Correlations between Subjective Sensation of Nasal Patency and Rhinomanometry in both Unilateral and Total Nasal Assessment

ORL ◽  
1995 ◽  
Vol 57 (5) ◽  
pp. 260-263 ◽  
Author(s):  
Jukka Sipilä ◽  
Jouko Suonpää ◽  
Pekka Silvoniemi ◽  
Pekka Laippala
Keyword(s):  
Nasal Patency ◽  
Subjective Sensation

scholarly journals Primary school children often underestimate their nasal obstruction

2016 ◽  
Vol 54 (2) ◽  
pp. 164-169
Author(s):  
Francesca Occasi ◽  
Marzia Duse ◽  
Tommaso Vittori ◽  
Anna Rugiano ◽  
Giancarlo Tancredi ◽  
...  
Keyword(s):  
Allergic Rhinitis ◽  
Secondary School ◽  
Primary School ◽  
Nasal Obstruction ◽  
School Children ◽  
Primary School Children ◽  
Nasal Resistance ◽  
Nasal Patency ◽  
School Aged Children ◽  
Subjective Sensation

Background: No consensus has ever been reached about the correlation between nasal resistance and the subjective sensation of nasal patency. The aim of the present study was to better de ne whether primary school and secondary school aged children correctly estimate their nasal obstruction. Materials and methods: Two hundred eighty four children (168 males and 116 female) aged between 6 and 14 years (9.5+2.9 years) affected by Pediatric Allergic Rhinitis underwent Rhinomanometry and they were considered as correctly estimating their nasal obstruction when the grade of nasal patency corresponded to the severity of the NOSE score, overestimating when the grade of nasal patency was <1 when compared to the severity of the score, underestimating when the grade of nasal patency was >1 when compared to the severity of the score. Results: Correlation between NOSE score and nasal patency was statistically significant (r -0.74; p<0.001). Children between 6 and 9 years of age underestimate (43.7%) and children >12 overestimate (34.7%) their symptoms more frequently than children among other age ranges (p<0.001). Conclusion: Although NOSE score approximately allow to quantify nasal obstruction, in children, especially between 6 and 9 years of age, an objective measurement of nasal patency should be performed to better define the therapeutic approach.

scholarly journals A Study of Correlation between Subjective Sensation of Nose Block and Objective Assessment of Nasal Patency by Cold Spatula Test in a Patient with Nose Block

2017 ◽  
Vol 10 (1) ◽  
pp. 1-5
Author(s):  
Parth B Kapadia ◽  
Anand V Chaudhari ◽  
Jaymin A Contractor ◽  
Rahul B Patel ◽  
Jalpa A Patel
Keyword(s):  
Objective Assessment ◽  
Clinical Problem ◽  
Nasal Airflow ◽  
Nasal Patency ◽  
Air Blast ◽  
Surgical Interventions ◽  
Objective Measurements ◽  
Nasal Cavities ◽  
The Mean ◽  
Subjective Sensation

ABSTRACT The complaint of a nose block is often a complex clinical problem by itself. There is no consensus about the value of objective measurements of nasal patency. However, the perception of nasal airflow ultimately is a subjective sensation and, therefore, difficult to quantify. In this study, we have objectively evaluated 75 patients coming to our institute with the complaint of nose block. The mean area of air blast of both the nasal cavities of each patient was calculated by cold spatula test using modified “Glatzel mirror (GM),” and the subjective sensation of nose block was compared on each visit. We observed that both medical and surgical interventions objectively did improve the area of air blast in both unilateral and bilateral nose block patients. This also correlated with the increase in subjective sensation of relief from nose block in the patients. Thus, we could conclude that in patients with nose block, both medical and surgical interventions improved the area of air blast (p < 0.001), which correlated with the subjective sensation of relief in nose block. Thus, in standard conditions, cold spatula test using modified GM can be used to objectively evaluate the nasal patency. How to cite this article Kapadia PB, Chaudhari AV, Contractor JA, Patel RB, Suratwala JN, Patel JA. A Study of Correlation between Subjective Sensation of Nose Block and Objective Assessment of Nasal Patency by Cold Spatula Test in a Patient with Nose Block. Clin Rhinol An Int J 2017;10(1):1-5.

