Akustik Rinometri

Yıl 2006, Cilt: 37 Sayı: 4, 155 - 161, 19.07.2014

Rauf Tahamiler Hüseyin Işıldak Salih Çanakçıoğlu

Öz

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 hastalılardaki 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.

Anahtar Kelimeler

Akustik rinometri, normal nazal fonksiyonlar, septum deviasyonu, konka hipertrofisi

Kaynakça

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