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Objective measurements differ for perception of left and right nasal obstruction.
Auris Nasus Larynx. 2013 Feb; 40(1):81-4.AN

Abstract

OBJECTIVE

Nasal obstruction is one of the most common sensation complaints of nasal disease in clinical practice. It is a subjective sensation of nasal airflow. Objective assessment of nasal patency and nasal physiology includes the use of rhinomanometry and acoustic rhinometry. The perception of nasal obstruction changes as the alternating of nasal airway resistance and nasal airflow. However, there were limited studies reported whether the perceptions of the left and right nostrils are similar. We examined the relationship between subjective and objective parameters of the nasal airway in the left and right nostrils.

METHODS

A prospective study of 101 patients with a deviated nasal septum and chronic hypertrophic rhinitis was conducted for subjective and objective nasal airway evaluation. Patients were then divided into three groups based on the visual analog scale. Associations between measures were evaluated with analysis of variance, f tests and simple regression.

RESULTS

Among three patient groups with different subjective sensations of nasal obstruction, there were significant differences among three patient groups according to the objective measurements of airflow resistance on the right side (p=0.0002 for inspiration right mean resistance; p=0.0049 for expiration right mean resistance), and for the minimal cross-sectional area (p=0.030) and nasal cavity volume (p=0.028 for 0-3.3cm left nostril; p=0.047 for 2-4cm left nostril) on the left side. This indicates that nasal flow resistance is an important determinant for right side nasal obstruction. Nasal minimal cross-sectional area and nasal cavity volume are an important determinant for left side nasal obstruction.

CONCLUSION

Our study indicates the important role of rhinomanometry in objective measurement of right side nasal obstruction and acoustic rhinometry in objective measurement of left side nasal obstruction. Thus, human perception of right and left nostrils may be different and requires further study.

Authors+Show Affiliations

Department of Otorhinolaryngology, China Medical University Hospital, Taichung, Taiwan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22709573

Citation

Ng, Teik-Ying, et al. "Objective Measurements Differ for Perception of Left and Right Nasal Obstruction." Auris, Nasus, Larynx, vol. 40, no. 1, 2013, pp. 81-4.
Ng TY, Chen YF, Tsai MH, et al. Objective measurements differ for perception of left and right nasal obstruction. Auris Nasus Larynx. 2013;40(1):81-4.
Ng, T. Y., Chen, Y. F., Tsai, M. H., Huang, K. H., & Tai, C. J. (2013). Objective measurements differ for perception of left and right nasal obstruction. Auris, Nasus, Larynx, 40(1), 81-4. https://doi.org/10.1016/j.anl.2012.03.001
Ng TY, et al. Objective Measurements Differ for Perception of Left and Right Nasal Obstruction. Auris Nasus Larynx. 2013;40(1):81-4. PubMed PMID: 22709573.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Objective measurements differ for perception of left and right nasal obstruction. AU - Ng,Teik-Ying, AU - Chen,Yung-Fu, AU - Tsai,Ming-Hsui, AU - Huang,Kuang-Hua, AU - Tai,Chih-Jaan, Y1 - 2012/06/17/ PY - 2011/09/18/received PY - 2012/02/05/revised PY - 2012/04/06/accepted PY - 2012/6/20/entrez PY - 2012/6/20/pubmed PY - 2013/8/24/medline SP - 81 EP - 4 JF - Auris, nasus, larynx JO - Auris Nasus Larynx VL - 40 IS - 1 N2 - OBJECTIVE: Nasal obstruction is one of the most common sensation complaints of nasal disease in clinical practice. It is a subjective sensation of nasal airflow. Objective assessment of nasal patency and nasal physiology includes the use of rhinomanometry and acoustic rhinometry. The perception of nasal obstruction changes as the alternating of nasal airway resistance and nasal airflow. However, there were limited studies reported whether the perceptions of the left and right nostrils are similar. We examined the relationship between subjective and objective parameters of the nasal airway in the left and right nostrils. METHODS: A prospective study of 101 patients with a deviated nasal septum and chronic hypertrophic rhinitis was conducted for subjective and objective nasal airway evaluation. Patients were then divided into three groups based on the visual analog scale. Associations between measures were evaluated with analysis of variance, f tests and simple regression. RESULTS: Among three patient groups with different subjective sensations of nasal obstruction, there were significant differences among three patient groups according to the objective measurements of airflow resistance on the right side (p=0.0002 for inspiration right mean resistance; p=0.0049 for expiration right mean resistance), and for the minimal cross-sectional area (p=0.030) and nasal cavity volume (p=0.028 for 0-3.3cm left nostril; p=0.047 for 2-4cm left nostril) on the left side. This indicates that nasal flow resistance is an important determinant for right side nasal obstruction. Nasal minimal cross-sectional area and nasal cavity volume are an important determinant for left side nasal obstruction. CONCLUSION: Our study indicates the important role of rhinomanometry in objective measurement of right side nasal obstruction and acoustic rhinometry in objective measurement of left side nasal obstruction. Thus, human perception of right and left nostrils may be different and requires further study. SN - 1879-1476 UR - https://www.unboundmedicine.com/medline/citation/22709573/Objective_measurements_differ_for_perception_of_left_and_right_nasal_obstruction_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0385-8146(12)00110-1 DB - PRIME DP - Unbound Medicine ER -