The correlation between active anterior rhinomanometry results and nasal obstruction symptoms scores after inferior turbinate reduction: A prospective cohort study about sixty‐five patients

Desvant, C.; Guislain, J.; Vandenhende‐Szymanski, Claire; Mortuaire, G.

doi:10.1111/coa.13101

Cited by 5 publications

(6 citation statements)

References 10 publications

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“…Interestingly, neither ARM nor RMM have been previously used in the assessment of KOS, although ARM and RMM results have improved following inferior turbinate surgery. [17][18][19][20] Previous 4 Although our patients reported slightly higher pain scores, the range was wide in both studies, indicating variation in subjective experience.…”

Section: Discussionmentioning

confidence: 59%

“…Interestingly, neither ARM nor RMM have been previously used in the assessment of KOS, although ARM and RMM results have improved following inferior turbinate surgery. 17 , 18 , 19 , 20 …”

Section: Discussionmentioning

confidence: 99%

“…Measured using RMM, inspiratory nasal airway resistance increased during follow‐up. Interestingly, neither ARM nor RMM have been previously used in the assessment of KOS, although ARM and RMM results have improved following inferior turbinate surgery 17–20 …”

Section: Discussionmentioning

confidence: 99%

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The effect of single kinetic oscillation stimulation treatment on nonallergic rhinitis

Sainio

Blomgren

Laulajainen‐Hongisto

et al. 2023

Laryngoscope Investig Oto

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Objective Kinetic oscillation stimulation (KOS) is a new treatment method for nonallergic rhinitis (NAR), usually delivered twice with a 2‐ to 4‐week interval, and thought to stabilize autonomous dysregulation in the nasal mucosa. We aimed to assess the long‐term (1 year) results following one KOS treatment amongst patients with NAR. Methods KOS was administered through a latex balloon placed in the patient's nasal cavity. The balloon is connected to a device that fills the balloon with air pulses, thus vibrating the balloon for 10 min per side. Outcomes were evaluated through patient‐reported outcome measures (Sino‐Nasal Outcome Test 22 [SNOT‐22], Total Nasal Symptom Score [TNSS], Nasal Obstruction Symptom Evaluation [NOSE], and 15D) and measures of patency (rhinomanometry, acoustic rhinometry, peak nasal inspiratory flow [PNIF], and clinical inferior turbinate size). Pre‐treatment actions were repeated at 1, 3, 6, and 12 months. Results In all 49 patients, we found significant improvement in the SNOT‐22, NOSE, and TNSS scores. At 12 months, SNOT‐22 improved from 44 to 34, NOSE from 60 to 45, TNSS from 8 to 7, and PNIF from 80 to 100 L/min ( p < .005 for all). We observed no major complications. Conclusion One KOS treatment appears to provide NAR patients with a subjective symptom improvement for at least 1 year, thus possibly decreasing the need for invasive treatment methods. Level of Evidence III.

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Section: Discussionmentioning

confidence: 59%

“…Interestingly, neither ARM nor RMM have been previously used in the assessment of KOS, although ARM and RMM results have improved following inferior turbinate surgery. 17 , 18 , 19 , 20 …”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The effect of single kinetic oscillation stimulation treatment on nonallergic rhinitis

Sainio

Blomgren

Laulajainen‐Hongisto

et al. 2023

Laryngoscope Investig Oto

View full text Add to dashboard Cite

show abstract

“…The poor correlation between symptoms and objective measures produces debate if it is necessary to perform these tests in clinical practice. 25,58 Nevertheless, a correlation between symptoms and objective test results has been found by many authors 11,[59][60][61][62][63][64] . Considering AR, a correlation between symptom relief and the improvement of AR results has been found in symptomatic patients after septoplasty alone or in combination with inferior turbinoplasty.…”

