ORIGINAL RESEARCH
Clinical Importance of Acoustic Rhinometry, Rhinomanometry and NOSE Scale in Nasal Septum Deviation and Internal Nasal Valve Surgery
Nazal Septum Deviasyonu ve İnternal Nazal Valf Cerrahisinde Akustik Rinometri, Rinomanometri ve NOSE Skalasının Klinik Önemi
Received Date : 05 Oct 2019
Accepted Date : 22 Nov 2019
Available Online : 19 Dec 2019
Özlem AKKOCAa, Necmi ARSLANa, Ahmet İSLAMa, Haldun OĞUZa, Münir DEMİRCİa, Filiz AYDOĞANa
aKulak Burun Boğaz Hastalıkları Kliniği, Ankara Eğitim ve Araştırma Hastanesi, Ankara, TÜRKİYE
Doi: 10.24179/kbbbbc.2019-71737 - Makale Dili: TR
KBB ve BBC Dergisi 2019;27(3):125-30
Copyright © 2020 by Turkey Association of Society of Ear Nose Throat and Head Neck Surgery. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Objective: 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. Material and Methods: 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. Results:
There was a statistically significant decrease in NOSE scale in both groups postoperatively. Increased
minimal cross-sectional area and nasal volume were recorded according to AR measurements.
RMN measurements showed a decrease in nasal resistance and an increase in nasal airflow
(p=0.00). In addition, there was a correlation between both preoperative and postoperative NOSE
scale, AR and RMN values. Conclusion: AR and RMN can be used as an objective diagnostic method
to evaluate both NSD and INVK related obstruction and postoperative success, and NOSE scale can
be used as a subjective diagnostic method.
Keywords: Acoustic rhinometry; rhinomanometry; nasal septum; nasal obstruction
ÖZET
Amaç: 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.
Gereç ve Yöntemler: 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. Bulgular: 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. Sonuç: AR ve RMN, hem NSD ve INVK’ye bağlı
obstrüksiyonu hem de postoperatif başarıyı değerlendirmede objektif, NOSE skalası ise subjektif
tanı yöntemi olarak kullanılabilir.
Anahtar Kelimeler: Akustik rinometri; rinomanometri; nazal septum; nazal obstruksiyon
KAYNAKLAR
- Haavisto LE, Sipilä JI. Acoustic rhinometry, rhinomanometry and visual analogue scale before and after septal surgery: a prospective 10-year follow-up. Clin Otolaryngol. 2013;38(1):23-9. [Crossref] [PubMed]
- Erickson B, Hurowitz R, Jeffery C, Ansari K, El Hakim H, Wright ED, et al. Acoustic rhinometry and video endoscopic scoring to evaluate postoperative outcomes in endonasal spreader graft surgery with septoplasty and turbinoplasty for nasal valve collapse. J Otolaryngol Head Neck Surg. 2016;45:2. [Crossref] [PubMed] [PMC]
- Stewart MG, Witsell DL, Smith TL, Weaver EM, Yueh B, Hannley MT. Development and validation of the Nasal Obstruction Symptom Evaluation (NOSE) scale. Otolaryngol Head Neck Surg. 2004;130(2):157-63. [Crossref] [PubMed]
- Sen I, Dutta M, Haldar D, Sinha R. Estimation of partitioning of airflow in septal surgery: A prospective study with reference to the NOSE scale. Ear Nose Throat J. 2017;96(2):E6-E12. [Crossref] [PubMed]
- Hsu HC, Tan CD, Chang CW, Chu CW, Chiu YC, Pan CJ, et al. Evaluation of nasal patency by visual analogue scale/nasal obstruction symptom evaluation questionnaires and anterior active rhinomanometry after septoplasty: a retrospective one-year follow-up cohort study. Clin Otolaryngol. 2017;42(1):53-9. [Crossref] [PubMed]
- Gerecci D, Casanueva FJ, Mace JC, Annen A, Barrett DM, Kim MM, et al. Nasal obstruction symptom evaluation (NOSE) score outcomes after septorhinoplasty. Laryngoscope. 2019;129(4):841-6. [Crossref] [PubMed]
- Murrell GL. Correlation between subjective and objective results in nasal surgery. Aesthet Surg J. 2014;34(2):249-57. [Crossref] [PubMed]
- Dadgarnia MH, Baradaranfar MH, Mazidi M, Azimi Meibodi SM. Assessment of septoplasty effectiveness using acoustic rhinometry and rhinomanometry. Iran J Otorhinolaryngol. 2013;25(71):71-8.
