Die optische Rhinometrie

Wüstenberg, Eike; Hüttenbrink, Karl-Bernd; Hauswald, B.; Hampel, Uwe; Schleicher, Eckhard

doi:10.1007/s00106-004-1073-5

Cited by 14 publications

(8 citation statements)

References 23 publications

(48 reference statements)

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“…▪ Keine Reizung der endonasalen Schleimhaut [70]. ▪ Keine notwendige Mitarbeit der Patienten [71]. ▪ Atmung durch die Nase oder durch den Mund ohne Auswirkung auf die Messergebnisse [71].…”

Section: Optische Rhinometrieunclassified

“…▪ Keine notwendige Mitarbeit der Patienten [71]. ▪ Atmung durch die Nase oder durch den Mund ohne Auswirkung auf die Messergebnisse [71]. ▪ Weniger Arbeitsaufwand für das medizinische Personal im Vergleich zur aktiven anterioren Rhinomanometrie [71].…”

Section: Optische Rhinometrieunclassified

“…Folgende Nachteile wurden beschrieben: ▪ Stabile Kopf-und Körperhaltung, um verlässliche Ergebnisse zu erhalten [72]. ▪ Keine absoluten Werte bei den Ergebnissen [71]. ▪ Keine Möglichkeit, Ergebnisse zwischen Patienten zu vergleichen [71].…”

Section: Optische Rhinometrieunclassified

“…▪ Keine absoluten Werte bei den Ergebnissen [71]. ▪ Keine Möglichkeit, Ergebnisse zwischen Patienten zu vergleichen [71]. ▪ Die Erfassung überwiegend der vorderen Nasenabschnitte in den Ergebnissen [71].…”

Section: Optische Rhinometrieunclassified

“…▪ Keine Möglichkeit, Ergebnisse zwischen Patienten zu vergleichen [71]. ▪ Die Erfassung überwiegend der vorderen Nasenabschnitte in den Ergebnissen [71]. ▪ Mögliche Verwackelungsartefakte, die aber leicht erkannt werden können [71].…”

Section: Optische Rhinometrieunclassified

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Messverfahren zur objektiven Beurteilung der nasalen Durchgängigkeit

et al. 2019

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ZusammenfassungDie Notwendigkeit der objektiven Beurteilung der nasalen Durchgängigkeit im Rahmen der rhinologischen und allergologischen Diagnostik hat zur Entwicklung verschiedener Verfahren zur Bestimmung der nasalen Durchgängigkeit (engl.: nasal patency) geführt. Hierzu zählen die aktive anteriore Rhinomanometrie, PNIF, die akustische Rhinometrie, die Rhinostereometrie, die optische Rhinometrie, die minimal cross sectional area Endoskopie, die nasale Schallspektralanalyse, die Magnetresonanztomografie und die numerische Strömungssimulation. Der vorliegende Beitrag gibt eine kurze Übersicht über derzeit gängige Verfahren.

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Section: Optische Rhinometrieunclassified

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Messverfahren zur objektiven Beurteilung der nasalen Durchgängigkeit

et al. 2019

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Different Swelling Mechanisms in Nasal Septum (Kiesselbach Area) and Inferior Turbinate Responses to Histamine

Wüstenberg¹,

Scheibe²,

Zahnert³

et al. 2006

Arch Otolaryngol Head Neck Surg

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Objective:To determine whether the inferior turbinate, which contains swelling bodies, and the nasal septum (Kiesselbach area), characterized by a dense arterial mesh, exhibit different swelling mechanisms in allergic nasal reactions.Design: Two optical rhinometers were used to examine 11 patients in the clinic. Optical rhinometry is based on the transillumination of the nasal septum and inferior turbinate or the whole nose with monochromatic light. The instrument's wavelength can be adjusted to the absorption characteristics of reduced hemoglobin, oxygensaturated hemoglobin, and water.Setting: Outpatient university otolaryngology clinic.Patients: Eleven young, healthy, nonsmoking, nonpregnant subjects (6 men and 5 women), mean age, 32.4 years (age range, 27-37 years), with no history of exposure to toxic substances, allergies, or other significant diseases.Interventions: Optic rhinometry evaluation during the course of nasal histamine administration. Main Outcome Measures: Light extinction at various wavelengths.Results: Following administration of histamine, in the nasal septum, the wavelength of 950 nm (edema) showed the strongest increase of light extinction; in the inferior turbinate, it was the wavelength of 786 nm (oxygenated hemoglobin). In the whole nose, the wavelength of 880 nm (edema plus hemoglobin) exhibited the largest increase of extinction.Conclusions: Swelling of the nasal septum (Kiesselbach area) in nasal allergic reactions is caused mainly by edema, whereas swelling of the inferior turbinate is due mainly to an increase in volume of blood that is highly saturated with oxygen. Swelling of the whole nose is characterized by the combination of both, edema and increase in blood volume.

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Comparison of Optical Rhinometry and Active Anterior Rhinomanometry Using Nasal Provocation Testing

Wüstenberg¹,

Zahnert²,

Hüttenbrink³

et al. 2007

Arch Otolaryngol Head Neck Surg

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To investigate whether there is a correlation between active anterior rhinomanometry (RMM) and optical rhinometry (ORM) data in the detection of changes in nasal congestion. Design: In 70 subjects both ORM and RMM were performed. Changes in nasal congestion were induced by nasal provocation with histamine, allergens, solvent, and xylometazoline hydrochloride, 0.1%. Using visual analog scales, subjects rated the degree of nasal congestion and how comfortable each of the 2 measures was. In total, 136 measurements were evaluated. Subjects: Seventy subjects were included in the study. All had a normal otorhinolaryngologic status with no acute or chronic infections. Interventions: Nasal provocation tests with allergens, histamine, control solution, or xylometazoline were performed. Main Outcome Measures: Congestion or deconges-tion of the nasal mucosa was measured via nasal resistance (RMM), changes in light absorption of the nasal tissue (ORM), and visual analog scale. Results: When comparing the relative change in light extinction in ORM with nasal airflow in RMM, we found correlation coefficients up to r=−0.69. Results from RMM were correlated with the subjects' ratings of nasal congestion (r=−0.63). In comparison, the correlation coefficient between these ratings and ORM was r=0.84. In addition, ORM was rated to be more comfortable than RMM. Conclusions: The subjects' ratings of nasal congestion correlated to a higher degree with the results from ORM than with those from RMM. In addition, ORM was rated as more comfortable than RMM. Overall, ORM appeared to be a valid technique for the assessment of changes in nasal congestion.

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Die optische Rhinometrie

Cited by 14 publications

References 23 publications

Messverfahren zur objektiven Beurteilung der nasalen Durchgängigkeit

Messverfahren zur objektiven Beurteilung der nasalen Durchgängigkeit

Different Swelling Mechanisms in Nasal Septum (Kiesselbach Area) and Inferior Turbinate Responses to Histamine

Comparison of Optical Rhinometry and Active Anterior Rhinomanometry Using Nasal Provocation Testing

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