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OTORINOLARINGOLOGIA

A Journal on Otorhinolaryngology, Head and Neck Surgery,
Plastic Reconstructive Surgery, Otoneurosurgery


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Otorinolaringologia 1998 September;48(3):101-5

language: Italian

Pre- and postoperative assessment of septal deformity by acoustic rhinometry

Altissimi G., Gallucci L., Molini E., Ricci G.

Università degli Studi - Perugia Dipartimento delle Specialità Medico-Chirurgiche Sezione di Clinica Otorinolaringoiatrica (Direttore: Prof. C. Simoncelli)


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Background. This study evaluated the efficacy of acoustic rhinometry in pre- and postoperative assessments of nasal septum deformities.
Methods. Thirty patients (21 males, 9 females, mean age 24 years) were referred to the ENT Unit, University of Perugia, because of chronic respiratory obstruction due to septum deformity associated with lower turbinate hypertrophy. All underwent acoustic rhinometry and active anterior rhinomanometry before surgery and one month later.
Results. Acoustic rhinometry showed an increased cross-section area after surgery in both nasal fossae. The mean cross-section area increased by 61% in the nasal fossae in which the septum deformity was more marked. Analysis of the tracings of the fossae which was less involved showed surgical reduction of the lower turbinate contralateral to the septum deviation was fundamental to the success of the procedure. Tracings of the anterior segments of the nasal fossae were reproducible and consequently reliable. Results in the posterior two-thirds were less valid.
Conclusions. Acoustic rhinometry was technically reliable in assessing nasal obstruction particularly in the anterior segments, in providing guidelines for the most suitable surgical procedure and in providing objective evidence of postoperative recovery of respiratory patency.

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