The nasal valve: new insights on the static and dynamic NV with MR-imaging.


Journal

European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
ISSN: 1434-4726
Titre abrégé: Eur Arch Otorhinolaryngol
Pays: Germany
ID NLM: 9002937

Informations de publication

Date de publication:
Feb 2020
Historique:
received: 25 09 2019
accepted: 25 10 2019
pubmed: 7 11 2019
medline: 20 1 2021
entrez: 6 11 2019
Statut: ppublish

Résumé

We assessed the static nasal valve angle with MR imaging in healthy subjects and evaluated the complex mechanism of nasal valve dynamics during physiologic and forced inspiration. In 17 healthy subjects, measurements of the static nasal valve angle were conducted on MR scans, using a TSE Axial T2-weighted sequence and a 3 mm slice thickness. The dynamic changes of nasal valve movement were detected using MR Cine-imaging techniques. The static median angle of the nasal valve was found to be 28.6° with a range of 12.7°-39.3°. The median degree of nasal valve collapse during forced inspiration was 68% (range 20-99%) of the baseline (static nasal valve angle). In the moderately forced inspiration (3 s) the median nasal valve angle declined to 76% of the baseline angle (range 42-100%). In the physiologic or unforced inspiration, the median nasal valve angle was reduced to 86.3% of the baseline angle (range 52-100%). MRI, as a non-invasive tool, is a reliable method for evaluation of the static nasal valve angle and for the illustration of the complex nasal valve dynamics.

Identifiants

pubmed: 31686188
doi: 10.1007/s00405-019-05715-y
pii: 10.1007/s00405-019-05715-y
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

463-467

Références

Wexler DB, Davidson TM (2004) The nasal valve: a review of the anatomy, imaging, and physiology. Am J Rhinol 18(3):143–150
doi: 10.1177/194589240401800303
Mink J (1963) Le nez comme voie respiratorie. Presse Otolaryngol (Belg) 21:481–496
Bridger GP, Proctor DF (1970) Maximum nasal inspiratory flow and nasal resistance. Ann Otol Rhinol Laryngol 79(3):481–488
doi: 10.1177/000348947007900308
Miman MC et al (2006) Internal nasal valve: revisited with objective facts. Otolaryngol Head Neck Surg 134(1):41–47
doi: 10.1016/j.otohns.2005.08.027
Becker SS et al (2008) Revision septoplasty: review of sources of persistent nasal obstruction. Am J Rhinol 22(4):440–444
doi: 10.2500/ajr.2008.22.3200
Kandathil CK et al (2018) Lateral wall insufficiency severity and patient-reported nasal obstruction measures. JAMA Facial Plast Surg 20(5):427–428
doi: 10.1001/jamafacial.2018.0216
Stewart MG et al (2004) Development and validation of the Nasal Obstruction Symptom Evaluation (NOSE) scale. Otolaryngol Head Neck Surg 130(2):157–163
doi: 10.1016/j.otohns.2003.09.016
Ricci E et al (2001) Role of nasal valve in the surgically corrected nasal respiratory obstruction: evaluation through rhinomanometry. Am J Rhinol 15(5):307–310
doi: 10.1177/194589240101500504
Corey JP (2006) Acoustic rhinometry: should we be using it? Curr Opin Otolaryngol Head Neck Surg 14(1):29–34
doi: 10.1097/01.moo.0000193166.57129.80
Mlynski G (2005) Impaired function of the upper respiratory tract. Restorative procedures for upper airway dysfunction, nasal breathing. Laryngorhinootologie 84(Suppl 1):101–117
doi: 10.1055/s-2005-861133
Clement PA et al (2005) Consensus report on acoustic rhinometry and rhinomanometry. Rhinology 43(3):169–179
pubmed: 16218509
Breininger KM et al (2014) Alae tracker: tracking of the nasal walls in MR-imaging. In: Deserno T, Handels H, Meinzer HP, Tolxdorff T (eds) Bildverarbeitung für die Medizin 2014. Informatik aktuell, Springer, Berlin, Heidelberg
Keck T et al (2006) Video-endoscopy and digital image analysis of the nasal valve area. Eur Arch Otorhinolaryngol 263(7):675–679
doi: 10.1007/s00405-006-0025-y
Poetker DM et al (2004) Computed tomography technique for evaluation of the nasal valve. Arch Facial Plast Surg 6(4):240–243
doi: 10.1001/archfaci.6.4.240
Min YG, Jang YJ (1995) Measurements of cross-sectional area of the nasal cavity by acoustic rhinometry and CT scanning. Laryngoscope 105(7 Pt 1):757–759
doi: 10.1288/00005537-199507000-00014
Montgomery WM et al (1979) Computed tomography: a three-dimensional study of the nasal airway. Am J Orthod 76(4):363–375
doi: 10.1016/0002-9416(79)90223-9
Bloom JD et al (2012) Reformatted computed tomography to assess the internal nasal valve and association with physical examination. Arch Facial Plast Surg 14(5):331–335
doi: 10.1001/archfacial.2012.50

Auteurs

Marion San Nicoló (M)

Department of Otorhinolaryngology, Head and Neck Surgery, Ludwig Maximilian University of Munich, Marchioninistr. 15, 81377, Munich, Germany. marion.sannicolo@med.uni-muenchen.de.

Alexander Berghaus (A)

Department of Otorhinolaryngology, Head and Neck Surgery, Ludwig Maximilian University of Munich, Marchioninistr. 15, 81377, Munich, Germany.

Christian Jacobi (C)

Department of Otorhinolaryngology, Head and Neck Surgery, Technical University of Munich, Munich, Germany.

Ulrich Kisser (U)

Department of Otorhinolaryngology, Head and Neck Surgery, University Clinic Halle (Saale), Halle (Saale), Germany.

Mareike Haack (M)

Private Practice, Rosenheim, Germany.

Wilhelm Flatz (W)

Department of Radiology, Ludwig Maximilian University of Munich, Munich, Germany.

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Classifications MeSH