scholarly journals Nasal patency and craniocervical posture in scholar children

2017 ◽  
Vol 24 (3) ◽  
pp. 327-333
Author(s):  
Jovana M. Milanesi ◽  
Luana C. Berwig ◽  
Angela R. Busanello-Stella ◽  
Maria Elaine Trevisan ◽  
Ana Maria T. da Silva ◽  
...  
Keyword(s):  
Nasal Obstruction ◽  
Compensatory Mechanism ◽  
Nasal Airflow ◽  
Nasal Patency ◽  
Weak Correlation ◽  
Head Extension ◽  
Symptom Evaluation ◽  
Flexion Extension ◽  
The Relationship ◽  
Peak Nasal Inspiratory Flow

ABSTRACT Changes in head posture have been observed as a compensatory mechanism for the nasal airflow impairment. This study aimed to compare the craniocervical posture between children with normal and decreased nasal patency and correlate nasal patency with craniocervical posture. Children aging from six to twelve years went through nasal patency and craniocervical assessments. The biophotogrammetric measures of craniocervical posture used were Cervical Distance (CD), Head Horizontal Alignment (HHA) and Flexion-Extension Head Position (FE), evaluated by SAPO software (v.0.68). Nasal patency was measured using Peak Nasal Inspiratory Flow meter (PNIF) and Nasal Obstruction Symptom Evaluation (NOSE) scale. One hundred thirty-three children were distributed into two groups: G1 (normal nasal patency - PNIF higher than 80% of predicted value) with 90 children; G2 (decreased nasal patency - PNIF lower than 80% of predicted value) with 43 children. Differences between groups were not found in CD and HHA measures. FE was significantly higher in G2 than G1 (p=0.023). Negative weak correlation between FE and %PNIF (r=-0.266; p=0.002) and positive weak correlation between CD and PNIF (r=0.209; p=0.016) were found. NOSE scores negatively correlated with PNIF (r=-0.179; p=0.039). Children with decreased nasal patency presented greater head extension. This postural deviation is prone to increase as nasal airflow decreases, thus indicating the relationship between craniocervical posture and nasal patency. Lower values of PNIF reflected on additional problems caused by nasal obstruction symptoms.

scholarly journals Respiratory mode, nasal patency and palatine dimensions

CoDAS ◽  
2015 ◽  
Vol 27 (2) ◽  
pp. 201-206 ◽  
Author(s):  
Maria Elaine Trevisan ◽  
José Humberto Bellinaso ◽  
Andrielle de Bitencourt Pacheco ◽  
Luciana Barros Augé ◽  
Ana Maria Toniolo da Silva ◽  
...  
Keyword(s):  
Nasal Obstruction ◽  
Negative Correlation ◽  
Hard Palate ◽  
Nasal Patency ◽  
Nasal Breathing ◽  
Nose Scale ◽  
Symptom Evaluation ◽  
Plaster Models ◽  
Digital Caliper ◽  
Peak Nasal Inspiratory Flow

Purpose: To investigate the influence of breathing mode and nasal patency in the dimensions of the hard palate by comparing mouth breathing (MB) and nasal breathing (NB) adults. Methods: Seventy-seven individuals, distributed into the MB group (n=38) and the NB group (n=39), of both genders and aged between 18 and 30 years old, took part in the study. The respiratory mode diagnosis was based on anamnesis, physical characteristics, and otorhinolaryngological examination. The volunteers were evaluated in terms of nasal patency, with a peak nasal inspiratory flow (PNIF) meter, and obstruction symptoms, by a Nasal Obstruction Symptom Evaluation (NOSE) scale, and had their transversal and vertical hard palate dimensions measured with a digital caliper in plaster models. Results: Comparing both groups, the MB group presented significantly higher values in the NOSE scale, lower values in the PNIF, lower values in the transversal distance of the palate in the intercanine region, and significantly higher values in the vertical distance in the regions of the first and second premolars and molars. There was a negative correlation between PNIF and NOSE, and a positive correlation between PNIF and transversal distance of the palate in the region of the first premolars. Conclusion: MB adults presented reduced nasal patency and a higher degree of nasal obstruction symptoms. The hard palate was morphologically narrower and deeper in adults with the MB mode compared to the NB mode. Moreover, it was concluded that the smaller the nasal patency, the greater the obstruction symptoms and the narrower the hard palate.

