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Nasal obstruction. Objectification and the treatment options.
Zborayová, Katarína ; Hybášek, Ivan (advisor) ; Šlapák, Ivo (referee) ; Komínek, Pavel (referee)
Nasal obstruction is one of the most common problems the otorhinolaryngologist deals with at his office. Etiology of the nasal obstruction is various and determinates the treatment possibilities. Analysis of the factors influencing nasal patency is mentioned in the preliminary part of the work. The nasal obstruction is determined by statical and dynamical factors. The two factors can be differentiated by a decongestant test. The evaluation of the test by means of RMM and AR is presented in the clinical part of the work. Another aim of the study was to work out a standardised diagnostical protocol for patients with nasal obstruction. There are certains discrepancies within diagnostics as to which diagnostical method most accurately reflects the degree of nasal obstruction. What we found out in our study is, that subjective and objective measurements of the nasal patency and endoscopical findings do not always correlate. One of the reasons is that each of these methods is focusing on different aspects of the nasal airway. These are complementary methods, not supplying. The diagnostical logaritmus in patient with nasal obstruction consists of the assessment of patient's subjective perception of nasal patency (questionnaire), rhinoendoscopical examination, examination with AR, and active anterior RMM...

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