Mandibular Advancement Achieved through a Stepped Mouthpiece Design Can Change the Size of the Upper Airways

Presented at Respiratory Drug Delivery 2010, Orlando, Florida April, 2010 Authors: Kurt Nikander, Ian Petherbridge, Eugene Scargerry, dirk Von Hollen, John Viviano, Henry Chrystyn Summary: “Maximal lung deposition of inhaled aerosols is important in the treatment of respiratory diseases. The upper airways are known to affect the deposition of aerosol in the lungs. The design…

Confirming Nasal Airway Patency Observed on Panoramic and Posterior-Anterior Cephalometric Radiographs Using an Acoustic Rhinometer

(Accepted for Publication, 11/23/2009) Authors: Jorge Landa, Alfred Rich, and Matthew Finkelman Conclusion: “A very strong correlation was found between the anterior nasal cross-sectional area calculated from the radiographs, and the anterior nasal cross-sectional area and nasal volume from the rhinometer. “The acoustic rhinometer can be a very instrumental and reliable adjunct during the course…

Short- and Long-term effects of CPAP on upper airway anatomy and collapsibility in OSAH

Sleep Breath, 2009 Authors: L. Corda, S. Redolfi, L. Taranto Montemurro, G E. La Piana, E. Bertella, C. Tantucci Intro: “More easily and rapidly than MRI, acoustic pharyngometry can be used to assess the UA caliber and its change in OSAH patients.” Methods: “Acoustic pharyngometry UA anatomy was evaluated in the supine position by means…

Role of Extracellular Fluid Volume in Inducing or Aggravating Obstructive Sleep Apnea-Hypopnea in Patients with Resistant Hypertension

Prosserman Centre for Health Research (Samuel Lunenfeld Research Institute), Mount Sinai Hospital, 2009 Author: Oded Friedman Discussion: Lower Body Positive Pressure Experiment “Upper airway cross-sectional area was determined using acoustic pharyngometry (Eccovision Acoustic pharyngometry; Sleep Group Solutions, Miami, Fl) at end-expiration. Two parameters, oropharyngeal junction area and mean cross-sectional area from the velum to the…

Nasal Cavity Geometry of Healthy Adults Assessed Using Acoustic Rhinometry

Brazilian Journal of Otorhinolaryngology, 2008 Authors: A. de Oliveira Camargo Gomes, A. C. Martins Sampaio-Teixeira, S. H. Kiemle Trinadade, I. E. Kiemle Trinadade Conclusion: “This study used acoustic rhinometry to determine the reference values for nasal cross-sectional areas to be used, for comparison purposes, in the analysis of adults with functional and/or anatomical nasal obstruction.…

Adherence to Continuous Positive Airway Pressure Therapy

The Proceedings of the American Thoracic Society , 2008 Authors: Terri E. Weaver and Ronald R. Grunstein Relevance: “There is emerging evidence that increased nasal resistance affects CPAP use and initial acceptance of this treatment. Using acoustic rhinometry to measure the internal dimensions of the airway, those patients with smaller nasal cross-sectional area and reduced…

Heritability of Upper Airway Dimensions Derived Using Acoustic Pharyngometry

European Respiratory Journal, 2008 Authors: S. R. Patel, MD, J. M. Frame, E. K. Larkin, PhD, Susan Redline, MD, MPH Conclusion: “Our results suggest that upper airway dimensions derived via acoustic pharyngometry demonstrate substantial intra-familial correlation.” “Acoustic pharyngometry, because of its ease of use, is ideally suited for the study of the thousands of subjects…

REM-associated Nasal Obstruction: A study with acoustic rhinometry during sleep.

Otolaryngology and head and neck surgery, 2008 Authors: Morris, L., Burschtin, O., Setlur, J., Bommelje C., Lee, K.C., Jacobs, J. B., Lebowitz, R. A. Objective: Obstructive sleep apnea events are more common in REM sleep, although there is no relationship between sleep phase and pharyngeal airway status. We studied the patency of the nasal airway…

Oral appliances for the treatment of obstructive sleep apnea

Asian Biomedicine, 2007 Author: Robert L. Horchover Discussion: “Oral devices are not for every patient. An adequate evaluation should include a full medical examination and polysomnography to document sleep apnea severity and screening for predisposing factors associated with neck and shoulder muscles, including mandibular range of motion, occlusion, dentition and the intra-oral anatomy, tongue size…

Acoustic Pharyngometry: Clinical and Instrumental Correlations in Sleep Disorders

Revista Brasileira de Otorrinolaringologia, 2007 Authors: M. Gelardi, A. Maselli del Giudice, F. Cariti, m. Cassano, A. Castelante Farras, J. L. Fiorella, P. Cassano Conclusion: “In our experience, acoustic pharyngometry allowed the precise observation of oral, pharyngeal and laryngeal cross-sections in the groups we studied by defining a characteristic and easily recognized airway network geometry.”…

Alterations in upper airway cross-sectional area in response to lower body positive pressure in healthy subjects

Thorax, 2007 Authors: S. Shiota, C. M. Ryan, K.L. Chiu, P. Ruttanaumpawan, J. Haight, M. Arzt, J. S. Floras, C. Chan and T. D. Bradley Conclusion: “In healthy subject, displacement of fluid from the legs by LBPP causes distension of the neck and narrowing of the UA lumen. Fluid displacement from the lower to the…

Acoustic Rhinometry, the only assessment tool able to measure the cross sectional area of the nasal cavity, was used in measuring post op turbinoplasty outcomes at 12 months.

Laryngoscope. 2006 May;116(5):729-34. Comparative study on the long-term effectiveness between coblation- and microdebrider-assisted partial turbinoplasty. Lee JY1, Lee JD. Author information 1 Department of Otorhinolaryngology, Soonchunhyang University College of Medicine, Bucheon, South Korea. jyent@schbc.ac.kr Abstract OBJECTIVES: Various surgical methods have been tried to relieve the symptoms of nasal obstruction in patients with inferior turbinate hypertrophy.…

Physiological change in nasal patency in response to changes in posture, temperature, and humidity measured by acoustic rhinometry.

American journal of rhinology 2006;20(5):456-62. Authors, Lal Devyani; Gorges Melissa L; Ungkhara Girapong; Reidy Patrick M; Corey Jacquelynne P Abstract: BACKGROUND: Acoustic rhinometry has been used to assess nasal patency and to calculate nasal cavity volume. This study used acoustic rhinometry to assess changes in nasal patency after alterations in posture, unilateral mechanical obstruction, temperature,…