Intranasal budesonide in children affected by persistent allergic rhinitis and its effect on nasal patency and Nasal Obstruction Symptom Evaluation (NOSE) score

2015 ◽  
Vol 31 (3) ◽  
pp. 391-396 ◽  
Author(s):  
Anna Maria Zicari ◽  
Francesca Occasi ◽  
Montanari Giulia ◽  
Luciana Indinnimeo ◽  
Giovanna De Castro ◽  
...  
Keyword(s):  
Allergic Rhinitis ◽  
Nasal Obstruction ◽  
Nasal Patency ◽  
Persistent Allergic Rhinitis ◽  
Symptom Evaluation

scholarly journals Assessment of Screening for Nasal Obstruction among Sleep Dentistry Outpatients with Obstructive Sleep Apnea

2020 ◽  
Vol 8 (4) ◽  
pp. 119
Author(s):  
Arisa Sawa ◽  
Hiroshi Suzuki ◽  
Hideo Niwa ◽  
Sumito Oguchi ◽  
Tatsuo Yagi ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Nasal Obstruction ◽  
Standard Technique ◽  
Apnea Hypopnea Index ◽  
Nasal Airflow ◽  
Nose Scale ◽  
Symptom Evaluation ◽  
Obstructive Sleep ◽  
Scale Scores

Oral appliances (OA), a common treatment modality for obstructive sleep apnea (OSA), are not suitable for patients with nasal obstruction. Rhinomanometry, the gold standard technique to assess nasal airway resistance, is not readily available in sleep dentistry clinics. We demonstrate the use of a portable lightweight peak nasal inspiratory flow (PNIF) rate meter to objectively assess nasal airflow and utilized the Nasal Obstruction Symptom Evaluation (NOSE) scale to subjectively assess nasal obstruction in 97 patients with OSA and 105 healthy controls. We examined the correlations between the following variables between the groups: demographics, body mass index, PNIF, NOSE scale scores, apnea–hypopnea index (AHI), minimum SpO2 (SpO2min), Mallampati classification, and Epworth Sleepiness Scale (ESS) scores. Patients with OSA had significantly lower PNIF values and higher NOSE scores than controls. In the patient group, PNIF was not significantly correlated with AHI, SpO2min, Mallampati classification, or NOSE or ESS scores. Lower PNIF values and higher NOSE scores suggested impaired nasal airflow in the OSA group. As daytime PNIF measurement bears no relationship to AHI, this cannot be used alone in predicting the suitability of treatment for OSA with OA but can be used as an adjunct for making clinical decisions.

Objective Assessment of Nasal Patency

2017 ◽  
Vol 33 (04) ◽  
pp. 378-387 ◽  
Author(s):  
Aristeidis Giotakis ◽  
Peter Tomazic ◽  
Herbert Riechelmann ◽  
Julia Vent
Keyword(s):  
Nasal Obstruction ◽  
Surgical Outcomes ◽  
Clinical Relevance ◽  
Objective Assessment ◽  
Nasal Airflow ◽  
Nasal Patency ◽  
Review Of The Literature ◽  
Objective Measurements

AbstractThe aim to objectify nasal airflow and patency is ongoing—many methods have been suggested, often lacking clinical relevance or showing weak correlations with patients' symptoms. It is crucial to thoroughly consult our patients presenting with nasal obstruction—and to inform them about realistic possible surgical outcomes. Often, a perfect-looking internal nose with a straight septum and normal-appearing turbinates does not guarantee a happy, symptom-free “owner.” A review of the literature and the current technical market is presented here to facilitate the rhinosurgeon's decision to perform pre- and postoperative objective measurements of nasal airflow. Recommendations by the societies have been included.

scholarly journals Validitas metode rinohigrometri sebagai indikator sumbatan hidung

2011 ◽  
Vol 41 (2) ◽  
pp. 128
Author(s):  
Rachmawati Djalal ◽  
Abdul Qadar Punagi ◽  
Andi Baso Sulaiman ◽  
Fadjar Perkasa
Keyword(s):  
Physical Examination ◽  
Nasal Cavity ◽  
Diagnostic Test ◽  
Sensitivity And Specificity ◽  
Nasal Obstruction ◽  
Nasal Mucosa ◽  
Inspiratory Flow ◽  
Nasal Patency ◽  
Basic Standard ◽  
Peak Nasal Inspiratory Flow