The subjective sensation induced by various thermal pulse stimulation in healthy volunteers

2017 ◽  
Vol 16 (1) ◽  
pp. 177-178
Author(s):  
Y. Oono ◽  
H. Kubo ◽  
T. Imamura ◽  
K. Matsumoto ◽  
S. Uchida ◽  
...  
Keyword(s):  
Healthy Volunteers ◽  
Thermal Sensation ◽  
Heat Pulse ◽  
Peltier Element ◽  
Cold Pain ◽  
Thermal Pulse ◽  
Heat Sensation ◽  
Thermal Stimulator ◽  
Subjective Sensation ◽  
Pulse Stimulation

AbstractAimsNovel quantitative thermal stimulator devices (QTSDs) have been developed to deliver thermal pulse stimulation with regulated constant temperatures (0–45°C) with a Peltier element probe (16 cm2). The aim of this study was to investigate subjective sensation induced by the interaction between simultaneously applied painful cold and heat stimuli in various sites.MethodsTwenty healthy subjects (12 men and 8 women, age range: 25–45 years) participated. The intensity of cold pain (CP) and heat pain (HP) stimuli were assessed by visual analogue scale (VAS) and adjusted to elicit approximately 70/100 mm. Alternately pulse stimulations (pulse duration of 40 s; 0.025 Hz) which consisted of CP, HP, or neutral temperature (32°C) were applied. Four conditions were tested and subjective sensations were assessed: (1) one QTSD was applied to non-dominant forearm and cold-heat pulse stimulation was applied.Two QTSDs were applied to (2) non-dominant ipsilateral forearm with 5 cm apart, (3) non-dominant and contralateral forearms, (4) non-dominant forearm and ipsilateral thigh, respectively. In conditions of (2)–(4), CP-neutral pulse stimulation (C-Neutral) and neutral-HP pulse stimulation (Neutral-H) were applied simultaneously with opposite phase, respectively.ResultsCP and HP were 3.9±1.0°C (mean±SD) and 43.6±0.9°C (mean±SD), respectively. The VAS values for CP and HP were 73.4±2.0 mm (mean±SD) and 76.4 ±4.8 mm (mean±SD), respectively. Some subjects could not discriminate cold or heat sensation and some felt cold as heat (paradoxical sensation). The number of subjects with such paradoxical sensation in (1), (2), (3), (4) were 9 (45%), 2 (10%), 0 (0%) and 3 (15%), respectively.ConclusionsIn healthy volunteers, simultaneous alternately cold-heat pulse stimulation on one site triggered paradoxical thermal sensation, which to a much less degree is triggered when C-Neutral and Neutral-H were applied to different dermatomes. This suggests that the mechanism is primarily triggered peripherally.

Correlation between nasal mucosal temperature change and the perception of nasal patency: a literature review

2021 ◽  
Vol 135 (2) ◽  
pp. 104-109
Author(s):  
R Tjahjono ◽  
N Singh
Keyword(s):  
Temperature Change ◽  
Outcome Measure ◽  
Patient Reported Outcome ◽  
Subjective Perception ◽  
Nasal Patency ◽  
Patient Reported Outcome Measure ◽  
Physical Measurements ◽  
Pubmed Database ◽  
Patient Reported ◽  
The Impact

