Acoustic rhinometry used as a method to monitor the effect of intramuscular injection of steroid in the treatment of nasal polyps

1991 ◽  
Vol 105 (3) ◽  
pp. 178-180 ◽  
Author(s):  
O. Elbrønd ◽  
J. U. Feeding ◽  
K. M. Gustavsen
Keyword(s):  
Nasal Cavity ◽  
Nasal Polyps ◽  
Nasal Polyposis ◽  
Peak Flow ◽  
Systemic Treatment ◽  
Acoustic Rhinometry ◽  
Self Assessment ◽  
Cross Sectional ◽  
Before And After ◽  
Recurrent Nasal Polyposis

AbstractAcoustic rhinometry is a new method which describes the geometry of the nasal cavity and the epipharynx. The method, based on the reflection of an acoustic signal entered into the nasal cavity, can be used to evaluate the cross-sectional area of the nasal cavity asa function of distance from the nostril. The method has, together with nasal expiratory peak flow (NPF) and nasal index based upon a self assessment score, been used to evaluate, in an objective and dynamic way, the effect of systemic treatment of nasal polyps with steroids in a series of eight patients with recurrent nasal polyposis. The study shows a significant relationship between these three parameters before and after systemic treatment of nasal polyps with steroids. It is concluded that in this study acoustic rhinometry had an accurate and objective method for measuring the geometry of the nasal cavity before and after treatment for processes which block the nasal cavity.

Acoustic Rhinometry and Rhinomanometry in the Evaluation of Nasal Patency of Patients with Nasal Septal Deviation

1998 ◽  
Vol 12 (5) ◽  
pp. 345-352 ◽  
Author(s):  
Eva Szücs ◽  
Peter A. R. Clement
Keyword(s):  
Nasal Cavity ◽  
Visual Analogue Score ◽  
Septal Deviation ◽  
Acoustic Rhinometry ◽  
Control Group ◽  
Nasal Patency ◽  
Cross Sectional ◽  
Nasal Septal Deviation ◽  
Nasal Cavities ◽  
Before And After

The aim of the present study was to assess the clinical utility of acoustic rhinometry (AR) compared with active anterior rhinomanometry (AAR) in the evaluation of nasal patency in subjects with nasal septal deviation. Fifty patients were divided into three groups based upon the part of the nasal cavity where the septal deviation was situated (anterior: up to 2.5 cm; middle: between 2.5 and 4.5 cm; posterior: between 4.5 and 8 cm measured from the columella). The control group consisted of 15 subjects with no nasal complaints and no history of nasal disease. Inspiratory and expiratory nasal airway resistance (NAR) at 75 Pa and at 150 Pa before and after decongestion were measured by AAR. Minimal Cross-sectional Area (MCA), distance of MCA, and nasal volume (Vol) were measured before and after decongestion by AR (Rhino 2000). Subjective nasal patency was assessed by Visual Analogue Score (VAS). In the statistical analysis the deviated unilateral nasal cavities were compared with the randomly chosen unilateral nasal cavities of normal subjects. Both techniques AR and AAR were sufficiently sensitive to reveal severe deviations in the anterior nasal cavity (MCA, Volant, NAR75, NAR150, p < 0.05). The techniques were less sensitive in cases of middle and posterior deviations (MCA, Volmid, Volpost, MCAmid, MCApost, NAR75, p > 0.05). The nondecongested inspiratory and expiratory NAR at 150 Pa were the only parameter that differed from normal in cases of posterior deviations. The VAS correlated better with NAR than with MCA. MCA correlated more frequently with expiratory than with inspiratory NAR.

A Comparison of the Nasal Cross-Sectional Areas and Volumes Obtained with Acoustic Rhinometry and Magnetic Resonance Imaging

1997 ◽  
Vol 117 (4) ◽  
pp. 349-354 ◽  
Author(s):  
Jacquelynne P. Corey ◽  
Anil Gungor ◽  
Robert Nelson ◽  
Jeff Fredberg ◽  
Vincent Lai
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Nasal Cavity ◽  
Acoustic Rhinometry ◽  
Resonance Imaging ◽  
Cross Sectional ◽  
Nasal Tip ◽  
Nasal Cycle ◽  
Volume Measurements ◽  
Mri Measurements

