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Role of spirometry in detection of nasal obstruction

  • M Farhadi (a1), H Ghanbari (a1), F Izadi (a1), E Amintehran (a1), M S Eikani (a2) and Y Ghavami (a1)...

A subjective feeling of nasal airflow obstruction is a common symptom. An objective method for quantitative measurement of nasal airflow has long been desired. Rhinomanometry and acoustic rhinometry have been developed for anatomical and physiological evaluation of nasal obstruction. This study was designed to determine the usefulness of a portable spirometer in assessing upper airway obstruction.


One hundred and ninety-six patients were assessed with nasal inspiratory spirometry to determine nasal airflow. All patients also underwent paranasal sinus computed tomography to determine anatomical abnormalities. Spirometry was performed on each nostril separately.


Sensitivity and specificity levels were high. This portable and easy to use device may be useful in respiratory assessment. Correlation between anatomical obstructions and subjects' complaints was statistically significant (p < 0.001), but no definite correlation between septal deviation severity and spirometric values was found.


Portable spirometry is an objective and useful method of evaluating nasal obstruction, but needs more investigation to establish a standardised test.

Corresponding author
Address for correspondence: Dr Hadi Ghanbari, Otolaryngologist–Head and Neck Surgeon, Department of Otolaryngology, ENT.HNS Research Center, Tehran University of Medical Sciences, Rasoul Akram Hospital/Tehran University of Medical Sciences, Sattarkhan Avenue, Tehran, Iran Fax: + 98 21 66525329 E-mail:
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1Jessen M, Janzon L. Prevalence of non-allergic nasal complaints in an urban and a rural population in Sweden. Allergy 1989;44:582–7
2Hanif J, Jawad SS, Eccles R. A study to assess the usefulness of a portable spirometer to quantify the severity of nasal septal deviation. Rhinology 2003;41:1115
3Min YG, Jung HW, Kim CS. Prevalence study of nasal septal deformities in Korea: results of a nation-wide survey. Rhinology 1995;33:61–5
4Eccles R. The relationship between subjective and objective measures of nasal function. Jap J Rhinol 1998;37:61–9
5Belić B, Andrić V. Importance of active anterior rhinomanometry. Srp Arh Celok Lek 2002;130(suppl 1):33–6
6Schumacher MJ. Nasal congestion and airway obstruction: the validity of available objective and subjective measures. Curr Allergy Asthma Rep 2002;2:245–51
7Hanif J, Eccles R, Jawad SS. Use of a portable spirometer for studies on the nasal cycle. Am J Rhinol 2001;15:303–6
8Suzina AH, Hamzah M, Samsudin AR. Objective assessment of nasal resistance in patients with nasal disease. J Laryngol Otol 2003;117:609–13
9Kim CS, Moon BK, Jung DH, Min YG. Correlation between nasal obstruction symptoms and objective parameters of acoustic rhinometry and rhinomanometry. Auris Nasus Larynx 1998;25:45–8
10Roblin DG, Eccles R. Normal range for nasal partitioning of airflow determined by nasal spirometry in 100 healthy subjects. Am J Rhinol 2003;17:179–83
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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