[Nasal respiratory function in acute trauma as shown by anterior active rhinomanometry]

Anterior active rhinomanometry (AARM) was used for objective investigation of nasal respiration in patients with nasal bone fractures. Twenty one patients with nasal septum deformation have undergone reconstructive septorhinoplasty in acute trauma, 33 patients -- standard nasal bone reposition. AARM proved its efficacy as a simple and convenient method of nasal obstruction assessment in acute trauma and can be successfully applied for determination of therapeutic policy and control of surgical intervention. Most patients with nasal bone fracture had preoperative low total volume flow and elevated nasal resistance. Nasal septum curvature and deformation of external nose structures are of importance in development of the pathology. One-stage reconstruction of the nasal septum and pyramid in acute trauma brings about significantly better long-term functional results compared to conventional closed nasal bone reposition.