Cited by 160Nasal Surgery and Airway StudiesSinusitis and nasal conditionsAllergic Rhinitis and Sensitization

Measurements of nasal airflow and patency: a critical review with emphasis on the use of peak nasal inspiratory flow in daily practice

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Ottaviano, G., Fokkens, W. J.·2016·Allergy

Abstract

Objective measures can be used to assist the clinician to diagnose and treat nasal obstruction and also to quantify nasal obstruction in research. Objective measurements of nasal obstruction are as important as objective measurements of lung function. peak nasal inspiratory flow ( PNIF ), acoustic rhinometry ( AR ) and rhinomanometry ( RM ), with their specific peculiarity, assess different aspects of nasal obstruction. From the studies available in the literature, it seems that these methods roughly correlate with each other and that all of them can be alternatively utilized very well in research as well as in clinical practice. This review describes the various methods that can be used to measure nasal patency, airflow and resistance, mainly peak nasal inspiratory flow, rhinomanometry and acoustic rhinometry. PNIF has been demonstrated to be reproducible and as good an indication of objective nasal patency as formal rhinomanometry and has the advantage to be cheap, simple and suitable for serial measurements and for home use even in the paediatric population. PNIF normative data are available for children, adults and elderly subjects, and the availability of unilateral PNIF normal values allows evaluation of nasal sides separately. Just as in the lower airways, objective and subjective evaluation gives different information that together optimizes the diagnosis and the treatment of our patients. We argue that PNIF should be used regularly in every outpatient clinic that treats patients with nasal obstruction.

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  • Measurements cannot be taken if nasal collapse occurs or when there are very serious obstructions.

    “Measurements cannot be taken if nasal collapse occurs or when there are very serious obstructions [54].”

    From Position Paper on Nasal Obstruction: Evaluation and Treatment (2018) · cites this paper as [54]

    The indexed Abstract discusses methods for measuring nasal obstruction but does not address whether measurements become impossible during nasal collapse or very severe obstruction. Searches for those conditions and for measurement limitations found no passage establishing the claim. (LLM, conf=0.70)

    Experimental — accuracy not yet measured

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Authors
Ottaviano, G., & Fokkens, W. J.
Affiliations
  • University of Padua (IT)
  • Amsterdam UMC Location University of Amsterdam (NL)
Corresponding author
Fokkens, W. J.
Venue
Allergy
Publisher
Wiley
Published
2016-01-20
Volume
71
Issue
2
Pages
162-174
ISSN
  • 0105-4538 (ISSN-L)
  • 1398-9995
OpenAlex
W1867751925
Cited by
160
References
142
Citations by year
2026: 23 · 2025: 12 · 2024: 12 · 2023: 24 · 2022: 16 · 2021: 12 · 2020: 15 · 2019: 13 · 2018: 17 · 2017: 12 · 2016: 4
FWCI
2.11
Type
journal article
Language
en
Open access
Locations
  • Allergy (publishedVersion)
  • PubMed (publishedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
  • Pure Amsterdam UMC (submittedVersion, other-oa)
  • Padua Research Archive (University of Padova) (submittedVersion, other-oa)
Topics
  • Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
  • Health Sciences › Medicine › Otorhinolaryngology › Sinusitis and nasal conditions
  • Health Sciences › Medicine › Immunology and Allergy › Allergic Rhinitis and Sensitization
Keywords
nasal obstruction, peak nasal inspiratory flow, nasal patency, nasal airflow, nasal resistance, acoustic rhinometry, rhinomanometry, reference values, pediatric patients
MeSH terms
Airway Resistance, Humans, Nose, Respiratory Function Tests, Spirometry, Reproducibility of Results, Nasal Obstruction, Rhinometry, Acoustic, Rhinomanometry

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