Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2021, Vol. 35 ›› Issue (1): 56-60.doi: 10.6040/j.issn.1673-3770.0.2020.203

Previous Articles     Next Articles

Preliminary study of rhinomanometry and acoustic rhinometry for normal adults in Chongming, Shanghai

WANG Huan1, ZHANG Yinjie2, HUANG Qingfeng1, SHI Lejuan1, CHEN Xiangping3   

  1. 1. Department of Otorhinolaryngology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Chongming Branch, Shanghai 202150, China;
    2. Community health service center of Chengqiao Town, Chongming, Shanghai 202150, China;
    3. Department of Otorhinolaryngology & Head and Neck Surgery, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
  • Published:2021-02-01

PDF (PC)

656

Abstract: Objective To establish the normal reference ranges of nasal rhinomanometry(RM)and acoustic rhinometry(AR)results for healthy adults in the Chongming area as an objective measurement of the nasal ventilation function and to analyze the correlation preliminarily. Methods The NR6 rhinomanometer was used to calculate the inspiratory expiratory resistances of the unilateral nasal cavity measured at the front end under the pressure difference across the nose of 150 Pa. Unilateral and bilateral total resistances were calculated using computer software. The A1 nose acoustic reflect meter was used to collect the volume(V6, V2-5, and V3), minimum cross-sec6tional area(MCA), and minimum nasal cavity volume of bilateral nasal cavities, and distance from the cross-sectional area to the anterior nostril(MD). Correlation analyses was performed for two indexes. Results The nasal resistance parameters of healthy adults showed a unilateral total resistance of(0.85±0.36)Pa/cm3·s and bilateral total resistance of(0.42±0.16)Pa/cm3·s, when the nasal pressure difference at the front was 150 Pa. There was no significant difference in sex. Nasal acoustic reflex parameters were as follows: V6,(6.14±1.70)cm3; V2-5,(2.77±1.10)cm3; MD,(1.92±0.27)cm3; V3,(2.19±0.51)cm3 for women and(2.06±0.39)cm3 for men; MCA,(0.34±0.19)cm3 for women and(0.31±0.14)cm3 for men. V6, V2-5, and MD were not statistically different between the sexes, whereas V3 and MCA statistically differed between the sexes. There was a negative correlation between MD and unilateral total resistance(r=-0.149, P<0.05). Conclusion RM and AR are objective reference indexes to evaluate the function of nasal ventilation. The correlation between them is weak; therefore, it is more valuable to combine the two results in clinical practice.

Key words: Adults, Rhinomanometry, Acoustic rhinometry, Reference value, Correlation

CLC Number: 

