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1 Department of Respiratory
Medicine and University of Sydney,
It has been
proposed that decreases in nasal resistance (Rn) during hypercapnia are
entirely due to vasoconstriction in the nasal cavity. We hypothesized
that alae nasi (AN) muscle activity dilates the nasal vestibule and
contributes to the decrease in Rn during hypercapnia. Nine normal
subjects were studied during hyperoxic hypercapnia (HH). Rn and
vestibular resistance (Rvest) for one nasal passage were measured
simultaneously with the AN electromyogram before and after nasal
decongestion. HH decreased Rvest from 1.6 ± 0.6 to 0.8 ± 0.9 cmH2O · l
1 · s
(predecongestant) and from 1.3 ± 0.8 to 0.6 ± 0.7 cmH2O · l
1 · s
(postdecongestant; both P < 0.01).
Nasal decongestant decreased Rn but not Rvest. Significant inverse
linear relationships between Rvest and AN electromyogram were
demonstrated for all subjects. We conclude that in normal subjects
during HH 1) decreases in Rvest are
predominantly due to increases in AN activity; and
2) decreases in Rn are due to a
combination of mucosal vasoconstriction and AN
activation.
upper airway physiology; hyperpnea; alae nasi electromyogram; nasal resistance; nasal vestibule
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