Section: Acoustic Rhinometry: Correlation With Nasal Obstruction Symp...mentioning

confidence: 98%

Nasal Patency Measurement: State of the Art of Acoustic Rhinometry

Ottaviano

2023

Facial Plast Surg

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Nasal obstruction is one of the main symptoms of different nasal pathologies. Many physiologic and pathologic conditions can produce nasal airflow impairment causing nasal obstruction and affecting patients’ quality of life. There are different methods for the measurement of nasal obstruction, but in clinical practice the most common used are acoustic rhinometry, rhinomanometry and peak nasal inspiratory flow. This review describes the fundamental of acoustic rhinomanometry, its normal values, the different physiologic and pathologic conditions that can modify nasal patency and the utility of this instrument for the measurement of nasal obstruction in clinical practice. Acoustic rhinometry is a simple test, so it is suitable for measurements in the pediatric population, i.e. for evaluating adenoid hypertrophy. Acoustic rhinometry normal values are available, unilaterally and bilaterally for pediatric and adult populations. Acoustic rhinometry has been demonstrated to be reproducible and even superior to rhinomanometry when measuring nasal modifications during challenges. It is possible to use acoustic rhinometry before and after nasal surgery. Measuring nasal cavities volume and cross-sectional area, acoustic rhinometry is particularly indicated in rhinosurgery, especially for the evaluation of spreader grafts. Brief considerations about the correlation between nasal symptoms, in particular the subjective sensation of nasal obstruction, and the acoustic rhinometry results as well as the correlation of acoustic rhinometry with other methods for the measurement of nasal obstruction are also reported. Objective and subjective evaluation of nasal obstruction gives different information that together optimizes the diagnosis and the treatment of rhinologic patients. Acoustic rhinometry alone or in combination of other instruments for the measurement of nasal obstruction or patency should be used regularly in every outpatient clinic that treats patients with nasal obstruction as there is an increasing need of evidence-based therapies.

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“…Objective methods include anterior rhinomanometry and acoustic rhinometry, among others, which calculate nasal airflow and patency, respectively, through specialized equipment [ 64 ]. However, patient-reported outcomes and objective measurement scores have been shown to have no correlation [ 65 , 66 ].…”

Section: Reviewmentioning

confidence: 99%

Surgical Management of Inferior Turbinate Hypertrophy in the Era of Widespread Communicable Disease

Smith¹,

Daines²,

Cazzaniga³

et al. 2023

Cureus

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Inferior turbinate reduction procedures have been performed for decades. After significant evolution, turbinoplasty and other mucosal-sparing techniques have become the main method to successfully reduce turbinate hypertrophy. The debate of which technique produces the most effective and durable outcomes is ongoing. During this critical era of widespread communicable diseases, including but not limited to COVID-19, HIV, and hepatitis, additional attention is necessary to balance outcomes with a degree of generation of airborne particles when selecting a technique. This review article aims to identify the optimal method for inferior turbinate reduction that weighs both outcomes and aerosol production. The MEDLINE database was searched to discover relevant publications through August 2022. Key search terms included inferior turbinate hypertrophy, turbinate reduction surgery, turbinoplasty methods, surgical management of turbinate hypertrophy, surgical aerosol generation, COVID-19 surgery, surgery smoke plume, SARS-CoV-2 transmission during surgery, and nasal procedures COVID-19 aerosols. Surgical management of the inferior turbinates includes radiofrequency ablation (RFA), microdebrider-assisted turbinoplasty (MAIT), electrocautery, laser, and ultrasound. Piezo-assisted turbinoplasty and a turbinate-specific coblation wand are new additions to the literature. All techniques appear to improve patient symptoms of nasal obstruction. MAIT and RFA are comparable, although MAIT demonstrated better long-term outcomes in some studies and appears to generate fewer airborne particles. Studies evaluating the production of aerosols due to RFA are lacking. Ultrasound outcomes are also excellent and generate no aerosols, but the technique has not been compared against the microdebrider. Electrocautery can result in increased pain and crusting for patients and causes the highest amount of aerosols. Deficiencies of current studies, including a lack of comparison of aerosol generation, duration of follow-up, omission of outfracture, and inadequate randomized controlled trials among existing and new techniques, have limited the identification of the best inferior turbinate reduction method. Given the durability of MAIT and its minimal aerosol production, it can be reinforced as the most sensible technique until further evidence is available.

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The correlation between active anterior rhinomanometry results and nasal obstruction symptoms scores after inferior turbinate reduction: A prospective cohort study about sixty‐five patients

Cited by 5 publications

References 10 publications

The effect of single kinetic oscillation stimulation treatment on nonallergic rhinitis

The effect of single kinetic oscillation stimulation treatment on nonallergic rhinitis

Nasal Patency Measurement: State of the Art of Acoustic Rhinometry

Surgical Management of Inferior Turbinate Hypertrophy in the Era of Widespread Communicable Disease

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