日本頭蓋顎顔面外科学会誌
Online ISSN : 2433-7838
Print ISSN : 0914-594X
原著
鼻弁狭窄の概念の普及とCT検査を用いた客観的検査法の確立 第1報
積山 真也宮脇 剛司梅田 剛森 恵莉飯村 慈朗浅香 大也鴻 信義
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ジャーナル 認証あり

2018 年 34 巻 3 号 p. 103-109

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抄録

  Although the concept of nasal valve obstruction(collapse)is gradually spreading in Asia, there is no objective evaluation method. As nasal obstruction evaluated by standard methods is considered normal, there are many patients who have not been evaluated appropriately and their nasal valve obstruction remains untreated. We propose a novel method for measuring nasal valve obstruction using computed tomography(CT)imaging. Two CT images of the nasal cavity are taken;one in the resting position and the other under forced inspiration. We measured the volume difference of the nasal cavity between the images with analysis software, and successfully quantified the difference in 8 patients(average:3.45 ml, range:1.05-8.86 ml). This examination was relatively reproducible, and also helped to diagnose the position of the nasal valve collapse during operation. This study is the foundation of future studies using this method.

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