Background: The narrowing of nasal cavity due to nasal mucosa changes or other factors may leadsto nasal obstruction. Symptoms of nasal obstruction can be classified from mild to severe and in somecases total obstruction may occur. Purpose: The objective of the research was to determine the validity of rhinohygrometric method as nasal obstruction indicator. The complaint of nasal obstruction depicted theexistence of abnormalities either anatomically, physiologically or pathologically. The evaluation of   thenasal obstruction was based on anamnesis, physical examination and also supporting examination forthe measurement of the nasal patency. Method: An analytic study had been carried out on the diagnostic test for determining sensitivity and specificity values of rhinohygrometeric method as nasal obstruction indicator compared with peak nasal inspiratory flow (PNIF) as the basic standard on subjects who hadnasal obstruction and subjects who did not have nasal obstruction. Results: In the research, the valuesof cutting off point rhinohygrometeric method are 3 cm and 4 cm on the length and width, while thevalue of basic standard of PNIF cutting off point is 80 liter/minute. Sensitivity and specificity methodof rhinohygrometeric on the length were 87.8% and 100% while on the width were 95.1% and 89.8%.Conclusion: Rhinohigrometeric method has validity as indicator of nasal obstruction.  Keywords: rhinohygrometeric method, nasal obstruction, cutting off point, sensitivity and specificity Abstrak :  Latar belakang: Setiap penyempitan rongga hidung baik akibat proses perubahan pada mukosahidung ataupun penyebab yang lain akan mengakibatkan timbulnya gejala sumbatan hidung. Gejalasumbatan hidung dapat bersifat ringan sampai berat bahkan dapat terjadi sumbatan total. Tujuan: Untukmenentukan validitas metode rinohigrometri sebagai indikator sumbatan hidung. Metode: Penelitian inimenggunakan studi analitik terhadap uji diagnostik untuk menentukan nilai sensitivitas dan spesifisitasmetode rinohigrometri sebagai indikator sumbatan hidung dibandingkan dengan peak nasal inspiratoryflow (PNIF) sebagai standar baku pada subjek yang mengalami sumbatan hidung dan subjek yang tidakmengalami sumbatan hidung. Hasil: Penelitian menunjukkan bahwa telah ditetapkan nilai titik potongmetode rinohigrometri adalah 3 cm dan 4 cm pada sisi panjang dan lebar, sedangkan nilai titik potongstandar baku PNIF adalah 80 liter/menit. Sensitivitas dan spesifisitas metode rinohigrometri padasisi panjang adalah 87,8% dan 100%, sedangkan pada sisi lebar adalah 95,1% dan 89,8%. Kesimpulan:Metode rinohigrometri memiliki validitas sebagai indikator sumbatan hidung. Kata kunci: metode rinohigrometri, sumbatan hidung, titik potong, sensitivitas, spesifisitas

scholarly journals Comparison between unilateral PNIF and rhinomanometry in healthy and obstructed noses

2014 ◽  
Vol 52 (1) ◽  
pp. 25-30
Author(s):  
G. Ottaviano ◽  
V. Lund ◽  
E. Nardello ◽  
B. Scarpa ◽  
G. Frasson ◽  
...  
Keyword(s):  
Nasal Obstruction ◽  
Healthy Subjects ◽  
Roc Analysis ◽  
Operating Characteristic ◽  
The Other ◽  
Nasal Patency ◽  
Easy Method ◽  
Nasal Blockage ◽  
Nasal Symptoms ◽  
Peak Nasal Inspiratory Flow

Aims: Peak Nasal Inspiratory Flow (PNIF) is an easy method to assess nasal patency. Normative unilateral PNIF data in adults have been proposed. The study purpose was to compare PNIF and unilateral PNIF values to total and unilateral nasal resistances measured by anterior active rhinomanometry (AAR) in subjects with and without nasal obstruction to see whether unilateral PNIFis sensitive to detect nasal obstruction. Methods and results: Measurements of PNIF, unilateral PNIF and AAR were performed in 125 volunteers. Seventy of them were healthy subjects not complaining of nasal symptoms and entered into the study as the'normal' group. The other group consisted of fifty-five symptomatic subjects.Data were analysed to show the correlation between PNIF, unilateral PNIF and nasal resistances. The ability of PNIF and AAR in predicting pathologies were compared by receiver operating characteristic (ROC) analysis indicating that PNIF and AAR have a similar and significant power to discriminate pathologic from healthy subjects. Conclusion: The measurement of unilateral PNIF could be a helpful method to support the diagnosis of nasal blockage also in those cases with single nostril obstruction, but, in cases of doubt, AAR should also be performed to improve diagnostic accuracy.

scholarly journals Variables associated with mouth breathing diagnosis in children based on a multidisciplinary assessment