- Mozzanica F, Gera R, Bulgheroni C, Ambrogi F, Schindler A, Ottaviani F. Correlation between objective and subjective assessment of nasal patency. Iran J Otorhinolaryngol. 2016;28(88):313-9.
- Pirilä T, Tikanto J. Unilateral and bilateral effects of nasal septum surgery demonstrated with acoustic rhinometry, rhinomanometry, and subjective assessment. Am J Rhinol. 2001;15(2):127-33. [Crossref] [PubMed]
- Recker C, Hamilton GS 3rd. Evaluation of the patient with nasal obstruction. Facial Plast Surg. 2016;32(1):3-8.
- Corey JP. Acoustic rhinometry: should we be using it? Curr Opin Otolaryngol Head Neck Surg. 2006;14(1):29-34. [Crossref] [PubMed]
- Hamilton JW, McRae RD, Jones AS. The magnitude of random errors in acoustic rhinometry and re-interpretation of the acoustic profile. Clin Otolaryngol Allied Sci. 1997;22(5):408-13. [Crossref] [PubMed]
- Datlı F, Kazkayası M, Bulcun E, Kılıç R, Ekici A, Ekici M. [The comparison of acoustic rhinometry and nasal spirometry in evaluating the functional capacity of the nasal airway in healthy subjects]. KBB Forum. 2007;6(4):127-31.
- Tatlıpınar AU, Keser R, Anadolu Y. [Acoustic rhinometric evaluation of septal deviations in pre and postoperative period]. KBBB ve BBC Dergisi. 2001;9:68-73.
- Schumacher MJ, Cota KA, Taussig LM. Pulmonary response to nasal challenge testing of atopic subjects with stable asthma. J Allergy Clin Immunol. 1986;78(1 Pt 1):30-5. [Crossref]
- Reber M, Rahm F, Monnier P. The role ot acoustic rhinometry in the pre-and postoperative evaluation of surgery for nasal obstrüction. Rhinology. 1998;36(4):184-7.
- Kim CS, Moon BK, Jung DH, Min YG. Correlation between nasal obstruction symptoms and objective parameters of acoustic rhinometry and rhinomanometry. Auris Nasus Larynx. 1998;25(1):45-8. [Crossref]
- Han J, Wang T, Zang H, Liu C, Wang H, Zhang Y, Li P. [Bilateral effects of the pre- and postoperative septoplasty evaluated objectively with acoustic rhinometry and rhinomanometry]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2009;23(12):542-5.
- Kahraman E, Cil Y, Incesulu A. The effect of nasal obstruction after different nasal surgeries using acoustic rhinometry and nasal obstruction symptom evaluation scale. World J Plast Surg. 2016;5(3):236-43.
- Mengi E, Cukurova I, Yalçın Y, Yigitbaşı OG, Karaman Y. [Evaluation of operation success in patients with nasal septal deviation with quality of life scale and objective methods]. Kulak Burun Bogaz Ihtis Derg. 2011;21(4):184-91.
- Kahveci OK, Miman MC, Yucel A, Yucedag F, Okur E, Altuntas A. The efficiency of Nose Obstruction Symptom Evaluation (NOSE) scale on patients with nasal septal deviation. Auris Nasus Larynx. 2012;39(3):275-9. [Crossref] [PubMed]
- Toyserkani NM, Frisch T, Von Buchwald C. Postoperative improvement in acoustic rhinometry measurements after septoplasty correlates with long-term satisfaction. Rhinology. 2013;51(2):171-5. [Crossref]
- Cao CT, Han DM, Zhang L. [Correlation between four-phase rhinomanometry and acoustic rhinometry]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2009;44(2):122-5.
- Kemker B, Liu X, Gungor A, Moinuddin R, Corey JP. Effect of nasal surgery on the nasal cavity as determined by acoustic rhinometry. Otolaryngol Head Neck Surg. 1999;121(5):567-71. [Crossref]