  • R765
[1] 孟珏, 花迎雪, 翟丰, 等. 分级诊疗体系下儿童哮喘与过敏性鼻炎社区联合诊治研究[J]. 上海医药, 2019, 40(2): 10-12. doi:10.3969/j.issn.1006-1533.2019.02.004. MENG Jue, HUA Yingxue, ZHAI Feng, et al. Study of community joint diagnosis and treatment of asthma and allergic rhinitis in children under the grading diagnosis and treatment system[J]. Shanghai Medical & Pharmaceutical Journal, 2019, 40(2): 10-12. doi:10.3969/j.issn.1006-1533.2019.02.004.
[2] 穆海振, 史军, 杨涵洧, 等. 崇明生态岛气候变化及影响评估研究[J]. 气象科技进展, 2017, 7(6): 143-149. doi:10.3969/j.issn.2095-1973.2017.06.018. MU Haizhen, SHI Jun, YANG Hanwei, et al. Climate change and impact assessment for Chongming island in 1961-2016[J]. Advances in Meteorological Science and Technology, 2017, 7(6): 143-149. doi:10.3969/j.issn.2095-1973.2017.06.018.
[3] 冯洁, 徐莉苹, 左文英, 等. 上海市某社区成年人变应性鼻炎患病情况及其危险因素分析[J]. 实用心脑肺血管病杂志, 2019, 27(7): 66-70. doi:10.3969/j.issn.1008-5971.2019.07.013. FENG Jie, XU Liping, ZUO Wenying, et al. Prevalence and risk factors of allergic rhinitis among adults in a community in Shanghai[J]. Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease, 2019, 27(7): 66-70. doi:10.3969/j.issn.1008-5971.2019.07.013.
[4] 黄河银, 张蓝之, 张勤修, 等. 采用90项症状自评量表分析成都市变应性鼻炎患者心理健康情况[J]. 中华耳鼻咽喉头颈外科杂志, 2019, 54(8): 576-583. doi:10.3760/cma.j.issn.1673-0860.2019.08.004. HUANG Heyin, ZHANG Lanzhi, ZHANG Qinxiu, et al. Analysis of mental state of allergic rhinitis patients in Chengdu City by symptom check list 90(SCL-90)scale[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2019, 54(8): 576-583. doi:10.3760/cma.j.issn.1673-0860.2019.08.004.
[5] Valero A, Navarro AM, Del Cuvillo A, et al. Position paper on nasal obstruction: evaluation and treatment[J]. J Investig Allergol Clin Immunol, 2018, 28(2): 67-90. doi: 10.18176/jiaci.0232.
[6] 陈平, 张欣, 张红茹, 等. 鼻阻力测定及鼻声反射评估鼻内镜手术通气功能的研究进展[J]. 国际耳鼻咽喉头颈外科杂志, 2019, 43(6): 369-372. doi:10.3760/cma.j.issn.1673-4106.2019.06.013. CHEN Ping, ZHANG Xin, ZHANG Hongru, et al. Progress of nasal acoustic reflex and rhinomanometrybefore and after nasal endoscopic surgery[J]. International Journal of Dermatology and Venereology, 2019, 43(6): 369-372. doi:10.3760/cma.j.issn.1673-4106.2019.06.013.
[7] 肖玲, 姚红兵, 杨玉成. 主客观评估对慢性鼻-鼻窦炎患者围手术期鼻塞的指导作用[J]. 中国耳鼻咽喉头颈外科, 2018, 25(3): 139-142. doi:10.16066/j.1672-7002.2018.03.008. XIAO Ling, YAO Hongbing, YANG Yucheng. Guidine role of sunjective and objective assessment in chronic rhinosinusitis patient with nasal congestion during perioperative period[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2018, 25(3): 139-142. doi:10.16066/j.1672-7002.2018.03.008.
[8] 张伟, 张罗. 鼻通气功能客观评价[J]. 首都医科大学学报, 2012, 33(6): 740-744. doi:10.3969/j.issn.1006-7795.2012.06.007. ZHANG Wei, ZHANG Luo. Objective assessment of nasal patency[J]. Journal of Capital Medical University, 2012, 33(6): 740-744. doi:10.3969/j.issn.1006-7795.2012.06.007.
[9] 李佩忠, 邱明玲, 薛亚琼. 正常和病理状态下鼻气道阻力在鼻腔中的分布[J]. 中国耳鼻咽喉头颈外科, 2009, 16(7): 349-351. doi: CNKI:SUN:EBYT.0.2009-07-002. LI Peizhong, QIU Mingling, XUE Yaqiong. Distribution of nasal airway resistance in normal and pathologic nasal cavity[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2009, 16(7): 349-351. doi: CNKI:SUN:EBYT.0.2009-07-002.
[10] 臧洪瑞, 刘迎曦, 张罗, 等. 健康成人60名鼻腔流体力学分析[J]. 中华耳鼻咽喉头颈外科杂志, 2013, 48(10): 814-817. doi:10.3760/cma.j.issn.1673-0860.2013.10.005. ZANG Hongrui, LIU Yingxi, ZHANG Luo, et al. Nasal cavity computer fluid dynamics analysis on 60 healthy Chinese adults[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2013, 48(10): 814-817. doi:10.3760/cma.j.issn.1673-0860.2013.10.005.
[11] Casale M, Cusimano V, Salvinelli F, et al. Video-Rhino-Hygrometer(VRH)[J]. Conf Proc IEEE Eng Med Biol Soc. 2006, 2006: 543-546. doi: 10.1109/IEMBS.2006.259337.
[12] 康尧杰, 于凌昱, 张虹婷. 鼻声反射与鼻阻力测量的临床应用及进展[J]. 中国耳鼻咽喉颅底外科杂志, 2016, 22(2): 165-168. doi:10.11798/j.issn.1007-1520.201602021.
[13] 金兴, 胡大宇, 朱丽, 等. PM2.5与变应性鼻炎患者上气道阻力的相关性研究[J]. 山东大学耳鼻喉眼学报, 2019, 33(1): 77-80. doi:10.6040/j.issn.1673-3770.1.2018.031. JIN Xing, HU Dayu, ZHU Li, et al. Correlation between PM2.5 and upper airway resistance in patients with allergic rhinitis[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(1): 77-80. doi:10.6040/j.issn.1673-3770.1.2018.031.
[14] 刘文林, 彭冬梅, 郭焕萍, 等. 鼻阻力测压与纤维鼻咽镜诊断腺样体肥大的对比研究[J]. 中国耳鼻咽喉颅底外科杂志, 2018, 24(2): 142-144. doi:10.11798/j.issn.1007-1520.201802011. LIU Wenlin, PENG Dongmei, GUO Huanping, et al. Comparison between rhinomanometry and fiberoptic nasopharyngoscopy in the diagnosis of adenoid hypertrophy[J]. Chinese Journal of Otorhinolaryngology-Skull Base Surgery, 2018, 24(2): 142-144. doi:10.11798/j.issn.1007-1520.201802011.
[15] Kaneda S, Iida M, Yamamoto H, et al. Evaluation of nasal airflow and resistance: computational modeling for experimental measurements[J]. Tokai J Exp Clin Med., 2019, 44(3): 59-67. PMID: 31448398.
[16] Giotakis AI, Innerhofer V, Vent J, et al. Messverfahren zur objektiven Beurteilung der nasalen Durchg?ngigkeit[J]. Laryngo-Rhino-Otologie, 2019, 98(5): 312-324. doi:10.1055/a-0865-2163.
