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Lookup NU author(s): Dr Pavithran Maniam, Sean Carrie, James O'HaraORCiD
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
Copyright © The Author(s), 2025. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED. Background: The relationship between clinical examination findings and objective nasal patency measures (ONPM) in structural nasal obstruction remains uncertain. Objective: This review aims to explore the relationship between clinical nasal examination findings and ONPM using acoustic rhinometry, PNIF, rhinomanometry and rhinospirometry. Methods Qualitative systematic review using the PRISMA 2020 statement Results: 17 articles were included in the systematic review. Several studies showed a positive relationship between ONPM and clinical nasal examination findings, however evidence in the literature is limited and confined to cohort studies. ONPM using acoustic rhinometry, rhinomanometry and rhinospirometry assessment correlate positively in severe anterior septal deviation but its role in assessing middle/posterior and mild/moderate septal deviation in isolation remains uncertain. There is limited evidence in the literature to assess the relationship between PNIF and clinical examination findings. Conclusion: ONPM has a limited role in supporting clinical examination findings in severe structural nasal obstruction.
Author(s): Maniam P, Lim IW, Lim KH, Carrie S, O'Hara J
Publication type: Review
Publication status: Published
Journal: Journal of Laryngology and Otology
Year: 2025
Pages: Epub ahead of print
Online publication date: 03/01/2025
Acceptance date: 02/04/2018
ISSN (print): 0022-2151
ISSN (electronic): 1748-5460
Publisher: Cambridge University Press
URL: https://doi.org/10.1017/S002221512400210X
DOI: 10.1017/S002221512400210X
PubMed id: 39748778
