;103:303–306.
- Willatt DJ, Jones AS: The role of the temperature of the nasal lining in the sensation of nasal patency. Clin Otolaryngol 1996;21:519–523.
- Broms P, Jonson B, Lamm CJ: A universal way to evaluate the curve in rhinomanometry. Acta Otolaryngol Suppl 1979;360:22–23.
- Clement PAR: Committee report on standardization of rhinomanometry. Rhinology 1984;22:151–155.
- Szucs E, Kaufman L, Clement PAR: Nasal resistance – a reliable assessment of nasal patency? Clin Otolaryngol 1995;20:390–395.
- McCaffrey TV, Kern EB: Clinical evaluation of nasal obstruction. A study of 1000 patients. Arch Otolaryngol 1979;105:542–545.
- Clarke RW, Cook JA, Jones AS: The effect of histamine challenge on nasal airflow sensation. Clin Otolaryngol 1993;18:161–163.
- Clarke RW, Cook JA, Jones AS: The effect of nasal mucosal vasoconstriction on nasal airflow sensation. Clin Otolaryngol 1995;20:72–73.
- Roithmann R, Cole P, Chapnik J, Barreto SM, Szalai JP, Zamel N: Acoustic rhinometry, rhinomanometry, and the sensation of nasal patency: A correlative study. J Otolaryngol 1994;23:454–458.
- Hirschberg A, Rezek Ö: Correlation between objective and subjective assessments of nasal patency. ORL 1998;60:206–211.
- Hallén H, Juto JE: Correlation between subjective and objective assessment of nasal hyperreactivity. ORL 1994;56:51–54.
- Sipila JI, Suonpaa JT, Laippala PT: Sensation of nasal obstruction compared to rhinomanometric results in patients referred for septoplasty. Rhinology 1994;32:141–144.
- Simola M, Malmberg H: Sensation of nasal airflow compared with nasal airway resistance in patients with rhinitis. Clin Otolaryngol 1997;22:260–262.
-
Naito K, Cole P, Chaban R, Oprysk D: Nasal resistance, sensation of obstruction and rhinoscopic findings compared. Am J Rhinol 1988;2:65–69.
- Cole P, Niinimaa V, Mintz S, Silverman F: Work of nasal breathing: measurement of each nostril independently using a split mask. Acta Otolaryngol 1979;88:148–154.
- Haight JSJ, Cole P: The site and function of the nasal valve. Laryngoscope 1983;93:49–55.
- Hirschberg A, Roithmann R, Parikh S, Miljeteig H, Cole P: The airflow resistance profile of healthy nasal cavities. Rhinology 1995;33:10–13.
- Eccles R: The central rhythm of the nasal cycle. Acta Otolaryngol 1978;86:464–468.
- Cole P, Fastag O, Forsyth R: Variability in nasal resistance measurements. J Otolaryngol 1980;9:309–315.
- Cole P, Haight JSJ: Posture and the nasal cycle. Ann Otol Rhinol Laryngol 1986;95:233–237.
- Cole P: Stability of nasal airflow resistance. Clin Otolaryngol 1989;14:177–182.
- Forsyth RD, Cole P, Shephard RJ: Exercise and nasal patency. J Appl Physiol 1983;55:860–865.
- Cole P, Forsyth R, Haight JSJ: Effects of cold air and exercise on nasal patency. Ann Otol Rhinol Laryngol 1983;92:196–198.
-
Clement PAR: Rhinomanometry. Allergy 1997;52(suppl 33):26–27.
- Malm L, Gerth van Wijk R, Bachert C: Guidelines for nasal provocations with aspects on nasal patency, airflow, and airflow resistance. Rhinology 2000;38:1–6.
- Naito K, Iwata S, Ohoka E, Kondo Y, Takeuchi M: A comparison of current expressions of nasal patency. Eur Arch Otorhinolaryngol 1993;250:249–252.
- Naito K, Iwata S: Current advances in rhinomanometry. Eur Arch Otorhinolaryngol 1997;254:309–312.
- Cole P: Biophysics of nasal airflow: A review. Am J Rhinology 2000;14:245–249.
- Clement PAR, Hirsch C: Rhinomanometry – a review. ORL 1984;46:173–191.
- Cole P, Savard P, Miljeteig H, Haight JSJ: Resistance to respiratory airflow of the extrapulmonary airways. Laryngoscope 1993;103:447–450.
-
Cole P, Roithmann R, Roth Y, Chapnik JS: Measurement of airway patency. A manual for users of the Toronto systems and others interested in nasal patency measurement. Ann Otol Rhinol Laryngol Suppl 1997;171:7–23.
-
Vogt K: High resolution rhinomanometry. Laryngol Rhinol Otol (Stuttg) 2000;79 (suppl 1):334.
- O’Neill G, Tolley NS, Hollis LJ, Hern JD, Almeyda JS: Analysis of rhinomanometric data based upon a model of nasal airflow and logarithmic transformation of the data. Clin Otolaryngol 1996;21:524–527.
- Cole P: Rhinomanometry 1988: Practice and trends. Laryngoscope 1989;99:311–315.
-
Clement PAR: Minutes of SCOANA, 1994.
- Gordon ASD, McCaffrey TV, Kern EB, Pallanch JF: Rhinomanometry for preoperative and postoperative assessment of nasal obstruction. Otolaryngol Head Neck Surg 1989;101:20–26.
- Miljeteig H, Hirschberg A, Cole P, Haight JSJ, Mateika S, Parikh S, Tvinnereim M, Hoffstein V: Pharyngeal airflow during sleep. Acta Otolaryngol 1995;115:99–105.
- Hirschberg A, Ribári O, Szabó Gy, Élő G: Airflow resistance monitoring in laryngotracheal stenosis. Laser surgery in bilateral vocal cord paralysis. ORL 1995;57:161–164.
-
Clement PAR: Minutes of SCOANA, 1998.
Article / Publication Details
Received: July 19, 2001
Accepted: October 18, 2001
Published online: September 12, 2002
Issue release date: July – August
Number of Print Pages: 5
Number of Figures: 1
Number of Tables: 2
ISSN: 0301-1569 (Print)
eISSN: 1423-0275 (Online)
For additional information: https://www.karger.com/ORL
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