Possibilities and necessity of nasal patency evaluation in occupational medicine
Authors:
J. Lebedová; P. Klusáčková; B. Dlouhá
Authors‘ workplace:
Klinika pracovního lékařství 1. LF a VFN Praha
; Přednosta: prof. MUDr. Daniela Pelclová, CSc.
; Univerzita Karlova v Praze, 1. lékařská fakulta
Published in:
Prakt. Lék. 2009; 89(12): 675-678
Category:
Of different specialties
Overview
he diagnosis of occupational rhinitis is based on nasal provocation tests, which prove the response of the nasal mucosa to suspected allergens. In most cases active anterior rhinomanometry is used to evaluate nasal flow and resistance in nasal provocation tests. The use of the acoustic reflection from airways method has been studied since the 1970s. The first reports to describe the use of this method in the nasal cavity – acoustic rhinometry – were published in the early 1990s. Acoustic rhinometry is an examination based on the principle of comparing the accidental acoustic impulse within the audible frequency zone with the reflection of response from the airways. It gives graphic and numerical information about the minimal cross-sectional area and its distance from the vestibule of the nose, and about the total volume of the nasal cavity in two sections:
– from 0 to 22 mm, and
– from 22 to 54 mm.
The aim of our paper is to give information about another option for nasal patency monitoring and to present the instrument that makes it possible. Based on the authors’ experience, the advantages and disadvantages of the separate methods are described. The recommendation is to use active anterior rhinomanometry and acoustic rhinometry together as complementary methods, mainly in nasal provocation testing.
Key words:
acoustic rhinometry, active anterior rhinomanometry, nasal provocation testing.
Sources
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General practitioner for children and adolescents General practitioner for adultsArticle was published in
General Practitioner
2009 Issue 12
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