J Rhinol > Volume 23(1); 2016
Journal of Rhinology 2016;23(1):31-38.
Published online May 31, 2016.
DOI: https://doi.org/10.18787/jr.2016.23.1.31   
Analysis of Nasalance in Patients with Chronic Rhinosinusitis
Sung Jae Park, Ji Su Park, Jun Xu, Youngae Kang, Yong Min Kim, Ki Sang Rha
Department of Otorhinolaryngology, School of Medicine, Chungnam National University, Daejeon, Korea. ksrha@cnu.ac.kr
만성 비부비동염 환자의 비음도 분석
박성제, 박지수, 허준, 강영애, 김용민, 나기상
충남대학교 의학전문대학원 이비인후과학교실
Background and Objectives
This study was designed to compare the nasalance between chronic rhinosinusitis (CRS) patients and normal controls and to determine the correlation of nasalance with nasal volume, nasal resistance, CT score, and polyp score in CRS patients.
This study enrolled 150 CRS patients and 154 normal adults. All subjects underwent acoustic rhinometry and rhinomanometry. Nasalance scores were measured with the nasometer. All CRS patients were graded according to the Lund-Mackay CT staging system and the degree of nasal polyp.
Nasal volume was decreased and nasal resistance was increased in CRS patients compared with normal controls. However, the nasalance scores for oro-nasal and nasal passages were significantly higher in CRS patients compared with normal controls. In CRS patients, the nasalance score for the nasal passage showed positive correlation with nasal volume and negative correlation with nasal resistance and Lund-Mackay CT score. However, no significant correlation was found between nasalance score and endoscopic polyp score.
Contrary to expectations, nasalance was increased in CRS patients despite decreased nasal volume and increased nasal resistance. Thus, nasal resonance likely depends on a multitude of factors other than changes in the sinonasal cavity.
Key Words: Sinusitis;Nasal polyps;Voice quality;Nasal cavity

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