Acoustic rhinometry (AR) evaluates the geometry of the nasal cavity with acoustic reflections and provides information about nasal cross-sectional areas (CSA) and nasal volume within a given distance. The accuracy of the information obtained by AR was compared with that of magnetic resonance imaging (MRI) of the nasal cavity. Five healthy subjects were evaluated with AR and the MRI before and after the application of a long-acting nasal decongestant spray, to eliminate possible interference of the nasal cycle with both measurement techniques. The MRI images of 2 mm coronal sections of the nasal cavity were traced by three independent observers and the CSAs were calculated by computer-aided imaging digitization, to be compared with the calculated CSAs obtained with the AR at the corresponding distance from the nasal tip. Digitized data from the MRI images were also used to calculate the nasal volume within the first 6 cm from the nasal tip and compared with the AR volume measurements. The interobserver variation of digitized MRI data predecongestant and postdecongestant was not significant. The correlations of CSA and volume measurements between the AR and MRI were high (0.969) after the application of the decongestant. The correlation between the AR and MRI measurements before the decongestant was low (0.345). This may have been the result of interference of the nasal cycle during the long MRI measurements (1 hour) or other unknown factors. We conclude that AR measurements of nasal CSAs and volumes provide accurate information when compared with the MRI of the decongested nasal airway.

scholarly journals Antimicrobial Prescription Habits of Dentists Performing Dental Implant Treatments in Santo Domingo, Dominican Republic

Antibiotics ◽  
2020 ◽  
Vol 9 (7) ◽  
pp. 376
Author(s):  
Juan Manuel Aragoneses ◽  
Javier Aragoneses ◽  
Vanessa Arlette Brugal ◽  
Juan Algar ◽  
Ana Suarez
Keyword(s):  
Dominican Republic ◽  
Dental Implant ◽  
Preoperative Period ◽  
Santo Domingo ◽  
Recommended Dosage ◽  
Self Assessment ◽  
Cross Sectional ◽  
Before And After ◽  
The Subject ◽  
Antimicrobial Prescription

The use of antibiotics in implant treatments is controversial. The purpose of this research was to study the behaviors of Santo Domingo dentists who prescribe antimicrobials to patients for the placement of dental implants. A total of 99 dentists participated in the study. A share of 1.2% of dentists prescribed antimicrobials solely in the preoperative period, 8.6% after surgery, 44.4% before and after, 19.8% only in specific situations, and 25.9% did not prescribe at all. Amoxicillin was the predominant antimicrobial of choice. A cross-sectional, observational, survey-based study was conducted. The items studied were demographics, self-assessment of knowledge about antibiotics and when they are used, as well as their recommended dosage and duration, in healthy and non-allergic patients. Notable variability was found in the prescription behaviors of antimicrobials. Bridging gaps in knowledge on the subject could help to standardize prescription guidelines.

Effects of the Breathe Right Nasal Strips on Nasal Ventilation

1997 ◽  
Vol 11 (5) ◽  
pp. 399-402 ◽  
Author(s):  
Jan Gosepath ◽  
Wolf J. Mann ◽  
Ronald G. Amedee
Keyword(s):  
Nasal Cavity ◽  
Physical Performance ◽  
Cross Sectional Area ◽  
Acoustic Rhinometry ◽  
Sectional Area ◽  
Nasal Breathing ◽  
Cross Sectional ◽  
Subjective Impression ◽  
Breathe Right Nasal Strips ◽  
And Training

The Breathe Right nasal strips are more and more commonly used, mainly by athletes, who hope to enhance their physical performance in competition and training. The effect of the device in such situations is uncertain and perhaps somewhat controversial. To investigate the effects of the nasal strips on nasal ventilation, 20 Caucasian individuals were objectively assessed using anterior rhinomanometry and acoustic rhinometry. The results showed a significant increase in all subjects of transnasal airflow and in the average cross-sectional area of the nasal cavity that quantifies objectively the subjective impression of improved nasal breathing. In such patients where an improvement in nasal ventilation is desired, the use of the Breathe Right nasal strips seems to offer a beneficial treatment.

scholarly journals Effect of rapid maxillary expansion on the dimension of the nasal cavity and on facial morphology assessed by acoustic rhinometry and rhinomanometry

2012 ◽  
Vol 17 (4) ◽  
pp. 129-133 ◽  
Author(s):  
Carla Enoki Itikawa ◽  
Fabiana Cardoso Pereira Valera ◽  
Mírian Aiko Nakane Matsumoto ◽  
Wilma Terezinha Anselmo Lima
Keyword(s):  
Nasal Cavity ◽  
Nasal Bone ◽  
Inferior Turbinate ◽  
Rapid Maxillary Expansion ◽  
Mouth Breathing ◽  
Acoustic Rhinometry ◽  
Facial Morphology ◽  
Nasal Resistance ◽  
Maxillary Expansion ◽  
Cross Sectional

