Abstract
In acoustic rhinometry (AR), an audible acoustic signal is transmitted into the nasal cavity, the reflected sounds are measured, and the resulting electrical signals are analyzed by software that provides a graphical presentation of two-dimensional area section–length relationships. This method is used worldwide in both clinical facilities and research laboratories. It can also be applied to objectively evaluate rhinal patency. The credibility of the method is maximal in the front nasal passage, which acts as a rhinal valve. The advantage of an objective measurement tool is that it provides functional data and is easy to use in research to assess nasal airway resistance. AR may also allow for the visualization of dynamic airway processes. Nonetheless, any assessment method should be used under the same ambient conditions, accounting for factors such as subject resting time, body position, and temperature. AR is a noninvasive, quick method which is performed readily with least patient cooperation. These characteristics account for why the method has been shortly recognized by many as noninvasive and it measures nasal cavity volumes and cross-sectional areas via sound pulse technology. A spark generator produces a 150–10,000 Hz sound pulse, it proceeds along a 90-cm Bakelite wave tube 1.5 cm in diameter. The wave enters the nasal airway via a Perspex nosepiece. This chapter provides fundamental knowledge on AR and attempts to incorporate vital aspects of the method, particularly from an objective perspective.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Hizal E, Cakmak O. Acoustic rhinometry. In: Onerci TM, editor. Nasal physiology and pathophysiology of nasal disorders. Berlin: Springer; 2013.
Larsen K, Oxhoj H. Spirometric forced volume measurements in the assessment of nasal patency after septoplasty. A prospective clinical study. Rhinology. 1988;26:203–8.
Pedersen OF. Airway geometry determined by acoustic reflections. In: Aliverti A, et al., editors. Mechanics of breathing. Pathophysiology, diagnosis and treatment. Milano: Springer; 2002.
Fisher EW, Lund VJ, Scadding GK. Acoustic rhinometry in rhinological practice: discussion paper. J R Soc Med. 1994;87:411–3.
Hilberg O, Jackson AC, Swift DL, et al. Acoustic rhinometry: evaluation of nasal cavity geometry by acoustic reflection. J Appl Physiol. 1989;66:295–303.
Dotson AR, Incaudo GA. Direct or objective evaluation of nasal function. In: Chang CC, et al., editors. Diseases of the sinuses. New York: Springer; 2014.
Straszek SP. Acoustic Rhinometry (Ar): an alternative method to image nasal airway geometry. In: André MP, editor. Acoustical imaging. Berlin: Springer; 2007.
Chaves C, de Andrade CR, Ibiapina C. Objective measures for functional diagnostic of the upper airways: practical aspects. Rhinology. 2014;52:99–103.
Cakmak O, Coşkun M, Celik H, et al. Value of acoustic rhinometry for measuring nasal valve area. Laryngoscope. 2003;113:295–302.
Hilberg O. Objective measurement of nasal airway dimensions using acoustic rhinometry: methodological and clinical aspects. Allergy. 2002;70:5–39.
Corey JP, Gungor A, Nelson R, et al. Normative standards for nasal cross-sectional areas by race as measured by acoustic rhinometry. Otolaryngol Head Neck Surg. 1998;119:389–93.
Clement PA, Gordts F, Standardisation Committee on Objective Assessment of the Nasal Airway. Consensus report on acoustic rhinometry and rhinomanometry. Rhinology. 2005;43:169–79.
Wheeler SM, Corey JP. Evaluation of upper airway obstruction—an ENT perspective. Pulm Pharmacol Ther. 2008;21:433–41.
Mamikoglu B, Houser SM, Corey JP. An interpretation method for objective assessment of nasal congestion with acoustic rhinometry. Laryngoscope. 2002;112:926–9.
Larsson C, Millqvist E, Bende M. Relationship between subjective nasal stuffiness and nasal patency measured by acoustic rhinometry. Am J Rhinol. 2001;15:403–5.
Lal D, Corey JP. Acoustic rhinometry and its uses in rhinology and diagnosis of nasal obstruction. Facial Plast Surg Clin North Am. 2004;12:397–405.
Cankurtaran M, Celik H, Coşkun M, et al. Rhinometry in healthy humans: accuracy of area estimates and ability to quantify certain anatomic structures in the nasal cavity. Ann Otol Rhinol Laryngol. 2007;116:906–16.
Celik H, Cankurtaran M, Cakmak O. Acoustic rhinometry measurements in stepped-tube models of the nasal cavity. Phys Med Biol. 2004;49:371–86.
Corey JP. Acoustic rhinometry: should we be using it? Curr Opin Otolaryngol Head Neck Surg. 2006;14:29–34.
Uzzaman A, Metcalfe DD, Komarow HD. Acoustic rhinometry in the practice of allergy. Ann Allergy Asthma Immunol. 2006;97:745–51.
Cingi C, Ural A, Seren E, et al. Nasal expiratory sound analysis for evaluation of nasal patency in perennial allergic rhinitis patients treated with nasal corticosteroids. ORL J Otorhinolaryngol Relat Spec. 2014;76:50–6.
Djupesland P, Cole P, Roithmann R. Pediatric rhinomanometry and acoustic rhinometry. In: Sih T, Clement PA, editors. Pediatric nasal and sinus disorders. New York: Taylor & Francis Group; 2005.
Nakajima M, Kase Y, Kamijo A, et al. Postural and conditional variations of nasal patency in patients under general anesthesia approximating sleep as assessed with acoustic rhinometry. Nihon Jibiinkoka Gakkai Kaiho. 2015;118:651–6.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Çetinkaya, E.A., Yılmaz, M.D., Bayar Muluk, N. (2020). Acoustic Rhinometry. In: Cingi, C., Bayar Muluk, N. (eds) All Around the Nose. Springer, Cham. https://doi.org/10.1007/978-3-030-21217-9_14
Download citation
DOI: https://doi.org/10.1007/978-3-030-21217-9_14
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-21216-2
Online ISBN: 978-3-030-21217-9
eBook Packages: MedicineMedicine (R0)