Download PDF
Facial Plast Surg 2016; 32(01): 017-021
DOI: 10.1055/s-0035-1570323
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Nasal Airway: A Critical Review

Capi C. Wever
1   Department of Otolaryngology, Head and Neck Surgery, Leiden University Medical Center, Leiden, The Netherlands
› Author Affiliations
Further Information

Publication History

Publication Date:
10 February 2016 (online)

    Permissions and Reprints

Abstract

Functional nasal surgery is frequently performed and deeply embedded in otolaryngology. However, unequivocal proof of its efficacy is still pending, leading some health authorities toward restrictive policies. In this article, we review the evidence and suggest that reexamining the paradigm of functional nasal surgery may be appropriate.

Keywords

nasal airway obstruction - surgery - review - patient-reported outcome - objective measures
 

  • References

  • 1 Vainio-Mattila J. Correlations of nasal symptoms and signs in random sampling study. Acta Otolaryngol Suppl 1974; 318: 1-48
    PubMedGoogle Scholar
  • 2 Jessen M, Ivarsson A, Malm L. Nasal airway resistance and symptoms after functional septoplasty: comparison of findings at 9 months and 9 years. Clin Otolaryngol Allied Sci 1989; 14 (3) 231-234
    CrossrefPubMedGoogle Scholar
  • 3 Open DIS Data. Available at: www.opendisdata.nl
    PubMedGoogle Scholar
  • 4 Bhattacharyya N. Ambulatory sinus and nasal surgery in the United States: demographics and perioperative outcomes. Laryngoscope 2010; 120 (3) 635-638
    CrossrefPubMedGoogle Scholar
  • 5 Moore M, Eccles R. Objective evidence for the efficacy of surgical management of the deviated septum as a treatment for chronic nasal obstruction: a systematic review. Clin Otolaryngol 2011; 36 (2) 106-113
    CrossrefPubMedGoogle Scholar
  • 6 Praktijkvariatie KNO: concept analyse septumchirurgie en bijholte chirurgie. DBC onderhoud 2015.
    PubMedGoogle Scholar
  • 7 Dartmouth Atlas. Available at: www.dartmouthatlas.org
    PubMedGoogle Scholar
  • 8 Lee MK, Most SP. Evidence-based medicine: rhinoplasty. Facial Plast Surg Clin North Am 2015; 23 (3) 303-312
    CrossrefPubMedGoogle Scholar
  • 9 Roblin DG, Eccles R. What, if any, is the value of septal surgery?. Clin Otolaryngol Allied Sci 2002; 27 (2) 77-80
    CrossrefPubMedGoogle Scholar
  • 10 Nasal Septal Surgery. ENTUK position paper 2010. London, England: ENT UK; 2010
    Google Scholar
  • 11 Eccles R. Nasal airflow in health and disease. Acta Otolaryngol 2000; 120 (5) 580-595
    CrossrefPubMedGoogle Scholar
  • 12 Cole P. Nasal and oral airflow resistors. Site, function, and assessment. Arch Otolaryngol Head Neck Surg 1992; 118 (8) 790-793
    CrossrefPubMedGoogle Scholar
  • 13 Keck T, Lindemann J. Numerical simulation and nasal air-conditioning. GMS Curr Top Otorhinolaryngol Head Neck Surg 2010; 9: Doc08
    PubMedGoogle Scholar
  • 14 Kjaergaard T, Cvancarova M, Steinsvåg SK. Does nasal obstruction mean that the nose is obstructed?. Laryngoscope 2008; 118 (8) 1476-1481
    CrossrefPubMedGoogle Scholar
  • 15 Clement PA, Halewyck S, Gordts F, Michel O. Critical evaluation of different objective techniques of nasal airway assessment: a clinical review. Eur Arch Otorhinolaryngol 2014; 271 (10) 2617-2625
    CrossrefPubMedGoogle Scholar
  • 16 Naito K, Iwata S. Current advances in rhinomanometry. Eur Arch Otorhinolaryngol 1997; 254 (7) 309-312
    CrossrefPubMedGoogle Scholar
  • 17 Chaves C, de Andrade CR, Ibiapina C. Objective measures for functional diagnostic of the upper airways: practical aspects. Rhinology 2014; 52 (2) 99-103
    PubMedGoogle Scholar
