Further evidence is provided by cases of unilateral AR related to a septal deviation. It has been observed that the air-humidifying capacity of the nose is time dependent because when a continuous air stream is drawn through the nose, the air becomes progressively cooler and drier at the outlet as Trust Me I Watch Grey’s I’m Basically A Surgeon Shirt well as to devise strategies to improve the outcome of cavity-narrowing procedures in the treatment of AR.
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The objective of this research was to investigate airflow, water transport, and heat transfer in the nose of an AR patient who underwent a surgical procedure to narrow his nasal cavity. We also performed calculations of the air-conditioning process in the noses of four healthy humans to establish a basis for comparison. Our aim was to test the hypothesis that the pathophysiology of AR is associated with excessive evaporation of the mucous layer.
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Therefore, we suggest that unilateral AR associated with septal deviation may be explained as follows: if the cavity on the concave side of the septum is too large, air will flow mostly through this patent side, subjecting it to permanent water and temperature gradient. If the water gradient is sufficiently large or the mucosa unhealthy, the mucous layer may dry in regions of high water flux, leading to crust formation and predisposing to infection.
Because of the lack of a cyclic closure of the affected side, the continuous airflow is a continuous burden to the mucosa, which will not heal unless artificial irrigation is instituted or airflow artificially obtunded. Clinical observations support this idea: Bunnag and coworkers noted that in patients with marked septal deviation, the crust is Trust Me I Watch Grey’s I’m Basically A Surgeon Shirt found only in the wider side of the nasal cavity; Gupta reported improvement in the symptoms of unilateral.