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Changes in Nasal Patency with Changes in Posture, Temperature, Humidity and Nasal Patency Seen by Acoustic Rhinometry - Article


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Clinical Trial: Changes in Nasal Patency with Changes in Posture, Temperature, Humidity and Nasal Patency Seen by Acoustic Rhinometry

This study is no longer recruiting patients.

Sponsors and Collaborators: University of Chicago
Sanofi-Aventis
Information provided by: University of Chicago
ClinicalTrials.gov Identifier: NCT00147888

Purpose

To study nasal physiologic responses to changes in posture, temperatures, humidity and nasal patency with acoustic rhinometry.
Condition Intervention Phase
Mucosal congestion
 Procedure: Acoustic rhinometry (procedure)
Phase IV

MedlinePlus consumer health information 

Study Type: Interventional
Study Design: Diagnostic, Non-Randomized, Open Label, Active Control, Single Group Assignment, Efficacy Study

Official Title: Physiological Changes in Nasal Patency in Response to Changes in Posture, Temperature, Humidity and Nasal Patency Measured by Acoustic Rhinometry

Further Study Details: 
Primary Outcomes: Changes in nasal patency
Secondary Outcomes: Nasal volume
Expected Total Enrollment:  15

Study start: March 2004;  Study completion: September 2005
Last follow-up: August 2005;  Data entry closure: September 2005

The purpose of this study was to utilize acoustic rhinometry to assess changes in nasal patency after alterations in posture, unilateral mechanical obstruction, temperature, and humidity.

Eight healthy adult volunteer subjects underwent acoustic rhinometry under the following conditions: 1) upright, sitting position (control), 2) supine position, 3) left lateral recumbent position, 4) one nostril mechanically blocked, 5) icepack on neck, 6) drinking cold water, 7) drinking hot water, 8) nasal nebulizer, 9)oxymetazoline decongestant.

Changes in nasal cavity volumes were detected by acoustic rhinometry after alterations in posture, unilateral mechanical obstruction, temperature, and humidity. Nebulizer treatment and hot water ingestion caused a sugnificant decrease in nasal volume. The nose was able to adapt to environmental and physiological changes in order to maintain a consistent total nasal volume.

Eligibility

Ages Eligible for Study:  18 Years   -   58 Years,  Genders Eligible for Study:  Both

Accepts Healthy Volunteers

Criteria

Inclusion Criteria:

  • Healthy volunteers, 18-58 years old

Exclusion Criteria:

  • Any nasal symptoms in the last 3 weeks
  • Marked septal deviation/polpysis/infection
  • Any history of allergy, asthma or immunodeficiency
  • Any systemic condition or infection (e.g., hypertension/diabetes/heart, liver, thyroid or kidney disease
  • Any spine or neck condition that would not allow normal postures
  • Pregnancy

Location Information


Illinois
      The University of Chicago, Chicago,  Illinois,  60637,  United States

Study chairs or principal investigators

Jacquelynne P. Corey, M.D.,  Principal Investigator,  University of Chicago   

More Information

Publications

Lundqvist GR, Pedersen OF, Hilberg O, Nielsen B. Nasal reaction to changes in whole body temperature. Acta Otolaryngol. 1993 Nov;113(6):783-8.

Yamagiwa M, Hilberg O, Pedersen OF, Lundqvist GR. Evaluation of the effect of localized skin cooling on nasal airway volume by acoustic rhinometry. Am Rev Respir Dis. 1990 Apr;141(4 Pt 1):1050-4.

DRETTNER B. VASCULAR REACTIONS ON THE INTAKE OF FOOD AND DRINK OF VARIOUS TEMPERATURES. Acta Otolaryngol. 1964;121:SUPPL 188:249+ No abstract available.

Kase Y, Hilberg O, Pedersen OF. Posture and nasal patency: evaluation by acoustic rhinometry. Acta Otolaryngol. 1994 Jan;114(1):70-4.

Fouke JM, Jackson AC. Acoustic rhinometry: effects of decongestants and posture on nasal patency. J Lab Clin Med. 1992 Apr;119(4):371-6.

Haight JJ, Cole P. Reciprocating nasal airflow resistances. Acta Otolaryngol. 1984 Jan-Feb;97(1-2):93-8.

Hasegawa M. Nasal cycle and postural variations in nasal resistance. Ann Otol Rhinol Laryngol. 1982 Jan-Feb;91(1 Pt 1):112-4. No abstract available.

Rundcrantz H. Postural variations of nasal patency. Acta Otolaryngol. 1969 Nov;68(5):435-43. No abstract available.

Bickford L, Shakib S, Taverner D. The nasal airways response in normal subjects to oxymetazoline spray: randomized double-blind placebo-controlled trial. Br J Clin Pharmacol. 1999 Jul;48(1):53-6.

Mamikoglu B, Houser S, Akbar I, Ng B, Corey JP. Acoustic rhinometry and computed tomography scans for the diagnosis of nasal septal deviation, with clinical correlation. Otolaryngol Head Neck Surg. 2000 Jul;123(1 Pt 1):61-8.

Corey JP, Gungor A, Nelson R, Fredberg J, Lai V. A comparison of the nasal cross-sectional areas and volumes obtained with acoustic rhinometry and magnetic resonance imaging. Otolaryngol Head Neck Surg. 1997 Oct;117(4):349-54.

Corey JP, Nalbone VP, Ng BA. Anatomic correlates of acoustic rhinometry as measured by rigid nasal endoscopy. Otolaryngol Head Neck Surg. 1999 Nov;121(5):572-6.

Hendley JO, Abbott RD, Beasley PP, Gwaltney JM Jr. Effect of inhalation of hot humidified air on experimental rhinovirus infection. JAMA. 1994 Apr 13;271(14):1112-3.

Forstall GJ, Macknin ML, Yen-Lieberman BR, Medendrop SV. Effect of inhaling heated vapor on symptoms of the common cold. JAMA. 1994 Apr 13;271(14):1109-11.

Witek TJ Jr, Canestrari DA, Hernandez JR, Miller RD, Yang JY, Riker DK. Superficial nasal mucosal blood flow and nasal patency following topical oxymetazoline hydrochloride. Ann Allergy. 1992 Feb;68(2):165-8.

Corey JP, Kemker BJ, Nelson R, Gungor A. Evaluation of the nasal cavity by acoustic rhinometry in normal and allergic subjects. Otolaryngol Head Neck Surg. 1997 Jul;117(1):22-8.

Mamikoglu B, Houser SM, Corey JP. An interpretation method for objective assessment of nasal congestion with acoustic rhinometry. Laryngoscope. 2002 May;112(5):926-9.

Taverner D, Bickford L, Shakib S, Tonkin A. Evaluation of the dose-response relationship for intra-nasal oxymetazoline hydrochloride in normal adults. Eur J Clin Pharmacol. 1999 Sep;55(7):509-13.

Study ID Numbers:  13028A
Last Updated:  September 9, 2005
Record first received:  September 2, 2005
ClinicalTrials.gov Identifier:  NCT00147888
Health Authority: United States: Institutional Review Board
ClinicalTrials.gov processed this record on 2005-09-13

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Page Updated: June 1, 2005
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