Evaluation of nasal obstruction in children by acoustic rhinometry: A prospective study

被引：7

作者：

Distinguin, Lea ^{[1
,2
,3
]}

Louis, Bruno ^{[2
,3
,4
]}

Baujat, Genevieve ^{[5
,6
]}

Arnaddeo, Alessandro ^{[7
]}

Fauroux, Brigitte ^{[6
,7
]}

Couloigner, Vincent ^{[1
,6
]}

Simori, Francois ^{[1
,6
]}

Leboulanger, Nicolas ^{[1
,3
,6
]}

机构：

[1] Hop Necker Enfants Malad, Otorhinolaryngol & Chirurg Cervicofaciale Pediat, Paris, France

[2] Univ Paris Est, Fac Med, Creteil, France

[3] INSERM, U955 Eq 13, Creteil, France

[4] CNRS, ERL 7000, Creteil, France

[5] Hop Necker Enfants Malad, Inst Imagine, Ctr Reference Malad Osseuses Constitut, Serv Genet, Paris, France

[6] Univ Paris 05, Paris, France

[7] Hop Necker Enfants Malad, Unite Ventilat Non Invas & Sommeil Enfant, Paris, France

来源：

INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY | 2019年 / 127卷

关键词：

Nasal obstruction; Obstructive sleep apnea syndrome; Acoustic rhinometry; Children; SLEEP-APNEA; ADENOTONSILLECTOMY; MANAGEMENT; GEOMETRY; AREA;

D O I：

10.1016/j.ijporl.2019.109665

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Introduction: acoustic rhinometry (AR) is a non-invasive method measuring the nasal volume (NV) and the nasal minimal cross-sectional area (MCA), reflecting nasal obstruction. The first objective of this study was to measure and compare NV and MCA between 3 groups of children: "achondroplasia", "Down syndrome" and "control". The control group corresponded to children with suspicion of sleep disorder disease and without cranio-facial malformation. The second objective was to correlate AR measurements with the obstructive apnea-hypopnea index (OAHI). Methods: prospective study between February and July 2017, in a tertiary care center. The following data were collected: demographic characteristics, medical and surgical history, NV, MCA, and OAHI. Results: 83 children were included. The mean NV was lower in achondroplasia group compared to control group: 2.75 cm3 vs 3.60 cm3 (p = 0.02, 95% CI [0.0694, 0.7456]). Negative correlation was found between the NV and the OAHI for children with achondroplasia (T = -0.37; p = 0.02). Conclusions: AR is an effective tool for assessing nasal obstruction in children. Nasal obstruction was correlated to OAHI in achondroplasia. AR could become a routine tool in the management of nasal obstruction of children with cranio-facial malformations.

引用

页数：5

共 25 条

[1]

BUENTING JE, 1994, LARYNGOSCOPE, V104, P1439

[2]

Camacho M., 2013, SLEEP, V38, P115

[3] Improved objective outcomes and quality of life after adenotonsillectomy with inferior turbinate reduction in pediatric obstructive sleep apnea with inferior turbinate hypertrophy [J].