Facial plast Surg 2017; 33(04): 372-377
DOI: 10.1055/s-0037-1603788
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Determinants and Evaluation of Nasal Airflow Perception

Jasper Shen1, Kevin Hur1, Kai Zhao2, Donald A. Leopold3, Bozena B. Wrobel1
  • 1Department of Otolaryngology-Head and Neck Surgery, Keck Hospital of USC, Los Angeles, California
  • 2Department of Otolaryngology-Head and Neck Surgery, The Ohio State University, Columbus, Ohio
  • 3ENT Division, Department of Surgery, University of Vermont, Burlington, Vermont
Further Information

Publication History

Publication Date:
28 July 2017 (online)


The sensation of nasal airflow, or nasal airway patency, is an important consideration in the treatment outcome of nasal airway obstruction. Clinicians striving to optimize the nasal passageway have relied on techniques aimed at decreasing peak airway resistance across nasal valves. Nonetheless, the evaluation of the nasal airway is multifaceted, and the objective determinants of subjective nasal patency remain incompletely elucidated. While rhinomanometry, peak nasal inspiratory airflow, and acoustic rhinometry have traditionally been used in research to focus on resistance as a measure of patency, an emerging body of evidence suggests that subjective nasal patency is more significantly correlated to the dynamic change of nasal mucosal temperature. The objective of this review is to provide the technical background on nasal airflow perception and intranasal trigeminal function as crucial to those performing functional and aesthetic rhinosurgery.