Evaluation of the Patient with Nasal Obstruction

Chelsey Recker; Grant S. Hamilton III

doi:10.1055/s-0035-1570502

Facial Plastic Surgery, Table of Contents

Facial Plast Surg 2016; 32(01): 003-008
DOI: 10.1055/s-0035-1570502

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Evaluation of the Patient with Nasal Obstruction

Authors

Chelsey Recker

¹Division of Facial Plastic Surgery, Department of Otorhinolaryngology, Mayo Clinic, Rochester, Minnesota
Grant S. Hamilton III

¹Division of Facial Plastic Surgery, Department of Otorhinolaryngology, Mayo Clinic, Rochester, Minnesota

Abstract

Nasal obstruction is often multifactorial and knowledge of the contributing factors is critical to appropriate evaluation, diagnosis, and execution of a treatment plan. Recognizing and appropriately managing all components of nasal obstruction will increase the likelihood of symptomatic improvement and patient satisfaction.

Keywords

nasal obstruction - septoplasty - rhinoplasty

Full Text

References

References
1 Rhee JS, Sullivan CD, Frank DO, Kimbell JS, Garcia GJ. A systematic review of patient-reported nasal obstruction scores: defining normative and symptomatic ranges in surgical patients. JAMA Facial Plast Surg 2014; 16 (3) 219-225 , quiz 232
2 Rhee JS, Poetker DM, Smith TL, Bustillo A, Burzynski M, Davis RE. Nasal valve surgery improves disease-specific quality of life. Laryngoscope 2005; 115 (3) 437-440
3 André RF, Vuyk HD, Ahmed A, Graamans K, Nolst Trenité GJ. Correlation between subjective and objective evaluation of the nasal airway. A systematic review of the highest level of evidence. Clin Otolaryngol 2009; 34 (6) 518-525
4 Cannon DE, Rhee JS. Evidence-based practice: functional rhinoplasty. Otolaryngol Clin North Am 2012; 45 (5) 1033-1043
5 Rhee JS, Weaver EM, Park SS , et al. Clinical consensus statement: diagnosis and management of nasal valve compromise. Otolaryngol Head Neck Surg 2010; 143 (1) 48-59
6 Ishii LE, Rhee JS. Are diagnostic tests useful for nasal valve compromise?. Laryngoscope 2013; 123 (1) 7-8
7 Gomes G, Felix F, De Almeida Lima S , et al. Positive Cottle test in randomly selected volunteers. Otolaryngol Head Neck Surg 2006; 135 (2) 273
8 Shemirani NL, Rhee JS, Chiu AM. Nasal airway obstruction: allergy and otolaryngology perspectives. Ann Allergy Asthma Immunol 2008; 101 (6) 593-598
9 Cherry DK, Hing E, Woodwell DA, Rechtsteiner EA. National Ambulatory Medical Care Survey: 2006 summary. Natl Health Stat Rep 2008; (3) 1-39
10 Slavin RG. Occupational rhinitis. Ann Allergy Asthma Immunol 2003; 90 (5) (Suppl. 02) 2-6
11 Tran NP, Vickery J, Blaiss MS. Management of rhinitis: allergic and non-allergic. Allergy Asthma Immunol Res 2011; 3 (3) 148-156
12 Karatzanis AD, Fragiadakis G, Moshandrea J, Zenk J, Iro H, Velegrakis GA. Septoplasty outcome in patients with and without allergic rhinitis. Rhinology 2009; 47 (4) 444-449
13 Loehrl TA, Samuels TL, Poetker DM, Toohill RJ, Blumin JH, Johnston N. The role of extraesophageal reflux in medically and surgically refractory rhinosinusitis. Laryngoscope 2012; 122 (7) 1425-1430
14 Pasic TR, Palazzi-Churas KL, Connor NP, Cohen SB, Leverson GE. Association of extraesophageal reflux disease and sinonasal symptoms: prevalence and impact on quality of life. Laryngoscope 2007; 117 (12) 2218-2228
