Evaluation of the Patient with Nasal Obstruction

Recker, Chelsey; Hamilton, Grant

doi:10.1055/s-0035-1570502

Cited by 21 publications

(20 citation statements)

References 25 publications

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“…The correlation between changes in NOSE and PNIF values (r = −0.26, P = 0.02) was slightly lower than that reported by Lodder and Leong (r = −0.39) . This weak correlation may be related to differences in patient perception or experience of similar nasal function, differences in airflow turbulence, mucosal or neurosensory differences, the impact of nasal obstruction laterality, or other currently unknown factors …”

Section: Discussionmentioning

confidence: 56%

“…27 This weak correlation may be related to differences in patient perception or experience of similar nasal function, differences in airflow turbulence, mucosal or neurosensory differences, the impact of nasal obstruction laterality, or other currently unknown factors. [29][30][31] Despite the weak correlations with patient-reported outcomes, our group does feel that PNIF has an important clinical utility. Peak nasal inspiratory flow is inexpensive and is very simple to add to the clinical work flow because medical assistants can easily learn to administer this exam.…”

Section: Discussionmentioning

confidence: 82%

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Peak nasal inspiratory flow is a useful measure of nasal airflow in functional septorhinoplasty

et al. 2018

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Objective To evaluate the utility of peak nasal inspiratory flow (PNIF) as a measure of nasal airflow and functional septorhinoplasty (FSRP) outcomes. Methods Patients with nasal obstruction were administered Nasal Obstruction Symptom Evaluation (NOSE) questionnaire and PNIF testing between January 2015 and 2018. Surgical patients repeated these tests at 2, 4, 6, 12, and 24 months postoperatively. Patient demographics and operative techniques were recorded. Results A total of 610 patients were evaluated for nasal obstruction with mean (standard deviation [SD]) NOSE score of 61.5 (23.2) and PNIF of 74.1 (35.4) liters per minute (L/min); correlation −0.16 (P < 0.001). Predictors of lower PNIF were female gender (β = −13.3, 95% confidence interval [CI] 7.7 to 18.2, P < .001) and higher NOSE scores (β = −0.43, 95% CI 0.19 to 0.68, P < 0.001). A total of 281 patients underwent FSRP with statistically and clinically significant improvements in both mean NOSE and PNIF scores that were stable out to 2 years. NOSE scores changed −41.0 (25.5) points, and PNIF improved 20.7 (35.5) L/min at last follow‐up. Grafting material did not affect outcomes, whereas spreader grafts improved PNIF values (β = 25.46, 95% CI 5.5 to 45.4, P = 0.013). Clinically significant changes between NOSE and PNIF were concordant, although the correlation was weak (r = −0.26, P = 0.02). Conclusion Peak nasal inspiratory flow is a rapid, cheap, and easily performed test that detects nasal obstruction and clinically significant improvements in airflow following FSRP. Although PNIF does not correlate well enough with the patient experience of nasal obstruction to be used as a diagnostic tool, it does provide unique and complementary information useful for evaluating, understanding, and improving the effects of surgical techniques. Level of Evidence 2C Laryngoscope, 129:594–601, 2019

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Section: Discussionmentioning

confidence: 56%

Section: Discussionmentioning

confidence: 82%

Peak nasal inspiratory flow is a useful measure of nasal airflow in functional septorhinoplasty

et al. 2018

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“…Obstruction could be due to mucosal causes such as allergic/nonallergic rhinitis, rhinosinusitis, and nasal cycle, as it can arise from many structural events that reduce the internal nasal volume such as nasal septal deviation, nasal valve pathologies, concha hypertrophy, concha bullosa, nasal polyps, and tumors. 10,11 As a result, it is thought that nasal obstruction may lead to psychological problems due to brain electrolyte imbalance, which results from the fact that blood pH levels reach more acidic levels due to an increased blood CO 2 level. 1 Although there are a number of causes that can lead to nasal obstruction, there is sometimes no underlying pathology, despite all the investigations.…”

Section: Discussionmentioning

confidence: 99%

Association Between Nasal Obstruction Symptoms and Anxiety

et al. 2020

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Aim: The aim of this study was to determine the correlation between nasal function assessment and anxiety scales. Methods: A total of 120 patients with the complaint of nasal obstruction were classified as nasal septum deviation group (DNS) and no nasal pathology group (NON). A control group was formed of 57 healthy participants. Nasal obstruction severity was assessed using the Nasal Obstruction Symptom Evaluation (NOSE) scale, nasal resistance level with rhinomanometry and anxiety levels with the Agoraphobic Cognitions Questionnaire (ACQ), and the Body Sensations Questionnaire (BSQ). Results: There was a statistically significant difference between both the DNS and the NON groups and control group in terms of NOSE scale, ACQ, and BSQ ( P < .001). The total nasal resistance values were higher in the DNS group compared to both the NON and control groups ( P < .001), although the difference between the NON group and control group was not statistically significant. Conclusion: The results of this study showed that patients with nasal breathing complaints, but no organic pathology, had the same level of nasal obstruction symptoms as patients with nasal septal deviations. Anxiety levels are elevated in patients with symptoms of nasal obstruction, even when there is lack of organic nasal pathology.

