Acoustic rhinometry (ARM) has been used to study the nasal cavity geom
etry and the response in nasal provocations. However, the use of ARM i
n the diagnosis of occupational rhinitis (OR) has not been reported. T
he purpose of this study was to find an ARM parameter and a limit valu
e that could be used in provocation tests to express an objective chan
ge in the nasal cavity geometry. We used a new calculated parameter, V
olume MCA%, for describing the change in the nasal geometry. Volume MC
A% is the mean of the percentile changes of nasal volumes and minimal
cross-sectional areas in a provocation test. We recommend a decrease o
f at least 15% in Volume MCA% for the limit of art essential change in
the nasal cavity.