Role of spirometry in detection of nasal obstruction

Farhadi, Mohammad; Ghanbari, Hadi; Izadi, Farzad; Amintehran, Ebrahim; Eikani, Maxine S.; Ghavami, Yaser

doi:10.1017/s0022215112003283

Cited by 4 publications

(4 citation statements)

References 7 publications

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“…Previous research indicated chronic tonsillitis to be one of the most common risk factors for OME, which is consistent with our findings. [21][22][23] The tympanogram results after six months of healed myringotomy were significantly improved in group III compared to group I compared to group II, as evidenced by the fact that there were 40 cases (80%) with type A tympanogram in group III compared to 13 cases (26% in group I) and 9 cases (18% in group II), Farhadi et al 26 reported that adenoidectomy plus tympanostomy tubes improved the tympanogram significantly, which was similar to our findings. Also, Shishegar and Hobhoghi 27 and Vlastos et al 28 found that adenoidectomy plus tympanostomy tube application improved tympanogram and Pure Tone Audiometry (PTA) in children with OME.…”

Section: Discussionsupporting

confidence: 90%

“…Popova et al 34 discovered that the risk of relapse of OME was greater in the adenoidectomy with myringotomy group than the adenoidectomy with tympanostomy tube group. Furthermore, Farhadi et al 26 proposed that adenoidectomy is an effective surgical treatment in the management of otitis media, especially when combined with the insertion of TTs, which significantly reduces tube extrusion rate, possibly due to improved Eustachian tube function, which reduces repeated otitis media.…”

Section: Discussionmentioning

confidence: 99%

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Comparison between the fate of Secretory Otitis Media in patients with adenoids hypertrophy undergoing Adenoidectomy alone or with Myringotomy or with Myringotomy and Tympanostomy Tube application

Badran,

Alhussaini,

Abokrisha

et al. 2023

Egyptian Journal of Neck Surgery and Otorhinolaryngology

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Background: Otitis Media with Effusion (OME) is characterized by middle ear fluid in the absence of acute infection symptoms (fever and otalgia). The adenoid tissue is crucial to the pathogenesis of OME. There were several options for managing OME, including auto inflation and medical treatment. Surgery was used primarily to reestablish middle ear aeration by removing negative intratympanic pressure when the effusion did not resolve naturally or after three months of unsuccessful medical treatment. Aim: This study compares the results of OME in adenoids hypertrophy patients who underwent adenoidectomy alone, adenoidectomy plus myringotomy, or adenoidectomy with insertion of a tympanostomy tube (TT). Patients and methods: A total of 150 children suffering from persistent OME brought on by enlarged adenoids were scheduled for adenoidectomy alone, myringotomy, or TT implantation were included in this study. The included children were divided randomly into three equal groups as follow Group I: 50 patients underwent adenoidectomy. Group II: 50 patients underwent adenoidectomy plus myringotomy. Group III: 50 patients underwent adenoidectomy with TT insertion (Shepard tubes). Results:The results of the tympanogram after six months of healed myringotomy were significantly improved in group III relative to group I and group II. According to age class, 18 cases <4 years old, 23 cases between 4 and 8 years old, and 21 cases >8 years old were cured, and these differences were statistically significant. Regarding residence, gender and associated tonsillectomy, there were no statistically insignificant results . Conclusion: Below the age of 4 years old, for children with problems specifically related to the adenoids, clinicians may do an adenoidectomy in addition to TT insertion, while above age of 4 years old, all options are available but adenoidectomy and TT insertion has the best results.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Comparison between the fate of Secretory Otitis Media in patients with adenoids hypertrophy undergoing Adenoidectomy alone or with Myringotomy or with Myringotomy and Tympanostomy Tube application

Badran,

Alhussaini,

Abokrisha

et al. 2023

Egyptian Journal of Neck Surgery and Otorhinolaryngology

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“…Of the seven articles excluded by full‐text review, four were observational studies 18–21 . The three remaining articles were RCTs but did not fulfill our inclusion criteria.…”

Section: Resultsmentioning

confidence: 99%

“…Of the seven articles excluded by full-text review, four were observational studies. [18][19][20][21] The three remaining articles were RCTs but did not fulfill our inclusion criteria. One assessed the influence of spirometry in general practice on the success rate of smoking cessation in adults 22 (excluded as incorrect population).…”

