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INSERM U492, Service d'ORL et de Chirurgie cervico-faciale des Hôpitaux Intercommunal et Henri Mondor, Service de Physiologie-Explorations Fonctionnelles, Assistance Publique-Hôpitaux de Paris, Hôpital Henri Mondor, Créteil, France
To explore the determinants of
possible collapse of the nasal valve region, a common cause of nasal
obstruction, we evaluated the mechanical properties of the nasal wall.
In this study, we determined the nasal cross-sectional area-to-negative
pressure ratio (nasal wall compliance) in the anterior part of the nose in six healthy subjects by measuring nasal area by acoustic rhinometry at pressures ranging from atmospheric pressure to a negative pressure of
10 cmH2O. Measurements were performed at baseline and
after nasal mucosal decongestion (oxymetazoline). At baseline, nasal wall compliance increased progressively from the nasal valve
(0.031 ± 0.016 cm2/cmH2O, mean ± SD) to the anterior and medial part of the inferior turbinate
(0.045 ± 0.024 cm2/cmH2O) and to the
middle meatus region (0.056 ± 0.029 cm2/cmH2O). After decongestant, compliances
decreased and became similar in the three regions. On the basis of
these results, we hypothesize that compliance of the nasal wall is
partly related to mucosal blood volume and quantity of vascular tissue,
which differ in the three regions, increasing from the nasal valve to the middle meatus.
nasal physiology; oxymetazoline
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