OBJECTIVE: To assess the effects of rapid maxillary expansion on facial morphology and on nasal cavity dimensions of mouth breathing children by acoustic rhinometry and computed rhinomanometry. METHODS: Cohort; 29 mouth breathing children with posterior crossbite were evaluated. Orthodontic and otorhinolaryngologic documentation were performed at three different times, i.e., before expansion, immediately after and 90 days following expansion. RESULTS: The expansion was accompanied by an increase of the maxillary and nasal bone transversal width. However, there were no significant differences in relation to mucosal area of the nose. Acoustic rhinometry showed no difference in the minimal cross-sectional area at the level of the valve and inferior turbinate between the periods analyzed, although rhinomanometry showed a statistically significant reduction in nasal resistance right after expansion, but were similar to pre-treatment values 90 days after expansion. CONCLUSION: The maxillary expansion increased the maxilla and nasal bony area, but was inefficient to increase the nasal mucosal area, and may lessen the nasal resistance, although there was no difference in nasal geometry. Significance: Nasal bony expansion is followed by a mucosal compensation.

Accuracy of Acoustic Rhinometry Versus Computed Tomography in the Evaluation of Nasal Cavity in Patients with Nasal Polyposis

2008 ◽  
Vol 121 (2) ◽  
pp. S129-S129
Author(s):  
R MUNOZCANO ◽  
R SALVADOR ◽  
A VALERO ◽  
J BERENGUER ◽  
I ALOBID ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Nasal Cavity ◽  
Nasal Polyposis ◽  
Acoustic Rhinometry

Acoustic Rhinometry in the Diagnosis of Occupational Rhinitis

1996 ◽  
Vol 10 (6) ◽  
pp. 393-398 ◽  
Author(s):  
Maija L Hytönen ◽  
Eeva L Sala ◽  
Henrik O Malmberg ◽  
Henrik Nordman
Keyword(s):  
Nasal Cavity ◽  
Provocation Test ◽  
Acoustic Rhinometry ◽  
Cross Sectional ◽  
Occupational Rhinitis ◽  
Limit Value ◽  
Provocation Tests ◽  
Calculated Parameter ◽  
Essential Change ◽  
The Mean

Acoustic rhinometry (ARM) has been used to study the nasal cavity geometry and the response in nasal provocations. However, the use of ARM in the diagnosis of occupational rhinitis (OR) has not been reported. The purpose of this study was to find an ARM parameter and a limit value that could be used in provocation tests to express an objective change in the nasal cavity geometry. We used a new calculated parameter, Volume MCA%, for describing the change in the nasal geometry. Volume MCA% is the mean of the percentile changes of nasal volumes and minimal cross-sectional areas in a provocation test. We recommend a decrease of at least 15% in Volume MCA% for the limit of an essential change in the nasal cavity.

Acoustic rhinometry: influence of paranasal sinuses

1996 ◽  
Vol 80 (5) ◽  
pp. 1589-1594 ◽  
Author(s):  
O. Hilberg ◽  
O. F. Pedersen
Keyword(s):  
Nasal Cavity ◽  
Posterior Part ◽  
Acoustic Rhinometry ◽  
Nasal Cavities ◽  
Before And After ◽  
The Difference ◽  
Magnetic Resonance Imaging Mri ◽  
Measured Volume ◽  
Maxillary Sinuses ◽  
Made In

The influence of the maxillary sinuses in acoustic rhinometry (AR) has not been evaluated, and this is the aim of the present study. We examined six subjects with AR and magnetic resonance imaging (MRI) after nasal decongestion to compare the area-distance relationships determined by the two methods. From the MRI data we obtained copies of the nasal cavities with and without maxillary sinuses, which were made in plastic by a stereolithographic method. AR curves from models without maxillary sinuses differed from AR curves with sinuses included but were in agreement with MRI curves without inclusion of sinuses. A similar difference in AR was seen in two subjects before and after the nasal cavities were flushed with saline to fill up the maxillary sinuses. The measured volume in the first 50 mm of the nasal cavity models was unaffected by the sinuses, but the volume in the first 70 mm corresponding to the length of the nasal cavity septum was increased slightly but significantly (from 10.8 to 11.3 cm3; P = 0.05). The presence of maxillary sinuses increased the volume of the epipharynx (70-100 mm from the nostril) from 12.2 to 21.3 cm3 (P < 0.01), and this increase was not due to the influence from the contralateral nasal cavity. We conclude that the maxillary sinuses may significantly contribute to the acoustically determined areas in the posterior part of the nasal cavity and the epipharynx, especially during decongestion, and may explain a part of the difference between area-distance curves obtained by AR and MRI, whereas contribution from the contralateral nasal cavity does not.