  • 18 André RF, Vuyk HD, Ahmed A, Graamans K, Nolst Trenité GJ. Correlation between subjective and objective evaluation of the nasal airway. A systematic review of the highest level of evidence. Clin Otolaryngol 2009; 34 (6) 518-525
    CrossrefPubMedGoogle Scholar
  • 19 Jessen M, Malm L. The importance of nasal airway resistance and nasal symptoms in the selection of patients for septoplasty. Rhinology 1984; 22 (3) 157-164
    PubMedGoogle Scholar
  • 20 Wang T, Han D, Zhang L, Zang H, Li Y, Liu C. A modified septoplasty with three high tension lines resection. Acta Otolaryngol 2010; 130 (5) 593-599
    CrossrefPubMedGoogle Scholar
  • 21 Singh A, Patel N, Kenyon G, Donaldson G. Is there objective evidence that septal surgery improves nasal airflow?. J Laryngol Otol 2006; 120 (11) 916-920
    PubMedGoogle Scholar
  • 22 Sitzia J, Wood N. Patient satisfaction: a review of issues and concepts. Soc Sci Med 1997; 45 (12) 1829-1843
    CrossrefPubMedGoogle Scholar
  • 23 Lipan MJ, Most SP. Development of a severity classification system for subjective nasal obstruction. JAMA Facial Plast Surg 2013; 15 (5) 358-361
    CrossrefPubMedGoogle Scholar
  • 24 Rhee JS, Arganbright JM, McMullin BT, Hannley M. Evidence supporting functional rhinoplasty or nasal valve repair: A 25-year systematic review. Otolaryngol Head Neck Surg 2008; 139 (1) 10-20
    CrossrefPubMedGoogle Scholar
  • 25 Sitzia J. How valid and reliable are patient satisfaction data? An analysis of 195 studies. Int J Qual Health Care 1999; 11 (4) 319-328
    CrossrefPubMedGoogle Scholar
  • 26 Fitzpatrick R. Surveys of patients satisfaction: I—Important general considerations. BMJ 1991; 302 (6781) 887-889
    CrossrefPubMedGoogle Scholar
  • 27 Lam DJ, James KT, Weaver EM. Comparison of anatomic, physiological, and subjective measures of the nasal airway. Am J Rhinol 2006; 20 (5) 463-470
    CrossrefPubMedGoogle Scholar
  • 28 Naito K, Iwata S, Kondo M, Ohoka E, Cole P. A fundamental study of rhinomanometry and its clinical application to objective evaluation. Auris Nasus Larynx 1989; 16 (2) 99-108
    CrossrefPubMedGoogle Scholar
  • 29 Surowitz J, Lee MK, Most SP. Anterior septal reconstruction for treatment of severe caudal septal deviations: clinical severity and outcomes. Otolaryngol Head Neck Surg 2015; 153 (1) 27-33
    CrossrefPubMedGoogle Scholar
  • 30 Batra PS, Seiden AM, Smith TL. Surgical management of adult inferior turbinate hypertrophy: a systematic review of the evidence. Laryngoscope 2009; 119 (9) 1819-1827
    CrossrefPubMedGoogle Scholar
  • 31 Spielmann PM, White PS, Hussain SS. Surgical techniques for the treatment of nasal valve collapse: a systematic review. Laryngoscope 2009; 119 (7) 1281-1290
    CrossrefPubMedGoogle Scholar
  • 32 Voerman MS, Langeveld AP, van Rossum MA. Retrospective study of 116 patients with non-organic voice disorders: efficacy of mental imagery and laryngeal shaking. J Laryngol Otol 2009; 123 (5) 528-534
    CrossrefPubMedGoogle Scholar
  • 33 Kimbell JS, Garcia GJ, Frank DO, Cannon DE, Pawar SS, Rhee JS. Computed nasal resistance compared with patient-reported symptoms in surgically treated nasal airway passages: a preliminary report. Am J Rhinol Allergy 2012; 26 (3) e94-e98
    PubMedGoogle Scholar
  • 34 Rotenberg BW, Pang KP. The impact of sinus surgery on sleep outcomes. Int Forum Allergy Rhinol 2015; 5 (4) 329-332
    CrossrefPubMedGoogle Scholar
  • 35 Kotecha B. The nose, snoring and obstructive sleep apnoea. Rhinology 2011; 49 (3) 259-263
    PubMedGoogle Scholar
  • 36 Becker DG, Ransom E, Guy C, Bloom J. Surgical treatment of nasal obstruction in rhinoplasty. Aesthet Surg J 2010; 30 (3) 347-378 , quiz 379–380
    CrossrefPubMedGoogle Scholar