Objective assessment of nasal obstruction

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  • Naito Kensei
    Fujita Academy
  • Horibe Seiji
    Miyanomori ENT Clinic
  • Tanabe Yosuke
    Department of Otolaryngology Head and Neck Surgery, School of Medicine, Fujita Health University
  • Kato Hisayuki
    Department of Otolaryngology Head and Neck Surgery, School of Medicine, Fujita Health University
  • Yoshioka Satoshi
    Department of Otolaryngology Head and Neck Surgery, School of Medicine, Fujita Health University
  • Tateya Ichiro
    Department of Otolaryngology Head and Neck Surgery, School of Medicine, Fujita Health University

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<p>There are many methods and types of equipment for measuring the nasal airway, but there is no consensus regarding the results of various clinical studies on nasal obstruction. In this review, we discuss the two major methods of objectively assessing the nasal airway: rhinomanometry and acoustic rhinometry. The Japanese standard of rhinomanometry in Japanese adults and children was established by the Japanese Standardization Committee on Rhinomanometry in 2001 and 2018, respectively. However, the International Standardization Committee has proposed different standards because of differences in race, equipment, and social health insurance systems. The standardization of acoustic rhinometry in Japanese adults is making progress in several Japanese institutes, but the international standardization of acoustic rhinometry has not yet begun. Rhinomanometry is the physiological expression of nasal airway breathing, whereas acoustic rhinometry is the anatomic expression. In this review, we introduce the history and methods of the objective assessment of nasal patency and the physiological and pathological issues regarding nasal obstruction.</p>

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