Acoustic Rhinometric Assessment of the Nasal Valve

1997 ◽  
Vol 11 (5) ◽  
pp. 379-386 ◽  
Author(s):  
Renato Roithmann ◽  
Jerry Chapnik ◽  
Noe Zamel ◽  
Sergio Menna Barreto ◽  
Philip Cole
Keyword(s):  
Cross Section ◽  
Nasal Obstruction ◽  
Cross Sectional Area ◽  
Acoustic Rhinometry ◽  
Sectional Area ◽  
Nasal Valve ◽  
Cross Sectional ◽  
Nasal Cavities ◽  
Before And After ◽  
Valve Area

The aims of this study are to assess nasal valve cross-sectional areas in healthy noses and in patients with nasal obstruction after rhinoplasty and to evaluate the effect of an external nasal dilator on both healthy and obstructive nasal valves. Subjects consisted of (i) volunteers with no nasal symptoms, nasal cavities unremarkable to rhinoscopy and normal nasal resistance and (ii) patients referred to our clinic complaining of postrhinoplasty nasal obstruction. All subjects were tested before and after topical decongestion of the nasal mucosa and with an external nasal dilator. In 79 untreated healthy nasal cavities the nasal valve area showed two constrictions: the proximal constriction averaged 0.78 cm2 cross-section and was situated 1.18 cm from the nostril, the distal constriction averaged 0.70 cm2 cross-section at 2.86 cm from the nostril. Mucosal decongestion increased cross-sectional area of the distal constriction significantly (p < 0.0001) but not the proximal. External dilation increased cross-sectional area of both constrictions significantly (p < 0.0001). In 26 post-rhinoplasty obstructed nasal cavities, only a single constriction was detected, averaging 0.34 cm2 cross-section at 2.55 cm from the nostril and 0.4 cm2 at 2.46 cm from the nostril, before and after mucosal decongestion respectively. External dilation increased the minimum cross-sectional area to 0.64 cm2 in these nasal cavities (p < 0.0001). We conclude that the nasal valve area in patients with postrhinoplasty nasal obstruction is significantly smaller than in healthy nasal cavities as shown by acoustic rhinometry. Acoustic rhinometry objectively determines the structural and mucovascular components of the nasal valve area and external dilation is an effective therapeutical approach in the management of nasal valve obstruction.

Nasal Cavity Dimensions in Guinea Pigs Measured by Acoustic Reflections

1994 ◽  
Vol 8 (6) ◽  
pp. 299-304 ◽  
Author(s):  
Ole F. Pedersen ◽  
Mikikazu Yamagiwa ◽  
Yukinori Miyahara ◽  
Yasuo Sakakura
Keyword(s):  
Nasal Cavity ◽  
Present State ◽  
Guinea Pigs ◽  
Sampling Frequency ◽  
Cross Sectional Area ◽  
Internal Diameter ◽  
Sectional Area ◽  
Cross Sectional ◽  
Adult Humans ◽  
Before And After

Acoustic reflections have been used in adult humans to determine nasal cavity dimensions in terms of cross-sectional areas as a function of the distance from the nostril (J. Appl. Physiol., 66:295–303, 1989). In order to measure nasal cavity dimensions in guinea pigs, we modified equipment for use in humans by decreasing sound tube dimensions, increasing sampling frequency, and applying a special nosepiece. We measured 5 guinea pigs (Duncan Hartley strain, 500 g) on two days, before and after instillation of epinephrine and histamine in one nostril. In the control measurements, the minimum cross-sectional area of a nasal cavity was 1.1 mm2 (SD = 0.3 mm2), and the volume from the nostril to 20 mm into the nasal cavity was 60 mm3 (SD = 19 mm3). There was a tendency (P < 0.10) for epinephrine to increase minimum cross-sectional area on the treated side and volumes on both sides. Histamine decreased volume on both sides (P < 0.05), but not uniformly between animals. Measurements in a tube with 2 mm internal diameter (area 3.1 mm2) underestimated true area by approximately 30%. The method, therefore, at its present state of development, measures changes in dimensions rather than absolute values. It is concluded that the acoustic reflections technique may be a useful alternative to other, more invasive methods to assess nasal cavity dimensions in guinea pigs, but further studies are necessary to improve and validate the method.

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