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Acoustic Rhinometry

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All Around the Nose

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.

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References

  1. Hizal E, Cakmak O. Acoustic rhinometry. In: Onerci TM, editor. Nasal physiology and pathophysiology of nasal disorders. Berlin: Springer; 2013.

    Google Scholar 

  2. 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.

    CAS  PubMed  Google Scholar 

  3. Pedersen OF. Airway geometry determined by acoustic reflections. In: Aliverti A, et al., editors. Mechanics of breathing. Pathophysiology, diagnosis and treatment. Milano: Springer; 2002.

    Google Scholar 

  4. Fisher EW, Lund VJ, Scadding GK. Acoustic rhinometry in rhinological practice: discussion paper. J R Soc Med. 1994;87:411–3.

    CAS  PubMed  PubMed Central  Google Scholar 

  5. 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.

    Article  CAS  Google Scholar 

  6. 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.

    Google Scholar 

  7. Straszek SP. Acoustic Rhinometry (Ar): an alternative method to image nasal airway geometry. In: André MP, editor. Acoustical imaging. Berlin: Springer; 2007.

    Google Scholar 

  8. Chaves C, de Andrade CR, Ibiapina C. Objective measures for functional diagnostic of the upper airways: practical aspects. Rhinology. 2014;52:99–103.

    Article  CAS  Google Scholar 

  9. Cakmak O, Coşkun M, Celik H, et al. Value of acoustic rhinometry for measuring nasal valve area. Laryngoscope. 2003;113:295–302.

    Article  Google Scholar 

  10. Hilberg O. Objective measurement of nasal airway dimensions using acoustic rhinometry: methodological and clinical aspects. Allergy. 2002;70:5–39.

    Article  Google Scholar 

  11. 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.

    Article  CAS  Google Scholar 

  12. 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.

    CAS  PubMed  Google Scholar 

  13. Wheeler SM, Corey JP. Evaluation of upper airway obstruction—an ENT perspective. Pulm Pharmacol Ther. 2008;21:433–41.

    Article  CAS  Google Scholar 

  14. Mamikoglu B, Houser SM, Corey JP. An interpretation method for objective assessment of nasal congestion with acoustic rhinometry. Laryngoscope. 2002;112:926–9.

    Article  Google Scholar 

  15. 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.

    Article  CAS  Google Scholar 

  16. 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.

    Article  Google Scholar 

  17. 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.

    Article  Google Scholar 

  18. Celik H, Cankurtaran M, Cakmak O. Acoustic rhinometry measurements in stepped-tube models of the nasal cavity. Phys Med Biol. 2004;49:371–86.

    Article  Google Scholar 

  19. Corey JP. Acoustic rhinometry: should we be using it? Curr Opin Otolaryngol Head Neck Surg. 2006;14:29–34.

    Article  Google Scholar 

  20. Uzzaman A, Metcalfe DD, Komarow HD. Acoustic rhinometry in the practice of allergy. Ann Allergy Asthma Immunol. 2006;97:745–51.

    Article  Google Scholar 

  21. 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.

    Article  Google Scholar 

  22. 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.

    Google Scholar 

  23. 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.

    Article  Google Scholar 

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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

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  • DOI: https://doi.org/10.1007/978-3-030-21217-9_14

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-21216-2

  • Online ISBN: 978-3-030-21217-9

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