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“…Alerjik/alerjik olmayan rinit, rinosinüzit, nazal siklus gibi mukozal nedenlerin yanı sıra; NSD, INVK, konka hipertrofisi, konka bullosa, polipler ve tümörler gibi burun iç hacmini azaltan birçok yapısal nedenden kaynaklanabilir. 8,11 AR'nin septoplasti, konkaplasti, sinüs cerrahisi, rinoplasti, nazal valf cerrahisi, yarık damak, yarık dudak, koanal atrezi, adenoidektomi, obstrüktif uyku apne sendromu, vazomotor rinit, maksillofasiyal ekspansiyon prosedürleri gibi çok geniş kullanım alanları mevcuttur. [12][13][14][15] Bununla birlikte, özellikle INV olmak üzere burnun anterior parçasında AR'nin hassasiyeti rinolojide bu metodu değerli hâle getirir.…”

Section: Discussionunclassified

Clinical Importance of Acoustic Rhinometry, Rhinomanometry and NOSE Scale in Nasal Septum Deviation and Internal Nasal Valve Surgery

Akkoca¹,

Arslan²,

İslam³

et al. 2019

KBB ve BBC Dergisi

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azal obstrüksiyon, çeşitli faktörlerin neden olduğu oldukça yaygın görülen bir semptomdur. Sık anatomik sebeplerinden birisi nazal septum deviasyonu (NSD)'dur ve en sık tercih edilen cerrahi tedavi yöntemi septoplastidir. 1 İnternal nazal valf (INV) tipik olarak burun boşluğunun en dar kısmıdır ve septum, upper lateral kartilaj (ULC), alt konka ve burun tabanı tarafından sınırlandırılmıştır. Normalde INV açısı 10-15°arasındadır ve bu açının daralması internal nazal valf kollapsı (INVK) oluştu-KBB ve BBC Dergisi 2019;27(3):125-30 125 125 125 Nazal Septum Deviasyonu ve İnternal Nazal Valf Cerrahisinde Akustik Rinometri, Rinomanometri ve NOSE Skalasının Klinik Önemi Ö ÖZ ZE ET T A Am ma aç ç: : Nazal septum deviasyonu (NSD) ve internal nazal valv kollapsında (INVK) akustik rinometri (AR), rinomanometri (RMN) ve "Nose Obstruction Symptom Evaluation (NOSE)" skalasının preoperatif ve postoperatif tanı yöntemi olarak kullanılıp kullanılamayacağını göstermektir. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Bu çalışma 31 NSD, 36 INVK'li hasta ile prospektif olarak gerçekleştirildi. Ameliyat kararı verilen toplam 67 hastaya preoperatif AR ve RMN yapıldı. Aynı zamanda, "Burun Tıkanıklığı Semptom Değerlendirilmesi [Nose Obstruction Symptom Evaluation (NOSE)]" Skalasını doldurmaları sağlandı. NSD tanısı alan 31 hastaya septoplasti, NSD-INVK tanısı alan 36 hastaya ise septoplasti ve bilateral nazal valf cerrahisi uygulandı. B Bu ul lg gu ul la ar r: : Ameliyat sonrası her 2 grupta NOSE skalasında istatistiksel olarak anlamlı bir düşüş görüldü. AR ölçümlerine göre minimal kesit alanı ve nazal hacimde artış kaydedildi. RMN ölçümleri, nazal rezistansta azalma ve nazal hava akımında artış gösterdi (p=0,00). Ayrıca, hem ameliyat öncesi hem de ameliyat sonrası NOSE skalası, AR ve RMN değerleri arasında korelasyon vardı. S So on nu uç ç: : AR ve RMN, hem NSD ve INVK'ye bağlı obstrüksiyonu hem de postoperatif başarıyı değerlendirmede objektif, NOSE skalası ise subjektif tanı yöntemi olarak kullanılabilir.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Akustik rinometri; rinomanometri; nazal septum; nazal obstruksiyon A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : This study was performed to determine whether acoustic rhinometry (AR), rhinomanometry (RMN) and Nose Obstruction Symptom Evaluation (NOSE) scale can be used as preoperative and postoperative diagnostic methods in NSD and INVK. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : This study was performed prospectively with 31 patients with nasal septum deviation (NSD) and 36 patients with internal nasal valve collapse (INVK). Preoperative AR and RMN were performed in 67 patients. Patients were asked to complete the NOSE scale. 31 patients with NSD underwent septoplasty, 36 patients with NSD-INVK underwent septoplasty and bilateral nasal valve surgery. R Re es su ul lt ts s: :There was a statistically significant decrease in NOSE scale in both groups postoperatively. Increased minimal cross-sectional area and nasal volume were recorded accord...

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Evaluation of the Patient with Nasal Obstruction

Cited by 21 publications

References 25 publications

Peak nasal inspiratory flow is a useful measure of nasal airflow in functional septorhinoplasty

Peak nasal inspiratory flow is a useful measure of nasal airflow in functional septorhinoplasty

Association Between Nasal Obstruction Symptoms and Anxiety

Clinical Importance of Acoustic Rhinometry, Rhinomanometry and NOSE Scale in Nasal Septum Deviation and Internal Nasal Valve Surgery

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