RHINOMANOMETRY AS A METHOD FOR OBJECTIFICATION OF NASAL AIR RESISTANCE IN SELECTING PATIENTS FOR SEPTORHINOPLASTY
Journal
MMP Македонски медицински преглед = Macedonian medical review
Date Issued
2019
Author(s)
Petreska-Dukovska, Vesna
Arsovski, Andreja
Orovchanec, Gjorgji
Abstract
Abstract
Aim of the study. To objectify the nasal air resistance
(nasal obstruction) using rhinomanometry while selecting
patients for septorhinoplasty.
Methods. This is a prospective, non-randomized study
which compriseda totalof 100 patients experiencing
deviations of the nasal septum (deviatioseptinasi) aloneor along with deformities of the nasal pyramid: rhinokyphosis, rhinoscoliosis, rhinolordosis (“saddle nose”),
and “functional tension nose”. The examined patients
were added to the list for surgical septo/rhinoplasty procedures performed at the ENT Clinic at the University
Hospital Center in Skopje and the General Hospital
"Remedika", during the period of 2014-2019. The rhinomanometry examinations were performed at the General
Hospital "Remedika" in Skopje.The examined groups
were divided according to several parameters.Based on
the degree of nasal obstruction, patients were divided
into 3 groups:Group IA had a severe degree of nasal
obstruction (severe degree of nasal resistance); Group
IB had a moderate degree of nasal obstruction (moderate
degree of nasal resistance); Group II had a mild degree
of nasal obstruction (mild degree of nasal resistance),
and this group was clinically monitored for a year when a
decision was made onperforming a surgical intervention.
Results. Despite dividing patients into three groups
and the one-year follow-uppeiodofpatients with a mild
degree of nasal obstruction, all patients underwent septoplasty. The results obtained enabled us to differentiate
and grouppatients who were truly in need of septo/rhinoplasty and patients whowere to be monitored and
treated with medication.
Conclusion. Rhinomanometry allows classification of
patients forurgent intervention according to the results
on the degree of nasal obstruction as well as the degree
of nasal symptomatology.
Aim of the study. To objectify the nasal air resistance
(nasal obstruction) using rhinomanometry while selecting
patients for septorhinoplasty.
Methods. This is a prospective, non-randomized study
which compriseda totalof 100 patients experiencing
deviations of the nasal septum (deviatioseptinasi) aloneor along with deformities of the nasal pyramid: rhinokyphosis, rhinoscoliosis, rhinolordosis (“saddle nose”),
and “functional tension nose”. The examined patients
were added to the list for surgical septo/rhinoplasty procedures performed at the ENT Clinic at the University
Hospital Center in Skopje and the General Hospital
"Remedika", during the period of 2014-2019. The rhinomanometry examinations were performed at the General
Hospital "Remedika" in Skopje.The examined groups
were divided according to several parameters.Based on
the degree of nasal obstruction, patients were divided
into 3 groups:Group IA had a severe degree of nasal
obstruction (severe degree of nasal resistance); Group
IB had a moderate degree of nasal obstruction (moderate
degree of nasal resistance); Group II had a mild degree
of nasal obstruction (mild degree of nasal resistance),
and this group was clinically monitored for a year when a
decision was made onperforming a surgical intervention.
Results. Despite dividing patients into three groups
and the one-year follow-uppeiodofpatients with a mild
degree of nasal obstruction, all patients underwent septoplasty. The results obtained enabled us to differentiate
and grouppatients who were truly in need of septo/rhinoplasty and patients whowere to be monitored and
treated with medication.
Conclusion. Rhinomanometry allows classification of
patients forurgent intervention according to the results
on the degree of nasal obstruction as well as the degree
of nasal symptomatology.
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