15 Megale SR, Scanavini AB, Andrade EC, Fernandes MI, Anselmo-Lima WT. Gastroesophageal reflux disease: its importance in ear, nose, and throat practice. Int J Pediatr Otorhinolaryngol 2006; 70 (1) 81-88
16 Kjaergaard T, Cvancarova M, Steinsvaag SK. Smoker's nose: structural and functional characteristics. Laryngoscope 2010; 120 (7) 1475-1480
17 Stroud RH, Wright ST, Calhoun KH. Nocturnal nasal congestion and nasal resistance. Laryngoscope 1999; 109 (9) 1450-1453
18 Diggelmann HR, Hamilton GS. Tobacco cessation: How-to guidance and resources for practitioners. In: Johnson J, Rosen C, , eds. Bailey's Head and Neck Surgery-Otolaryngology. Philadelphia, PA: Lippincott Williams & Wilkins; 2011. 5. 329-339
19 Patel RG, Garcia GJ, Frank-Ito DO, Kimbell JS, Rhee JS. Simulating the nasal cycle with computational fluid dynamics. Otolaryngol Head Neck Surg 2015; 152 (2) 353-360
20 Hamilton III GS. Correction of sagittally malpositioned lateral crura. Ear Nose Throat J 2009; 88 (6) 961-962
21 Hamilton GS. Surgery of the nasal tip. In: Thomas JR, , ed. Advanced Therapy in Facial and Plastic Reconstructive Surgery. Shelton, CT: People's Medical Publishing House; 2010. 1. 1-26
22 Fung E, Hong P, Moore C, Taylor SM. The effectiveness of modified Cottle maneuver in predicting outcomes in functional rhinoplasty. Plast Surg Int 2014; 2014: 618313
23 Gray LP. Deviated nasal septum. Incidence and etiology. Ann Otol Rhinol Laryngol Suppl 1978; 87 (3, Pt 3, Suppl 50): 3-20
24 Hellings PW, Nolst Trenite GJ. Improvement of nasal breathing and patient satisfaction by the endonasal dilator Airmax®. Rhinology 2014; 52 (1) 31-34
25 Stoddard DG, Pallanch JF, Hamilton GS. The effect of vibrissae on subjective and objective measures of nasal obstruction. Am J Rhinol Allergy 2015; 29 (5) 373-377
26 Grymer LF, Pallisgaard C, Melsen B. The nasal septum in relation to the development of the nasomaxillary complex: a study in identical twins. Laryngoscope 1991; 101 (8) 863-868
27 Grymer LF, Bosch C. The nasal septum and the development of the midface. A longitudinal study of a pair of monozygotic twins. Rhinology 1997; 35 (1) 6-10
28 Boenisch M, Tamás H, Nolst Trenité GJ. Influence of polydioxanone foil on growing septal cartilage after surgery in an animal model: new aspects of cartilage healing and regeneration (preliminary results). Arch Facial Plast Surg 2003; 5 (4) 316-319
29 Menger DJ, Tabink IC, Trenité GJ. Nasal septal abscess in children: reconstruction with autologous cartilage grafts on polydioxanone plate. Arch Otolaryngol Head Neck Surg 2008; 134 (8) 842-847
30 Sozansky J, Houser SM. Pathophysiology of empty nose syndrome. Laryngoscope 2015; 125 (1) 70-74
31 Sullivan CD, Garcia GJ, Frank-Ito DO, Kimbell JS, Rhee JS. Perception of better nasal patency correlates with increased mucosal cooling after surgery for nasal obstruction. Otolaryngol Head Neck Surg 2014; 150 (1) 139-147
32 Kimbell JS, Frank DO, Laud P, Garcia GJ, Rhee JS. Changes in nasal airflow and heat transfer correlate with symptom improvement after surgery for nasal obstruction. J Biomech 2013; 46 (15) 2634-2643
33 Kenia P, Houghton T, Beardsmore C. Does inhaling menthol affect nasal patency or cough?. Pediatr Pulmonol 2008; 43 (6) 532-537
34 Aldren C, Tolley NS. Further studies on nasal sensation of airflow. Rhinology 1991; 29 (1) 49-55
35 Eccles R. Nasal airway resistance and nasal sensation of airflow. Rhinol Suppl 1992; 14: 86-90