The role of rhinomanometry after nasal decongestant test in the assessment of adenoid hypertrophy in children

Zicari, Anna Maria; Magliulo, Giuseppe; Rugiano, Anna; Ragusa, Giovanni; Celani, Camilla; Carbone, Maria Palma; Occasi, Francesca; Duse, Marzia

doi:10.1016/j.ijporl.2011.12.006

Cited by 21 publications

(11 citation statements)

References 22 publications

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“…6 Children with AH may usually have AR as well as, vice versa, children with AR may commonly have AH. Although this topic is clinically relevant, few studies investigated the relationships between these two disorders, mainly concerning the possible influence of AR on adenoid enlargement, [15][16][17][18][19][20][21][22] and a recent review considered the possible relationships between AR and pathogenic factors inducing AH. 29 One study from an ENT department found an association between tonsillar hypertrophy and AR.…”

Section: Discussionmentioning

confidence: 99%

“…14 The possible correlation between allergy and AH has been investigated by few studies. 12,[15][16][17][18][19][20][21][22] Nevertheless, most of these studies were performed using the radiographic craniometry to measure adenoid volume. Therefore, the present study aimed at investigating the possible relationship between adenoid size and allergy in a group of children complaining of nasal obstruction using the nasal endoscopy.…”

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confidence: 99%

See 1 more Smart Citation

Adenoidal Hypertrophy and Allergic Rhinitis: Is There an Inverse Relationship?

Ameli¹,

Brocchetti²,

Tosca

et al. 2013

Am J Rhinol�Allergy

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Adenoidal Hypertrophy and Allergic Rhinitis: Is There an Inverse Relationship?

Ameli¹,

Brocchetti²,

Tosca

et al. 2013

Am J Rhinol�Allergy

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“…Rhinomanometry can be used for the evaluation of the symptoms of anatomical and/or mucosal nasal obstruction , research in nasal physiology, allergen and aspirin challenge testing , pre‐ and post‐treatment assessments of surgical or medical therapy , evaluation of adenoid hypertrophy in children and evaluation of patients with sleep apnoea . Patient selection for septal and turbinate surgery is largely undertaken around the world without any objective confirmation of genuine mechanical obstruction .…”

Section: Objective Measurements Of Nasal Airflow and Patencymentioning

confidence: 99%

Measurements of nasal airflow and patency: a critical review with emphasis on the use of peak nasal inspiratory flow in daily practice

Ottaviano

Fokkens

2016

Allergy

121

111

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Objective measures can be used to assist the clinician to diagnose and treat nasal obstruction and also to quantify nasal obstruction in research. Objective measurements of nasal obstruction are as important as objective measurements of lung function. peak nasal inspiratory flow (PNIF), acoustic rhinometry (AR) and rhinomanometry (RM), with their specific peculiarity, assess different aspects of nasal obstruction. From the studies available in the literature, it seems that these methods roughly correlate with each other and that all of them can be alternatively utilized very well in research as well as in clinical practice. This review describes the various methods that can be used to measure nasal patency, airflow and resistance, mainly peak nasal inspiratory flow, rhinomanometry and acoustic rhinometry. PNIF has been demonstrated to be reproducible and as good an indication of objective nasal patency as formal rhinomanometry and has the advantage to be cheap, simple and suitable for serial measurements and for home use even in the paediatric population. PNIF normative data are available for children, adults and elderly subjects, and the availability of unilateral PNIF normal values allows evaluation of nasal sides separately. Just as in the lower airways, objective and subjective evaluation gives different information that together optimizes the diagnosis and the treatment of our patients. We argue that PNIF should be used regularly in every outpatient clinic that treats patients with nasal obstruction.

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“…The first group consists of manual finger or mirror examination through the mouth, rigid or flexible nasopharyngoscopy examination (FNE), videofluoroscopy, and acoustic rhinomanometry. The second group comprises ultrasonography, lateral nasopharyngeal X-ray (lateral cephalogram), multirow detector CT with virtual laryngoscopy, or MRI of the nasopharynx [ 5 , 6 , 7 , 8 , 9 ]. However, the effectiveness of these tests is related to unobjective results, such as the severity of adenoid hypertrophy symptoms, otitis media with effusion (OME), tympanometry, or air flow through the nose.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Evaluation of Adenoid Hypertrophy in Children by Flexible Nasopharyngoscopy Examination (FNE), Proposed Schema of Frequency of Examination: Cohort Study

et al. 2022

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Objectives: To demonstrate the effectiveness of endoscopic assessment of the pharyngeal tonsil in defining the size of the adenoid hypertrophy in endoscopic examination that would be equivalent to intraoperative assessment as a large adenoid, and to determine the lowest necessary frequency of tests to assess the variability of its size. Methods: The study is based on an analysis of two groups of children diagnosed and treated in a children’s ENT outpatient clinic and ENT department. In the first group, adenoid size was assessed based on flexible endoscopy, and then with a consequent adenoid surgery with assessment of the intraoperative size of the adenoid, we compared the size of the adenoid. The second part of the study included a group of 81 children. We analyzed performed flexible nasopharyngoscopy examinations (FNE) of each child, and compared the change of adenoid size in a minimum of two subsequent examinations over a period of 1 year or more. Results: The sensitivity of flexible endoscopic examination in the assessment of the pharyngeal tonsil was determined at 97.3%, and specificity at 72.7%. The ROC curve shows the value of adenoid-to-choana (A/C) ratio as 75% or more in the preoperative FNE, indicating that the tonsil during surgery is assessed as large. Among the children, 26.3% had a change in adenoid size of more than 15% in the A/C ratio in 1 year of observation, and 45% of the children had A/C ratio changed above 15% in a period of 3 years of observation. Conclusions: FNE examination is highly effective in assessing the size of the pharyngeal tonsil. We proposed a schema for frequencies of FNE examinations and treatment dependent on A/C ratio and worsening of ailments.

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The role of rhinomanometry after nasal decongestant test in the assessment of adenoid hypertrophy in children

Cited by 21 publications

References 22 publications

Adenoidal Hypertrophy and Allergic Rhinitis: Is There an Inverse Relationship?

Adenoidal Hypertrophy and Allergic Rhinitis: Is There an Inverse Relationship?

Measurements of nasal airflow and patency: a critical review with emphasis on the use of peak nasal inspiratory flow in daily practice

Effectiveness of Evaluation of Adenoid Hypertrophy in Children by Flexible Nasopharyngoscopy Examination (FNE), Proposed Schema of Frequency of Examination: Cohort Study

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