Section: Description Of Studiesmentioning

confidence: 99%

Does the routine use of spirometry improve clinical outcomes in children?—A systematic review

Boonjindasup

Chang

McElrea

et al. 2022

Pediatric Pulmonology

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Spirometry provides a quantitative measure of lung function and its use is recommended as an adjunct to enhance pediatric respiratory healthcare in many clinical practice guidelines. However, there is limited evidence confirming the benefits (or otherwise) of using spirometry from either clinician or patient perspectives. This systematic review aimed to determine the impact of spirometry on change in clinical decision making and patient-reported outcome measures. We searched PubMed, Embase, Cochrane Central Register of Controlled Trials, www. clinicaltrials.gov, and World Health Organization International Clinical Trials RegistryPlatform, from inception to July 2021. We included randomized controlled trials (RCTs) comparing the use versus non-use of spirometry during standard clinical review in children aged <18 years with respiratory problems in clinics. We used Cochrane methodology. The search identified 3475 articles; 8 full-text articles were reviewed but only 1 study fulfilled the inclusion criteria. The single study involved two cluster RCTs of spirometry for children with asthma in general practice. The included study did not find any significant intergroup difference at the 12-month follow-up for asthma-related quality-of-life and clinical endpoints. However, the findings were limited by methodological weaknesses and high risks of bias. With a paucity of data, the clinical benefits of spirometry remain unclear. Thus, there is a clear need for RCTs that provide high-quality evidence to support the routine use of spirometry in children with suspected or known lung disease. Pending the availability of better evidence, we recommend that clinicians adhere to the current clinical practice recommendations.

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Measurement tools for the diagnosis of nasal septal deviation: A systematic review

Aziz

Biron

Ansari

et al. 2014

Journal of Otolaryngology - Head & Neck Surgery

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ObjectiveTo perform a systematic review of measurement tools utilized for the diagnosis of nasal septal deviation (NSD).MethodsElectronic database searches were performed using MEDLINE (from 1966 to second week of August 2013), EMBASE (from 1966 to second week of August 2013), Web of Science (from 1945 to second week of August 2013) and all Evidence Based Medicine Reviews Files (EBMR); Cochrane Database of Systematic Review (CDSR), Cochrane Central Register of Controlled Trials (CCTR), Cochrane Methodology Register (CMR), Database of Abstracts of Reviews of Effects (DARE), American College of Physicians Journal Club (ACP Journal Club), Health Technology Assessments (HTA), NHS Economic Evaluation Database (NHSEED) till the second quarter of 2013. The search terms used in database searches were ‘nasal septum’, ‘deviation’, ‘diagnosis’, ‘nose deformities’ and ‘nose malformation’. The studies were reviewed using the updated Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) tool.ResultsOnline searches resulted in 23 abstracts after removal of duplicates that resulted from overlap of studies between the electronic databases. An additional 15 abstracts were excluded due to lack of relevance. A total of 8 studies were systematically reviewed.ConclusionsDiagnostic modalities such as acoustic rhinometry, rhinomanometry and nasal spectral sound analysis may be useful in identifying NSD in anterior region of the nasal cavity, but these tests in isolation are of limited utility. Compared to anterior rhinoscopy, nasal endoscopy, and imaging the above mentioned index tests lack sensitivity and specificity in identifying the presence, location, and severity of NSD.

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Role of spirometry in detection of nasal obstruction

Abstract: Portable spirometry is an objective and useful method of evaluating nasal obstruction, but needs more investigation to establish a standardised test.

Cited by 4 publications

References 7 publications

Comparison between the fate of Secretory Otitis Media in patients with adenoids hypertrophy undergoing Adenoidectomy alone or with Myringotomy or with Myringotomy and Tympanostomy Tube application

Comparison between the fate of Secretory Otitis Media in patients with adenoids hypertrophy undergoing Adenoidectomy alone or with Myringotomy or with Myringotomy and Tympanostomy Tube application

Does the routine use of spirometry improve clinical outcomes in children?—A systematic review

Measurement tools for the diagnosis of nasal septal deviation: A systematic review

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