Journal of Rhinology 2011;18(1):48-52.
Published online May 31, 2011.
Effects of Septal Deviation on Symptom Change and Results of the Nasal Provocation Test according to Bilateral Acoustic Rhinometry in Patients with Allergic Rhinitis
Young Hyo Kim, Tae Young Jang
Department of Otorhinolaryngology-Head and Neck Surgery, Inha University School of Medicine, Incheon, Korea.
양측성 음향비강통기도검사를 이용한 알레르기성 비염 환자에서의 비강유발검사에 대한 비중격만곡증의 영향 평가
김영효, 장태영
인하대학교 의학전문대학원 이비인후-두경부외과학교실
Background and Objectives
We aimed to evaluate the effects of septal deviation on patient symptoms and acoustic rhinometry measurements in patients with allergic rhinitis and to determine which side of the septum is the better choice.
Materials and Method
S: The bilateral nasal provocation test with acoustic rhinometry was performed on patients with septal deviation and allergic rhinitis (Group A, n=25) and in patients with allergic rhinitis alone (Group B, n=26). Fifteen to 60 minutes after provocation, the change in symptoms as measured by the visual analogue scale, the change in total nasal volume (TNV) and minimal cross-sectional area (MCA) were compared between the concave and convex septal sides. The degrees of change in TNV and MCA were also compared between the groups.
Group A had higher basal values and more changes in nasal obstruction than did Group B. Changes in TNV and MCA were most prominent after 30 minutes on both sides, without significant differences. By summing the sides together, we were able to obtain more stable results without paradoxical increase.
Septal deviation itself has little effect on the result of nasal provocation in patients with allergic rhinitis. By summing the parameters of acoustic rhinometry from both nasal cavities, clinicians can achieve more stable results.
Key Words: Septal deviation;Allergic rhinitis;Nasal provocation;Acoustic rhinometry

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