Endonasal Thermal Imaging Before and After Nasal Airway Surgery.

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

Annals of Otology Rhinology and Laryngology Pub Date : 2024-10-02 DOI:10.1177/00034894241287003

Kachorn Seresirikachorn, Lu Hui Png, Timothy Quy-Phong Do, Larry Kalish, Raewyn G Campbell, Janet Rimmer, Raquel Alvarado, Nelufer Raji, Christine Choy, Kornkiat Snidvongs, Raymond Sacks, Richard J Harvey

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引用次数: 0

Abstract

Objective: Nasal airway surgery is often applied when treatment fails to relieve nasal obstruction. However, surgery that improves airflow does not always alleviate the symptoms of nasal obstruction. The perception of nasal breathing is likely more related to changes in mucosal temperature than the mechanical sensation of flow or pressure. This study aims to measure intranasal mucosal temperature pre-and post-surgery using endonasal thermal imaging, exploring its correlation with subjective nasal breathing and objective airflow measurements.

Methods: A prospective study of adult patients with nasal obstruction managed with nasal airway surgery was performed. Intranasal mucosal temperatures were determined using the thermal endonasal image of the nasal passage produced by the infrared radiometric thermal camera (FILR VS290). A comparison was made between the mean values of mid-expiration (ExT) and mid-inspiration (InT) temperature data (internal nasal valve, nasal cavity, inferior turbinate, and overall airway [mean value]) and visual analog scale (VAS), Nasal Obstruction Symptom Evaluation (NOSE) scale and nasal airway resistance (NAR) before and after surgery.

Results: Seven patients (35.14 ± 16.45 years, 57.14% female) were included. All NOSE, VAS, and NAR improved after surgery (59.29 ± 10.89 vs 17.14 ± 14.64; P < .001, 64.50 ± 26.79 vs 18.57 ± 19.99; P < .001, 0.82 ± 0.48 vs 0.34 ± 0.11 Pa/cm³/s; P = .002, respectively). ExT, InT, and the difference between ExT and InT of three areas and overall airway were similar between pre-and post-surgery. No statistically significant correlations were found between intranasal mucosal temperature, VAS, NOSE, and NAR at pre-and post-surgery except for the difference between ExT and InT of overall airway and NOSE pre-operative (Pearson r = 0.57; 95% CI 0.06-1.09; P = .03).

Conclusion: Endonasal thermal imaging can assess the intranasal mucosal temperature of a patient. However, more precise imaging of the nasal passages and data acquisition are required to establish mucosal temperature as an objective measure of nasal obstruction before and after nasal airway surgery in a clinical setting.

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鼻腔气道手术前后的鼻内热成像。

目的：当治疗无法缓解鼻阻塞时，通常会采用鼻气道手术。然而，改善气流的手术并不总能减轻鼻阻塞的症状。鼻腔呼吸的感觉可能与粘膜温度的变化而非气流或压力的机械感觉有更大的关系。本研究旨在使用鼻内热成像技术测量手术前后的鼻腔内粘膜温度，探讨其与主观鼻呼吸和客观气流测量的相关性：对接受鼻腔气道手术治疗的成年鼻塞患者进行了一项前瞻性研究。使用红外辐射热摄像机（FILR VS290）生成的鼻腔内热图像测定鼻腔内粘膜温度。比较了手术前后呼气中段（ExT）和吸气中段（InT）温度数据（鼻内瓣、鼻腔、下鼻甲和整个气道[平均值]）以及视觉模拟量表（VAS）、鼻阻塞症状评估量表（NOSE）和鼻气道阻力（NAR）的平均值：共纳入七名患者（35.14 ± 16.45 岁，女性占 57.14%）。术后所有 NOSE、VAS 和 NAR 均有所改善（分别为 59.29 ± 10.89 vs 17.14 ± 14.64；P P 3/s；P = .002）。手术前后三个区域和整个气道的 ExT、InT 以及 ExT 与 InT 之间的差异相似。除了术前整体气道和 NOSE 的 ExT 与 InT 之间的差异（Pearson r = 0.57；95% CI 0.06-1.09；P = .03）之外，手术前后鼻内粘膜温度、VAS、NOSE 和 NAR 之间没有统计学意义上的相关性：结论：鼻内热成像可评估患者的鼻腔内粘膜温度。结论：鼻内热成像可评估患者的鼻腔内粘膜温度，但要在临床环境中将粘膜温度作为鼻腔气道手术前后鼻腔阻塞的客观测量指标，还需要更精确的鼻腔成像和数据采集。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of Otology Rhinology and Laryngology 医学-耳鼻喉科学

CiteScore

3.10

自引率

7.10%

发文量

171

审稿时长

4-8 weeks

期刊介绍： The Annals of Otology, Rhinology & Laryngology publishes original manuscripts of clinical and research importance in otolaryngology–head and neck medicine and surgery, otology, neurotology, bronchoesophagology, laryngology, rhinology, head and neck oncology and surgery, plastic and reconstructive surgery, pediatric otolaryngology, audiology, and speech pathology. In-depth studies (supplements), papers of historical interest, and reviews of computer software and applications in otolaryngology are also published, as well as imaging, pathology, and clinicopathology studies, book reviews, and letters to the editor. AOR is the official journal of the American Broncho-Esophagological Association.