Rhinomanometry with and without decongestant used to select children for adenoidectomy: a cohort study

Calvo-Henríquez, Christian; Rivero, Irene; Maldonado-Alvarado, Byron; Valencia-Blanco, Beatriz; Boronat-Catalá, Borja; Rodríguez-Rivas, Paula; Martín-Martín, Carlos; Jiménez‐Huerta, Ignacio

doi:10.1007/s00405-022-07549-7

Cited by 2 publications

(13 citation statements)

References 25 publications

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“…The nasometer is a device used to ”bjec'Ively measure and assess nasalance, the balance between nasal and oral resonance during speech 11,20 . The rhinomanometry is a diagnostic test that measures nasal airflow and resistance to assess nasal function and obstruction 32 …”

Section: Methodsmentioning

confidence: 99%

“…The computerized acoustic voice analysis and aerodynamic analysis provided information regarding the fundamental frequency (F0), 42,43 jitter, 14 shimmer, 14,16,22 noise‐to‐harmonics ratio, 44,45 long‐term average spectrum, 46 voice turbulence index, 47 soft phonation index, 48 degree of voiceless, 49 degree of voice break, 49 peak amplitude variation, 49 F3 formant, 50 compact–diffuse feature, 27 grave–acute feature, 27 mean airflow rate, 51 subglottal pressure, 52 and bandwidth 12 . The resonance analysis provided information regarding the mean nasalance scores, 11,20 nasal resistance, and nasal airflow 32 …”

Section: Methodsmentioning

confidence: 99%

“…Three relevant studies did not provide raw data for meta-analysis. 17,30,31 Although the corresponding authors of these 3 studies were contacted, the data remained unavailable. 17,30,31 Eventually, 23 studies were identified and included in the review (Fig.…”

Section: Literature Searchmentioning

confidence: 99%

“…The characteristics of the 23 studies were shown in Table I, with a total of 2154 patients analyzed (mean age: 8.0 y; 58% boys; mean sample size: 94 children). Among these studies, ten studies were from Asia, 16,[20][21][22][24][25][26][27]29,30 nine studies were from Europe, 11,[13][14][15]17,28,[31][32][33] two study from South America, 18,23 one study from Africa, 19 and one study from the United States. 12 Five studies enrolled a normal control group.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Parents and caregivers remain concerned about the voice being different after adenotonsillar surgery 11–33 . Voice changes after tonsillectomy or adenoidectomy have been observed anecdotally in practice.…”

Section: Introductionmentioning

confidence: 99%

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Voice Change After Adenotonsillectomy in Children: A Systematic Review and Meta‐Analysis

Wang,

Kang,

Chang

et al. 2023

The Laryngoscope

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ObjectiveAdenotonsillectomy is one of the most common surgical procedures performed on children. Caregivers are often concerned about voice change after the procedure, and such concerns remain unsettled. This meta‐analysis analyzed voice change in children after adenotonsillectomy.Data SourcesThe PubMed, Medline, EMBASE, and Cochrane databases.Review MethodsThe study protocol was registered on PROSPERO. Two authors independently searched for articles using keywords “adenoidectomy,” “tonsillectomy, “voice,” “nasalance,”and “speech.” English articles specifying voice changes after adenotonsillectomy were pooled with standardized mean difference (SMD) using random‐effects model. Evaluation methods were computerized acoustic voice analysis, aerodynamic analysis, nasometer, rhinomanometry, evaluations from a speech‐language pathologist or otolaryngologist, and a caregiver assessment questionnaire.ResultsTwenty‐three studies with 2154 children were analyzed (mean age: 8.0 y; 58% boys; mean sample size: 94 children). Due to insufficient data for other outcome variables, this meta‐analysis only summarized changes in the computerized acoustic voice analysis 1 month and 3 months after surgery. The computerized acoustic analysis revealed significant changes in jitter (SMD = −0.36; 95% confidence interval [CI]: −0.60 to −0.11), shimmer (SMD = −0.34; 95% CI: −0.57 to −0.11), and soft phonation index (SMD = −0.36; 95% CI: −0.57 to −0.15) at 1 month after surgery. Parameters including fundamental frequency, jitter, noise‐to‐harmonics ratio, and shimmer were not significantly changed at 3 months after surgery.ConclusionsThis meta‐analysis observed small improvements in jitter, shimmer, and soft phonation index 1 month after surgery. No significant effects were observed in voice outcomes 3 months after surgery. Laryngoscope, 2023

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Literature Searchmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Voice Change After Adenotonsillectomy in Children: A Systematic Review and Meta‐Analysis

Wang,

Kang,

Chang

et al. 2023

The Laryngoscope

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Coblator adenoidectomy in pediatric patients: a state-of-the-art review

Calvo-Henriquez,

RuedaFernandez-Rueda,

Garcia-Lliberos

et al. 2023

Eur Arch Otorhinolaryngol

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Introduction Adenoid hypertrophy is one of the main causes of nasal obstruction in ‘children. Adenoid hypertrophy can be approached either with nasal corticosteroids, or surgically when medical treatment fails. Different adenoidectomy techniques have been proposed to reduce morbidity and surgical risks, with a consequent marked increase in the use of new surgical procedures in recent years, with a progressive increase in the use of coblation. This state-of-the-art review aims to systematically review the current literature on the role of coblation in adenoidectomy. Methods The selection criteria included children submitted to adenoidectomy with coblator vs other techniques. 11 research questions were defined. 4 databases were explored by four authors: PubMed (Medline), the Cochrane Library, EMBASE and SciELO. The level of evidence and quality of the selected articles were assessed according to assessed according to the Quality Assessment Checklist of the National Institute for Health and Clinical Excellence. Results 20 studies met the inclusion criteria: 2 metanalysis, 12 randomized clinical trial, 2 non-randomized clinical trial, 1 prospective cohort study, and 3 retrospective cohort study. It encompassed a total population of 8375 participants. Regarding the different surgical techniques, 18 studies (excluding metanalysis) performed coblation (n = 1550), 6 microdebridement (n = 883), 15 curettage (n = 4016), and 1 suction coagulation (n = 1926). Conclusion Coblator adenoidectomy appears to offer better adenoid control compared to curettage, with a possible, although not confirmed lower rate of revision surgery. Similarly, this greater resection of adenoid tissue seems to be related to a greater reduction of nasal obstruction. The advantages of this technique are mainly less surgical bleeding—although it is not clear this is a clinically relevant difference, and less postoperative pain compared to cold curettage. The difference in pain is small, as adenoidectomy is not a painful surgery in general. There is little evidence on the control of OME and comparison with other techniques such as microdebrider adenoidectomy.

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Rhinomanometry with and without decongestant used to select children for adenoidectomy: a cohort study

Cited by 2 publications

References 25 publications

Voice Change After Adenotonsillectomy in Children: A Systematic Review and Meta‐Analysis

Voice Change After Adenotonsillectomy in Children: A Systematic Review and Meta‐Analysis

Coblator adenoidectomy in pediatric patients: a state-of-the-art review

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