Relationship between clinical examination findings and objective nasal patency measures in structural nasal obstruction: a systematic review.

IF 1.1 4区医学 Q3 OTORHINOLARYNGOLOGY

Journal of Laryngology and Otology Pub Date : 2025-01-03 DOI:10.1017/S002221512400210X

Pavithran Maniam, Ian Wei Lim, Kim Hui Lim, Sean Carrie, James O'Hara

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引用次数: 0

Abstract

Background: The relationship between clinical examination findings and objective nasal patency measures in structural nasal obstruction remains uncertain. This review aims to explore the relationship between clinical nasal examination findings and objective nasal patency measures using acoustic rhinometry, peak nasal inspiratory flow, rhinomanometry and rhinospirometry.

Methods: Qualitative systematic review using the Preferred Reporting Items for Systematic reviews and Meta-Analyses 2020 statement.

Results: A total of 17 articles were included in the systematic review. Several studies showed a positive relationship between objective nasal patency measures and clinical nasal examination findings, however evidence in the literature is limited and confined to cohort studies. Objective nasal patency measures using acoustic rhinometry, rhinomanometry and rhinospirometry assessment correlate positively in severe anterior septal deviation but its role in assessing middle/posterior and mild/moderate septal deviation in isolation remains uncertain. There is limited evidence in the literature to assess the relationship between peak nasal inspiratory flow and clinical examination findings.

Conclusion:

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结构性鼻塞临床检查结果与客观鼻通畅措施的关系：系统综述。

背景：结构性鼻塞的临床检查结果与客观鼻通畅措施之间的关系尚不明确。本文旨在探讨临床鼻检查结果与客观鼻通畅测量的关系，包括声学鼻测量、鼻吸峰流量、鼻压测量和鼻压测量。方法：使用首选报告项目进行定性系统评价，用于系统评价和元分析2020声明。结果：系统评价共纳入17篇文献。一些研究显示客观鼻通畅测量与临床鼻检查结果之间存在正相关关系，但文献证据有限，且仅限于队列研究。目的采用声学鼻测量法、鼻压测量法和鼻压测量法评估鼻通畅程度与重度鼻中隔偏曲呈正相关，但其在孤立情况下评估中/后和轻度/中度鼻中隔偏曲中的作用尚不确定。有有限的证据在文献中评估峰值鼻吸气流量和临床检查结果之间的关系。结论:

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

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.