CoDAS ◽  
2018 ◽  
Vol 30 (4) ◽  
Author(s):  
Jovana de Moura Milanesi ◽  
Luana Cristina Berwig ◽  
Mariana Marquezan ◽  
Luiz Henrique Schuch ◽  
Anaelena Bragança de Moraes ◽  
...  
Keyword(s):  
Nasal Obstruction ◽  
Speech Therapy ◽  
Body Posture ◽  
Mouth Breathing ◽  
Dental Occlusion ◽  
Nasal Patency ◽  
Multidisciplinary Assessment ◽  
Symptom Evaluation ◽  
Tongue Position ◽  
Pacifier Use

ABSTRACT Purpose : This study was conducted to identify variables associated with mouth breathing diagnosis in children, based on multidisciplinary domains. Methods 119 children, six to 12 years old, underwent anamnesis, speech therapy (orofacial structures and stomatognathic functions), otorhinolaryngologic (OTRL) with clinical and endoscopic examinations, dental (occlusion) and physiotherapy (body posture and nasal patency) assessments. Nasal patency was evaluated using Peak Nasal Inspiratory Flow (PNIF) and the Nasal Obstruction Symptom Evaluation (NOSE) scale. A multiple logistic regression was performed considering breathing mode as the dependent variable and the co-variables from each multidisciplinary assessment as associated variables. Results Association with MB diagnosis was found in each professional domain with: nasal obstruction report (Odds ratio - OR=5.55), time of pacifier use (OR=1.25), convex facial type (OR=3.78), obtuse nasal angle (OR=4.30), half-open or open lip posture (OR=4.13), tongue position on the mouth floor (OR=5.88), reduced hard palate width (OR=2.99), unexpected contraction during mastication (OR=2.97), obstructive pharyngeal tonsils (OR=8.37), Angle Class II malocclusion (OR=10.85) and regular gingival maintenance (OR=2.89). Conclusion We concluded that a multidisciplinary diagnosis is important, given that each evaluation domain, including OTRL, dental and speech therapy, presented variables associated with MB diagnosis. Body posture and nasal patency variables were not associated with MB.

scholarly journals Comparison of the Efficacy of Septoplasty with NonSurgical Management in Improving Nasal Obstruction in Patients with Deviated Nasal Septum - A Randomized Clinical Trial

2021 ◽  
Author(s):  
Dharanya Gopalakrishnan Srinivasan ◽  
Jyotirmay Hegde ◽  
Karthikeyan Ramasamy ◽  
Kalaiarasi Raja ◽  
Sathish Rajaa ◽  
...  
Keyword(s):  
Nasal Obstruction ◽  
Nasal Septum ◽  
Nasal Patency ◽  
Subjective Quality Of Life ◽  
Deviated Nasal Septum ◽  
Nonsurgical Management ◽  
Management Group ◽  
Symptom Evaluation ◽  
Snot 22

Abstract Introduction In the current era, the major indication for septoplasty is nasal obstruction due to deviated nasal septum (DNS). Even though septoplasty is a commonly performed surgery, its effectiveness in relieving nasal obstruction in DNS has not been proven. Objective The present study involved the measurement of both objective (nasal patency) and subjective (quality of life measures) outcome measures for the evaluation of the efficacy of septoplasty as compared with medical management. Methods Patients with DNS presenting with nasal obstruction were included and randomized into a septoplasty group or into a nonsurgical management group, with 70 patients in each group. The improvement in nasal obstruction was assessed subjectively by the visual analogue scale (VAS), and the sino-nasal outcome test-22 (SNOT-22) and the nasal obstruction symptom evaluation (NOSE) questionnaires and was measured objectively by assessment of nasal patency by peak nasal inspiratory flow (PNIF) at 0, 1, 3, and 6 months of treatment in both groups. Results The average VAS, SNOT-22 and NOSE scores for the septoplasty versus the nonsurgical group before treatment were 6.28 versus 6.0, 19.5 versus 15, and 14 versus 12, respectively, and at 6 months post-treatment, the scores were 2.9 versus 5.26, 10 versus 12, and 8 versus 10 (p = 0.001), respectively. The average PNIF scores at 0 and 6 months were 60/50 l/min and 70/60 l/min, respectively, in the septoplasty group (p = 0.001); the scores at 0 and 6 months in the nonsurgical management group were 60/60 l/min and 70/70 l/min, respectively (p = 0.001). Conclusion Surgical correction of DNS by septoplasty improves nasal obstruction better than nonsurgical management at 6 months postsurgery.

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