Long-term rhinoflowmetry: a new method for functional rhinologic diagnostics.
BACKGROUND
With current functional diagnostic tools in rhinology (rhinomanometry, rhinoresistometry, and acoustic rhinometry) long-term assessment of nasal function is difficult to acquire. Usually, only the situation at the time of examination is evaluated. Therefore, temporary nasal complaints of the nasal cycle are difficult to assess. It was the aim of this work to create a diagnostic tool to measure nasal flow over a long time period under physiological and everyday life conditions. We term the method long-term rhinoflowmetry (LRFM).


METHODS
A portable device recording nasal airflow over a time period up to 72 hours was developed. Kinetic pressure fluctuations during respiration as a measure for the flow were registered over time and relative airflow was calculated. A summary of diagnostic results is given in six exemplary patients.


RESULTS
Classic nasal cycles could be recorded in detail with durations ranging from 90 minutes to 10 hours. The manifestation of nighttime nasal obstruction as well as a case of paradoxical nasal obstruction were objectified. LRFM enables the assessment of time, duration, and extent of temporary nasal obstruction.


CONCLUSIONS
LRFM enables an assessment of temporary nasal obstruction as well as physiological and pathological fluctuations in the nasal cycle. Especially in cases in which traditional rhinological diagnostic tools are unsatisfying, the enhanced diagnostic quality of LRFM appears to be a promising supplement to the currently available rhinological monitoring methods.
Grützenmacher
Stefan
S
Department of Otorhinolaryngology, Head and Neck Surgery, University of Greifswald, Germany.
Lang
Christian
C
Mlynski
Robert
R
Mlynski
Barbara
B
Mlynski
Gunter
G
D002940:Circadian Rhythm / Q000502:physiology; D004867:Equipment Design; D005500:Follow-Up Studies; D006801:Humans; D009668:Nose Diseases / Q000175:diagnosis* / Q000503:physiopathology; D010036:Otolaryngology / Q000295:instrumentation*; D012212:Rheology / Q000379:methods*