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[Positional rhinomanometry in specific nasal hyperreactivity].

L Gallucci1, G Altissimi, C Simoncelli

  • 1Istituto di Clinica Otorinolaringoiatrica, Università di Perugia.

Acta Otorhinolaryngologica Italica : Organo Ufficiale Della Societa Italiana Di Otorinolaringologia E Chirurgia Cervico-Facciale
|March 1, 1991
PubMed
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Positional Rhinomanometry reveals paradoxical nasal responses in allergic rhinitis patients. This objective test highlights increased nasal resistance due to posture changes, particularly in perennial allergic rhinitis.

Area of Science:

  • Otolaryngology
  • Allergology
  • Nasal Physiology

Background:

  • Previous research established Positional Rhinomanometry in healthy individuals.
  • Nasal hyperreactivity in allergic rhinitis can be influenced by posture.
  • Objective assessment of positional effects on nasal airflow is needed.

Purpose of the Study:

  • To objectively evaluate posture-induced changes in nasal airflow resistance.
  • To investigate positional effects on nasal hyperreactivity in allergic rhinitis.
  • To differentiate normal responses from those in allergic rhinitis patients.

Main Methods:

  • Anterior Active Rhinomanometry performed on 30 allergic rhinitis patients (18 seasonal, 12 perennial).
  • Tests conducted in seated and supine positions, both homolateral and contralateral to the nasal fossa.

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  • Measurements taken during the intercritical period of the disease.

    • Main Results:

    • Positional tests demonstrated significant differences between normal subjects and those with nasal hyperreactivity.
    • Paradoxical responses were observed in subjects with specific nasal hyperreactivity.
    • A notable increase in nasal resistance linked to postural changes was identified, especially in perennial allergic rhinitis.

    Conclusions:

    • Positional Rhinomanometry effectively distinguishes normal nasal responses from hyperreactive ones.
    • Posture-induced nasal resistance changes indicate disreactivity of nasal cavernous tissue.
    • Findings suggest potential diagnostic value for Positional Rhinomanometry in allergic rhinitis management.