[17] Tugrul S, Dogan R, Hassouna H, et al. Three-dimensional computed tomography volume and physiology of nasal cavity after septhorhinoplasty[J]. J Craniofacial Surg, 2019, 30(8): 2445-2448. doi:10.1097/scs.000000000-0005730.
[18] Iyer A, Athavale A. Nasal airway resistance and latent lower airway involvement in allergic rhinitis[J]. J Assoc Physicians India, 2020, 68(3):43-47. PMID: 32138483.
[19] Schalek P, Guha A, Ondrová T, et al. Total and unilateral peak nasal inspiratory flow and unilateral visual analogue scale[J]. J Craniofacial Surg, 2019, 30(7): 2004-2007. doi:10.1097/scs.0000000000005664.
[1] LYU Dan, LI Ruzhen, LIU Mingqiu, MENG Xinyu, LI Junyi. Incidence and correlation of anxiety, depression, and sleep disorders in patients with different types of benign paroxysmal positional vertigo [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2026, 40(3): 62-67.
[2] HUANG Huan, HUA Hongli, DENG Yuqin, JIANG Chengyang, WANG Yuwei, YANG Xinghai. Correlation of allergic rhinitis, tonsil adenoid hypertrophy, and sinusitis in children and analysis of its clinical guiding value [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(5): 34-41.
[3] LIU Xin, DU Anshi, WANG Yan, TAN Qingqing, LI Junping, GUO Yunan, LAN Changjun. Investigation of the correlation between levator palpebrae superioris muscle strength and postoperative eyelid closure in patients with blepharoptosis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(5): 70-75.
[4] SUN Hongxiang, CAO Juan. Status of mental fragility in elderly cataract patients and its correlation with hope level and alexithymia [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(1): 89-95.
[5] CUI Xiaohuan, YIN Longlong, ZHANG Yanping, JIANG Xingwang, LI Lina. Study of the association between salivary microbiota and reflux symptoms in patients with laryngopharyngeal reflux [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(6): 78-84.
[6] LEI Min, CHEN Ting, AI Ming. Investigating the correlation between the macular ganglion cell complex and the ratio of deep and superficial vessel density in patients with idiopathic epiretinal membrane [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(2): 104-113.
[7] WANG Nan, HUANG Jing, PEN Tao, FENG Bo. Current research on the relationship between obstructive sleep apnea hypopnea syndrome and tinnitus [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(2): 122-127.
[8] ZHANG Xiaoxue, WANG Wei, LIU Jie, XU Zhenju, QIAN Yongheng, HAN Min. The bacteriological characteristics and drug sensitivity of the oropharyngeal region in children and adults with OSAHS [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(1): 35-40.
[9] TAO Dandan, DONG Hongjun, CHU Yunfeng, HUANG Chao, HU Lei. Correlation between eosinophils and olfactory dysfunction in patients with CRSwNP after nasal operation [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(6): 16-20.
[10] . The establishment of a normal value of bone-conducted vestibular-evoked myogenic potential in normal-hearing children [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(5): 72-77.
[11] . Correlation between obstructive sleep apnea and tumors [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(5): 152-156.
[12] Obstructive sleep apnea syndrome(OSAS)and laryngopharyngeal reflux disease(LPRD)are two common diseases in otolaryngology. In recent years, with the increasing incidence, these diseases have affected the health of more and more people. As research on these two diseases continues to expand, the correlation between them has captured the attention of a number of scholars. In this study, we reviewed the recently published literature on the two diseases, concluding that there is a correlation between them. We have also elaborated on the factors and mechanisms of their mutual influence, analyzed the existing treatment methods of OSAS and LPRD, and provided new ideas for further refinement of the diagnosis and treatment.. Advances in the study of obstructive sleep apnea syndrome and laryngopharyngeal reflux diseaseWANG Hongyan, WANG SanchunOverview TENG Bo, GE Min Guidance Department of Otolaryngology Head & Neck Surgery, the Second Hospital of Jilin University, Changchun 130022, Jilin, ChinaAbstract: [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(4): 134-138.
[13] DING Xin, YU Chen-ying, AI Feng-rong, CHEN Bing-jun, LI Ying. Correlation analysis of LDV femtosecond laser flap and corneal curvature [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(4): 32-35.
[14] ZHANG Tian-zhen，ZHANG Qing-quan，WANG Qiang, CHEN Xiu-mei ，. The clinical significance of acoustic rhinometry in nasal septum perforation [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2011, 25(5): 56-.
[15] ZHANG Jie1, ZHANG Hai-xia1, WANG Jia-an2, WANG Qin1, CHENG Dan-fu1, TIAN Yu-feng2. Relationship between anticardiolipin antibodies and  anterior ischemic optic neuropathy [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2010, 24(5): 56-.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd