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Outcomes of mucociliary clearance and rhinomanometrical changes in nasal pathology

., Kljajić V., Pilija V. - Correlation between subjective and objective nasal breathing assessments in examinees with nasal septum deformities. Vojnosanit Pregl., 2013;70(4):380-385. 8. Aziz T., Biron V.L., Ansari K., Flores-Mir C. - Measurement tools for the diagnosis of nasal septal deviation: a systematic review. J Otolaryngol Head Neck Surg., 2014;43:11. doi: 10.1186/1916-0216-43-11. 9. Bercin S., Ural A., Kutluhan A. - Effects of topical drops and sprays on mucociliary transport time and nasal air flow. Acta Otolaryngol., 2009;129(11):125712-61. doi: 10

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Acoustic rhinometry and rhinomanometry as objective tools for the assessment of nasal patency in nasal septal surgery


BACKGROUND. Septal deviations are usually diagnosed by a patient’s subjective complaint of nasal stuffiness and a physical examination by the otorhinolaringologist. The decision for surgery is not always based on objective measurements. Acoustic rhinometry and rhinomanometry are objective tools for assessment of nasal patency but is still a controversial subject. In our populations, there are no general accepted methods for screening patients for septal surgery.

OBJECTIVE. To analyse the effectiveness of acoustic rhinometry and rhinomanometry in predicting the outcomes of septoplasty and rhinoseptoplasty and their usefulness in preoperative screening of septal deviations.

MATERIAL AND METHODS. 69 patients were included in this prospective study. Acoustic rhinometry and rhinomanometry were performed before and one year after surgery for the investigation of nasal obstruction. Several parameters were analysed before and after decongestion of the nasal mucosa. VAS (visual analogue scale) was also included for evaluation of the subjective symptom score pre- and postoperatively. After surgery, a short questionnaire was applied to investigate patients’ postoperative satisfaction.

RESULTS. The mean subjective scores of nasal patency improved significantly after surgery with 77%. Several parameters of acoustic rhinometry and rhinomanometry were analysed with binary logistic regression, to evaluate the predictive values on the postoperative satisfaction. The preoperative decongested overall MCA (minimal cross-sectional area) on the deviation side, the decongested bilateral MCA and the decongested Flow ratio had significantly the highest impact on the postoperative satisfaction (p<0.001).

CONCLUSION. Acoustic rhinometry and rhinomanometry as objective tools can serve as objective evidence for the efficacy of septoplasty and rhinoseptoplasty. The parameters of rhinomanometry and anterior rhinometry are useful in the preoperative screening for septal deviations and in predicting postoperative satisfaction between different degrees of nasal septal deviations.

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Signal void and pseudo-pneumatized sinus in fungal rhinosinusitis – Case report

;1729(2):515–20. 7. Loevner L, Bradshaw J. Paranasal sinuses – MRI. [Internet]. Radiology Assistant. Date of publication February 25, 2009. Available from: 8. Kato H, Kanematsu M, Mizuta K, Aoki M, Kuze B, Ohno T, et al. “Flow-void” sign at MR imaging: a rare finding of extracranial head and neck schwannomas. J Magn Reson Imaging. 2010;31(3):703-5. DOI: 10.1002/jmri.22071. 9. Dhong HJ, Jung JY, Park JH. Diagnostic accuracy in sinus fungus balls: CT scan and operative findings. Am J Rhinol

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Schneiderian membrane adult vasculogenesis evaluated by CD31 and CD34 expression and morphological arrangement

., Kizhner T., Ben David D., Riminucci M., Bianco P., Livne E. - The Schneiderian membrane contains osteoprogenitor cells: in vivo and in vitro study. Calcif Tissue Int., 2009;84:138-145. 8. Forsgren K., Otori N., Stierna P., Kumlien J. - Microvasculature, blood flow, and vasoreactivity in rabbit sinus mucosa after surgery. Laryngoscope, 1999;109:562-568. 9. Zhang W., Wang X., Wang S., et al. - The use of injectable sonication-induced silk hydrogel for VEGF(165) and BMP-2 delivery for elevation of the maxillary sinus floor. Biomaterials

