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1

Optical rhinometry – new challenges and possibilities of rhinitis diagnostics and not only

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Krzych-Fałta E. , Samoliński B.

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tom 70(5)

31-34

EN

Optical rhinometry is the only diagnostic tool in rhinitis for assessing real-time changes in nasal occlusion. It illustrates lumen changes of nasal mucosa vessels in response nonspecific/specific factors and not only. The first attempts to standardize the method conducted by German researchers show the potential of optical rhinometry not only as regards challenge tests, but also vice versa, in respect of the anemization of the mucosa it evaluates the extent of the oedema which occurred in the pathomechanism of non-allergic rhinitis. The relatively small number of publications in the domain of interest demonstrates there is a need to conduct further research on the suitability of the above-mentioned technique for the evaluation of nasal patency in the field of rhinological diagnostics.

2

Influence of selected factors on peak nasal inspiratory flow readings – Epidemiology of Allergic Diseases in Poland study

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Krzych-Fałta E. , Furmańczyk K. , Piekarska B. , Sybilski A. , Samoliński B.

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nr 1

40-44

EN

The aim of this study was to investigate the effect of selected factors/parameters on peak nasal inspiratory flow (PNIF) in the Polish population as part of the Epidemiology of Allergic Diseases in Poland study. Material/methods: The popu¬lation of this study comprised of a group of children aged 6–7 years (n=1123), adolescents aged 13–14 years (n=1136), and adults (n=1876) – all residents of seven large Polish cities. Method – measurement of PNIF. The effect of selected param¬eters on PNIF was measured with translated and validated questionnaires developed for international studies ECRHS II (European Community Respiratory Health Survey II) and ISAAC (International Study of Asthma and Allergies in Child¬hood). Results: Indoor environmental factors including heating with coal, wood or gas significantly increase nasal con¬gestion. In the group of passive smokers, PNIF was lower than in the group of active smokers. PNIF rate decreased with the number of smokers per household. Conclusions: Peak nasal inspiratory flow values were significantly affected by such parameters as selected household environmental factors.

3

The nasal airway evaluation in morbid obesity

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Namyslowski G. , Mrowka-Kata K. , Scierski W. , Wylezol M. , Pardela M.

Journal of Physiology and Pharmacology. Supplement

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2005

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tom 56

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nr 6

67-75

EN

The aim of the present study was to evaluate objectively the nasal patency in the obese patients. A total of 18 morbidly obese patients were recruited for the study. All of them were surgically treated because of morbid obesity using Bilo-Pancreatic Diversion (BPD) or Laparoscopic Gastric Banding (LGB) methods. The patients were free of nasal abnormalities, such as septum deviation, polyps, nasal concha hypertrophy and paranasal sinus diseases. This group comprised 10 men and 8 women aged from 17 to 54. The mean Body Mass Index (BMI) was 51.6 kg/m2, ranged from 34.7 to 61.8 kg/m2. In all of the patients the nasal patency was examined by active anterior rhinomanometry according International Standardization Rhinomanometric Committee using air pressure 75, 100 and 150 dPa. The results were compared to the healthy control group. The correlation between BMI and nasal airflow pressure was also examined. We found that inspiration values for 75, 100 and 150 dPa as well as the expiration values for 100 and 150 dPa in standard method and expiration values for 100 and 150 dPa in Broms method using anterior rhinomanometry in morbidly obese patients were statistically significant higher in comparison with the healthy controls. No statistical significant correlation between BMI of obese patients and the airflow pressure values was found. We conclude that in the morbide obesity the nasal patency is reduced as compared to the healthy controls.

4

The correlation of the results of the survey SNOT-20 of objective studies of nasal obstruction and the geometry of the nasal cavities

75%

Prus-Ostaszewska M. , Wysocki J. , Niemczyk K. , Balcerzak J.

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nr 2

1-10

EN

Introduction: In this paper were verified the correlation between the results of the survey SNOT-20 and the results of the objective tests of nasal obstruction which are rhinomanometry and acoustic rhinometry before and after surgical treatment, such as septoplasty, septoconchoplasty, ethmoidectomy and septoethmoidectomy. Material and methods: The material used in this study was 233 patients diagnosed routinely in the Rhinomanometry Laboratory of the Department of Otolaryngology at the Medical University of Warsaw, reporting rhinological problems. Data were obtained from 70 women (31,4%) ranging in ages from 18 to 81 years of age and 153 men (68,6%) ranging in ages from 16 to 81 years of age. The researches presented in the study were made using the device RhinoMetrics SRE 2100 which combines the Rhinomanometer (RhinoStream) and Acoustic Rhinometer (RhinoScan) Interacoustics AS (Denmark). Survey SNOT-20 (Sino-Nasal Outcome Test-20) in Polish was completed by patients before surgery and during the postoperative control visits. Results: The calculated correlations between the objective parameter, which was the resistance to the flow of air through the nasal cavity , and the subjective feelings of respondents expressed in the survey SNOT-20 were generally weak, and statistical significance was achieved with respect to the first question survey (the severity of the nose obstruction) for all components of resistance flow. Discussion: The feeling of nasal obstruction is the most reproducible and reliable complaint reported by the patient with rhinological problems.