Salih ÇANAKÇIOĞLU, Rauf TAHAMİLER, Hüseyin IŞILDAK

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Akustik rinometri

Akustik rinometri ülkemizde henüz kullanılmaya başlanmış yeni bir nazal fonksiyonları ölçüm yöntemidir. Akustik rinometri bilimsel çalışma ve klinik değerlendirme amaçlı kullanılabilir. Akustik rinometri ile normal nazal anotomi, nazal siklüs, ilaçların nazal kaviteye etkileri, septal deviasyon, konka hipertrofisi ve nazal polipozis gibi bazı hastalHardaki değişikleri ve nazal cerrahinin etkileri değerlendirilebilir. Akustik rinometri kısaca nazal boşluğa ses dalgası gönderip, yansımasına bağlı olarak burun içi kesitsel alanlar ve bu alanların burun deliğinden uzaklığı hakkında bilgi veren bir cihazdır. Yapılan çalışmalarda akustik rinometri nazal kavitenin ön ve orta kısımlarında güvenle kullanılabildiği gösterilmiştir. Yumuşak damağın hareketi ve paranazal sinüsler nedeniyle nazal kavitenin arka bölümü ve nazofarenksin volüm ölçümünde güvenilir olmayan değişken sonuçlar çıkabilir. Sonuç olarak, akustik rinometri yöntemi, deviasyon ve konka hipertrofili hastaların tespiti için kullanılabilir bir yöntemdir ve hastanın semptomları ile klinik muayene bulgularıyla örtüşmektedir. Ancak akustik rinometriyi daha önce belirtildiği gibi kişinin boy ve kilo değişiminden etkilendiği için grupları kıyaslamada sorunlar ile karşılaşılabilmektedir ve ortaya çıkan bulguların doğruluk payı azalmaktadır. Bu da bu verilerin ancak hastanın semptomları ve klinik muayene bulgularıyla örtüşebildiğinde kullanılabilir ve güvenilir olduğunu göstermektedir.

Acoustic rhinometry

Acoustic rhinometry (AR) is a new method to evaluate nasal functions in our country. Acoustic rhinometry can be used for scientific study and also practice. AR measurements have been used for scientific and clinical purposes. The method has been used to detect normal anatomy, nasal cycle, drug actions in the nasal cavity, changes in some disorders such as nasal polyposis or septal deviations and the effects of surgical treatment. Briefly, the method involves measurements of cross sectional area and acoustic reflections from the nasal cavity of a sound pulse and produced by a spark in a sound tube connected to the nasal cavity via a nosepiece. Acustic rhinometry is a clinically reliable method for measuring nasal cavity geometry in the anterior and middle parts of the nasal cavity. The acoustic values for the cross-sectional area shows the effects of transmission loss and oscillation artifacts because of soft plate movement and paranasal sinus. Therefore the accuracy of acustic rhinometry for posterior of nasal cavity is controversial. Finally, acoustic rhinometry can be used to detect the patients with septal deviation and concha hypertrophy. However, it should be supported with clinical examination and patients' symptoms. And also we can get some problems to evaluate the groups by Acustic rhinometry due to difference weight and height in the groups.
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Cerrahpaşa Tıp Dergisi-Cover
  • ISSN: 1300-5227
  • Başlangıç: 1998
  • Yayıncı: -
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