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Empty nose syndrome

. Elad D., Naftali S., Rosenfeld M., Wolf M. - Physical stresses at the air-wall interface of the human nasal cavity during breathing. J Appl Physiol (1985), 2006;100(3):1003-1010. Epub 2005 Nov 3. 11. Lindemann J., Keck T., Wiesmiller K.M., Rettinger G., Brambs H.J., Pless D. - Numerical simulation of intranasal air flow and temperature after resection of the turbinates. Rhinology, 2005;43(1):24-28. 12. Baraniuk J.N. - Subjective nasal fullness and objective congestion. Proc Am Thorac Soc., 2011;8(1):62-69. doi: 10.1513/pats.201006

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Therapeutic approach in monosymptomatic nasal obstruction

obstruction and its impact on sleep-related breathing disorders. Rhinology, 2005;43:242-250. 7. Cole P. - Nasal and oral airflow resistors. Arch Otolaryngol Head Neck Surg., 1992;118:790-793. 8. Cole P., Haight J.S.J. - Posture and nasal patency. Am Rev Respir Dis., 1984;129(3):351-354. 9. Cloe P., Haight J.S.J. - Laryngoscope, 1984;94(12 Pt 1):1557-1559. 10. Ferris B.G. Jr., Mead J., Opie L.H. - Partitioning of respiratory flow resistance in man. J Appl Physiol., 1964;19:653-658. 11. Deborah S

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Misdiagnosis of laryngeal sarcomatoid squamous cell carcinoma – case report

A., Chaturvedi P., D’Cruz A., Agarwal J., Kane S.V. - Sarcomatoid (Spindle Cell) Carcinoma of the Head and Neck Mucosal Region: A Clinicopathologic Review of 103 Cases from Tertiary Referral Cancer Centre. Head and Neck Pathol., 2010;4:265-175. 8. Rua S., Comino A., Fruttero A., Cera G., Semeria C., Lanzillotta L., Boffetta P. - Relationship between histologic features, DNA flow cytometry, and clinical behavior of squamous cell carcinomas of the larynx. Cancer, 1991;67:141-149. 9. Gillison M.L., Castellsague X., Chaturvedi A

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The chronic cough syndrome

Health Survey. Eur Respir J., 1991;18(4):647–654. 8. Littlejohns P., Ebrahim S., Anderson R. - Prevalence and diagnosis of chronic respiratory symptoms in adults. Br Med J., 1989;298:1556–1560. 9. Boezen H.M., Schouten J.P., Postma D.S., Rijcken B. - Relation between respiratory symptoms, pulmonary function and peak flow variability in adults. Thorax, 1995;50:121–126. 10. Morice A.H. – Epidemiology of cough. In: Chung K.F., Widdicombe J.G., Boushey H.A. (edit.) – Cough: Causes, Mechanisms and Therapy. Blackwell Publishing, 2003;p.11-16. 11

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Olfaction and traumatic head injury - Is it possible to discriminate between malingering and patients with smell disorders based on nowadays knowledge?

References 1. Humme T., Landis B.N., Hüttenbrink K.B. - Smell and taste disorders. GMS Curr Top Otorhinolaryngol Head Neck Surg., 2011;10:Doc04. doi: 10.3205/cto000077. 2. Zhao K., Scherer P.W., Hajiloo S.A., Dalton P. - Effect of anatomy on human nasal air flow and odorant transport patterns: implications for olfaction. Chem Senses., 2004;29(5):365-379. doi:10.1093/chemse/bjh033. 3. Damm M., Vent J., Schmidt M., Theissen P., Eckel H.E., Lotsch J., Hummel T. - Intranasal volume and olfactory function. Chem

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The role of inflammatory mediators in the pathogenesis of nasal polyposis: Literature review

of adhesion molecule ICAM-1 in patients with nasal polyps. Otolaryngol Pol., 2007;61(4):607-611. doi: 10.1016/S0030-6657(07)70495-X. 46. Sriramarao P., Broide D.H. - Differential regulation of eosinophil adhesion under conditions of flow in vivo. Ann NY Acad Sci., 1996;796:218-225. 47. Eweiss A., Dogheim Y., Hassab M., Tayel H., Hammad Z. - VCAM-1 and eosinophilia in diffuse sino-nasal polyps. Eur Arch Otorhinolaryngol., 2009;266:377-383. doi: 10.1007/s00405-008-0762-1. 48. Gosset P., Tillie-Leblond I., Janin A

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