Sensation Of Nasal Obstruction Research Articles

口蓋裂例の鼻腔通気度

Anterior rhinoscopy, radiographic examination of the nose and anterior rhinomanometry were performed in 150 patients with cleft palate. Normal values of nasal resistance were determined in 826 normal human subjects aged 3-85.1) Total nasal resistance was significantly higher in cleft palate patients than that in normal human suhjects.2) The cleft palate population has a high incidence of deviation of the nasal septum, hypertrophy of the inferior turbinate and sinusitis. It was thought that these pathological conditions raised total nasal resistance in cleft palate patients.3) About 50% of cleft palate patients had a sensation of nasal obstruction.4) The degree of sensation of nasal obstruction correlated well with the value of total nasal resjstance.5) The patients with high total nasal resistance had associated middle ear diseases more frequently than those with normal total nasal resistance.

The Sensation of Nasal Obstruction and Nasal Airway Patency

The relationship between the sensation of nasal obstruction and the nasal airway patency was evaluated by using an active-posterior rhinomanometry. The sensation of the nasal obstruction was devided into 5 grades, and the nasal airway conductance was used in order to represent the nasal airway patency as a numerical expression. 115 patients suffering from nasal disease were used in this study.The standerd deviation of the nasal airway conductance of patients with moderate or high nasal obstruction was smaller than that of patients with slight nasal obstruction. Especially the standerd deviation of nasal airway conductance of patients with no obstruction was about twice as much as that of other patients.It cannot be decided that the group of nasal disease and health, and the degree of nasal obstructive sensation only by using the nasal airway conductance.Other factors that cause the nasal obstructive sensation were discussed.The effects of nasal surgery were represented on the sensation of nasal obstruction and the nasal airway conductance. It was revealed that 77.3% cases, the sensation of nasal obstruction decreased and the nasal airway conductances increased in various degrees after the surgery.

DIAGNOSIS AND TREATMENT OF NONSUPPURATIVE SINUSITIS

I want to state in the beginning that this report has nothing whatever to do with empyema of the sinuses, for which surgical and other types of treatment are well established. The reason for this investigation was that the sinus troubles of many patients could not be explained on the basis of infection, deformity or new growth. The symptoms of nonsuppurative sinusitis are as follows: Postnasal discharge of a mucoid type without empyema of the sinuses. Sensation of nasal obstruction or stuffiness without actual mechanical obstruction. Pain or headache referable to the sinuses without clinical or roentgenographic evidence of suppuration of the sinuses. Fatigue without obvious organic physical findings. Neuritis in various parts of the body, especially suprascapular. Allergic manifestations. These and many other symptoms, such as aural neuritis without discoverable cause and nervous symptoms, psychoneurotic in type, without positive findings, are frequently present. This report is based on