AbstractBackgroundThe mechanism of nasal airflow sensation is poorly understood. This study aimed to examine the role of nasal mucosal temperature change in the subjective perception of nasal patency and the methods by which it can be quantified.MethodMedline and PubMed database searches were performed to retrieve literature relevant to the topic.ResultsThe primary mechanism producing the sensation of nasal patency is thought to be the activation of transient receptor potential melastatin family member 8 (‘TRPM8’), a thermoreceptor that is activated by nasal mucosal cooling. Computational fluid dynamics studies have demonstrated that increased airflow and heat flux are correlated with better patient-reported outcome measure scores. Similarly, physical measurements of the nasal cavity using temperature probes have shown a correlation between lower nasal mucosal temperatures and better patient-reported outcome measure scores.ConclusionNasal mucosal temperature change may be correlated with the perception of improved nasal patency. Future research should quantify the impact of mucosal cooling on the perception of nasal airway obstruction.

scholarly journals Use of nasal flowmeter to measure nasal patency.

1989 ◽  
Vol 92 (2) ◽  
pp. 253-259
Author(s):  
SATOKO SAKAI
Keyword(s):  
Nasal Patency

scholarly journals Objective monitoring of nasal patency and nasal physiology in rhinitis

2005 ◽  
Vol 115 (3) ◽  
pp. S442-S459 ◽  
Author(s):  
R NATHAN ◽  
R ECCLES ◽  
P HOWARTH ◽  
S STEINSVAG ◽  
A TOGIAS
Keyword(s):  
Nasal Patency ◽  
Objective Monitoring ◽  
Nasal Physiology

scholarly journals Respiratory mode, nasal patency and palatine dimensions

CoDAS ◽  
2015 ◽  
Vol 27 (2) ◽  
pp. 201-206 ◽  
Author(s):  
Maria Elaine Trevisan ◽  
José Humberto Bellinaso ◽  
Andrielle de Bitencourt Pacheco ◽  
Luciana Barros Augé ◽  
Ana Maria Toniolo da Silva ◽  
...  
Keyword(s):  
Nasal Obstruction ◽  
Negative Correlation ◽  
Hard Palate ◽  
Nasal Patency ◽  
Nasal Breathing ◽  
Nose Scale ◽  
Symptom Evaluation ◽  
Plaster Models ◽  
Digital Caliper ◽  
Peak Nasal Inspiratory Flow

Purpose: To investigate the influence of breathing mode and nasal patency in the dimensions of the hard palate by comparing mouth breathing (MB) and nasal breathing (NB) adults. Methods: Seventy-seven individuals, distributed into the MB group (n=38) and the NB group (n=39), of both genders and aged between 18 and 30 years old, took part in the study. The respiratory mode diagnosis was based on anamnesis, physical characteristics, and otorhinolaryngological examination. The volunteers were evaluated in terms of nasal patency, with a peak nasal inspiratory flow (PNIF) meter, and obstruction symptoms, by a Nasal Obstruction Symptom Evaluation (NOSE) scale, and had their transversal and vertical hard palate dimensions measured with a digital caliper in plaster models. Results: Comparing both groups, the MB group presented significantly higher values in the NOSE scale, lower values in the PNIF, lower values in the transversal distance of the palate in the intercanine region, and significantly higher values in the vertical distance in the regions of the first and second premolars and molars. There was a negative correlation between PNIF and NOSE, and a positive correlation between PNIF and transversal distance of the palate in the region of the first premolars. Conclusion: MB adults presented reduced nasal patency and a higher degree of nasal obstruction symptoms. The hard palate was morphologically narrower and deeper in adults with the MB mode compared to the NB mode. Moreover, it was concluded that the smaller the nasal patency, the greater the obstruction symptoms and the narrower the hard palate.

Validity of rhinometry in measuring nasal patency for nasotracheal intubtion

2016 ◽  
Vol 31 (1) ◽  
pp. 1-4 ◽  
Author(s):  
Ken Shohara ◽  
Tomoko Goto ◽  
Goro Kuwahara ◽  
Yoshitoyo Isakari ◽  
Tomomi Moriya ◽  
...  
Keyword(s):  
Nasal Patency
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