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Nasal Surgery: Physiological Considerations of Nasal Obstruction

Nasal Surgery: Physiological Considerations of Nasal Obstruction Abstract CONTINUED medical contributions have been made in the field of pulmonary physiology, especially in the last decade, with the development of medical electronics. However, little attention has been paid to nasal breathing by most pulmonary physiologists. By applying the methods which are widely employed for pulmonary function tests, to nasal as well as mouth respiration, we have shown that nasal obstruction has a definite influence on pulmonary functions.1-4 This paper deals with changes in pulmonary mechanics in patients with nasal obstruction, through the separation of pulmonary resistance into its components, airway and pulmonary tissue resistance. Preoperative and postoperative data is presented showing the return of various abnormalities in function to normal following successful nasal surgery upon the obstructed nose. Review of Literature A few pulmonary physiologists such as Speizer et al5 and Ferris et al,6 using their own techniques, measured the resistance of various parts of the References 1. Ogura, J.H., et al: Experimental Observations on the Relationships Between Upper Airway Obstruction and Pulmonary Function , Ann Otol 73:381, 1964. 2. Togawa, K., and Ogura, J.H.: Physiologic Relationships Between Nasal Breathing and Pulmonary Function , Laryngoscope 76:30, 1966.Crossref 3. Ogura, J.H., et al: Nasal Obstruction and the Mechanics of Breathing , Arch Otolaryng 83:135, 1966.Crossref 4. Unno, T.; Nelson, J.R.; and Ogura, J.H.: The Effect of Nasal Obstruction on Pulmonary, Airway and Tissue Resistance , Laryngoscope 78: ( (July) ) 1968. 5. Speizer, F.E., and Frank, N.R.: A Technique for Measuring Nasal and Flow Resistance Simultaneously , J Appl Physiol 19:176, 1964. 6. Ferris, B.G., et al: Partitioning of Respiratory Flow Resistance in Man , J Appl Physiol 19:653, 1964. 7. Luscher, E.: Die Alkalireserve des Blutes Bei Behinderter Nasenatmung und Bei Tonsillenhyperplasie , Acta Otolaryng 14:90, 1930.Crossref 8. Sercer, A.: Investigations sur l'influence reflectoire de la cavite nasale sur le poumon du meme cote , Acta Otolaryng 14:82, 1930.Crossref 9. Radford, E.P., Jr.: " Static Mechanical Properties of Mammalian Lungs ," in Handbook of Physiology , American Physiological Society, sec. 3, vol 1, p 429, 1964. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Nasal Surgery: Physiological Considerations of Nasal Obstruction

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Publisher
American Medical Association
Copyright
Copyright © 1968 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1968.00770010290016
Publisher site
See Article on Publisher Site

Abstract

Abstract CONTINUED medical contributions have been made in the field of pulmonary physiology, especially in the last decade, with the development of medical electronics. However, little attention has been paid to nasal breathing by most pulmonary physiologists. By applying the methods which are widely employed for pulmonary function tests, to nasal as well as mouth respiration, we have shown that nasal obstruction has a definite influence on pulmonary functions.1-4 This paper deals with changes in pulmonary mechanics in patients with nasal obstruction, through the separation of pulmonary resistance into its components, airway and pulmonary tissue resistance. Preoperative and postoperative data is presented showing the return of various abnormalities in function to normal following successful nasal surgery upon the obstructed nose. Review of Literature A few pulmonary physiologists such as Speizer et al5 and Ferris et al,6 using their own techniques, measured the resistance of various parts of the References 1. Ogura, J.H., et al: Experimental Observations on the Relationships Between Upper Airway Obstruction and Pulmonary Function , Ann Otol 73:381, 1964. 2. Togawa, K., and Ogura, J.H.: Physiologic Relationships Between Nasal Breathing and Pulmonary Function , Laryngoscope 76:30, 1966.Crossref 3. Ogura, J.H., et al: Nasal Obstruction and the Mechanics of Breathing , Arch Otolaryng 83:135, 1966.Crossref 4. Unno, T.; Nelson, J.R.; and Ogura, J.H.: The Effect of Nasal Obstruction on Pulmonary, Airway and Tissue Resistance , Laryngoscope 78: ( (July) ) 1968. 5. Speizer, F.E., and Frank, N.R.: A Technique for Measuring Nasal and Flow Resistance Simultaneously , J Appl Physiol 19:176, 1964. 6. Ferris, B.G., et al: Partitioning of Respiratory Flow Resistance in Man , J Appl Physiol 19:653, 1964. 7. Luscher, E.: Die Alkalireserve des Blutes Bei Behinderter Nasenatmung und Bei Tonsillenhyperplasie , Acta Otolaryng 14:90, 1930.Crossref 8. Sercer, A.: Investigations sur l'influence reflectoire de la cavite nasale sur le poumon du meme cote , Acta Otolaryng 14:82, 1930.Crossref 9. Radford, E.P., Jr.: " Static Mechanical Properties of Mammalian Lungs ," in Handbook of Physiology , American Physiological Society, sec. 3, vol 1, p 429, 1964.

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Sep 1, 1968

References

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