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Acoustic rhinometry: should we be using it?

Jacquelynne P Corey1

  • 1University of Chicago Hospitals, 5841 S. Maryland Avenue, MC 1035, Illinois 60637, USA. jcorey@surgery.bsd.uchicago.edu

Current Opinion in Otolaryngology & Head and Neck Surgery
|February 10, 2006
PubMed
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Acoustic rhinometry (AR) is a valuable, noninvasive tool for assessing nasal obstruction. Recent standards and expanded applications, including sleep and pediatric disorders, support its increased clinical use in rhinology.

Area of Science:

  • Otolaryngology
  • Rhinosinusitis
  • Nasal Airway Imaging

Background:

  • Acoustic rhinometry (AR), first described in 1989, offers objective nasal airway assessment but is underutilized.
  • Current clinical practice lacks widespread adoption despite AR's potential.
  • This review addresses the need for increased AR utilization and provides updated guidance.

Observation:

  • Recent advancements include the establishment of clinical use standards for AR.
  • The diagnostic scope of AR has broadened significantly.
  • AR can now analyze complex conditions such as turbinoplasty, sleep disorders, and pediatric cases like adenoidectomy.

Findings:

  • Publication of AR clinical use standards marks a significant recent advance.
  • Expanded applications encompass turbinoplasty, sleep disorders, cosmetic/reconstructive surgery, sinus surgery, vasomotor rhinitis, maxillofacial procedures, and challenge tests.

Related Experiment Videos

  • AR's utility in pediatric disorders, including adenoidectomy, is reaffirmed, with case examples illustrating its use in mixed pathologies.

    • Implications:

    • AR is a rapid, objective, painless, and noninvasive method for evaluating nasal airway obstruction.
    • Developed standards facilitate AR's expanded clinical integration.
    • Wider adoption of AR in rhinology can enhance evidence-based medical practice.