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Published on: January 23, 2017
Reference values for acoustic rhinometry in children from 4 to 13 years old
Sune P Straszek1, Alexander Moeller, Graham L Hall
1Department of Environmental and Occupational Medicine, Institute of Public Health, University of Aarhus, Aarhus, Denmark. spvs@mil.au.dk
Insights
This study establishes crucial reference ranges for nasal volumes and minimum cross-sectional areas (MCAs) using acoustic rhinometry (AR) in children aged 4-13. These findings provide essential data for evaluating nasal patency in pediatric populations.
Area of Science:
- Pediatric Otolaryngology
- Respiratory Physiology
- Biomedical Engineering
Background:
- Acoustic rhinometry (AR) is increasingly used in pediatric research.
- Existing AR reference data for children is limited, especially for preschool to pre-pubertal age ranges.
- There is a need for comprehensive reference ranges for nasal volumes and minimum cross-sectional areas (MCAs) in healthy children.
Purpose of the Study:
- To establish reference ranges for nasal volumes and MCAs in healthy, non-congested children aged 4-13 years.
- To provide a normative dataset for acoustic rhinometry in a broad pediatric age group.
- To facilitate the interpretation of AR studies in children.
Main Methods:
- Acoustic rhinometry (AR) was performed on 256 primary school children (ages 3.8-13.1 years).
- Measured variables included minimum cross-sectional areas (MCAs) and nasal volumes (Vol0-4, Vol0-5, Vol1-4, Vol2-5).
- Height, weight, atopic status, and respiratory health were recorded.
Main Results:
- Height was the primary predictor for all AR variables; weight also significantly predicted MCAs.
- No association was found between AR variables, sex, atopy, or hay fever.
- Children with current wheeze or asthma exhibited reduced nasal patency.
Conclusions:
- This study presents the most extensive reference material for AR in non-congested, healthy prepubescent children to date.
- The established reference ranges will aid in the evaluation of current and future pediatric AR studies.
- This data is vital for understanding nasal airflow dynamics in children.
Background:
Despite a growing number of studies using acoustic rhinometry (AR) in children, no reference material exists that incorporates the entire age and height interval of preschool children up to puberty for a range of rhinometric variables. The aim of this study is to provide a reference range for nasal volumes and minimum cross-sectional areas (MCAs) in healthy nondecongested children aged 4-13 years old.
Methods:
Two hundred fifty-six primary school children (mean, 7.95 years; range, 3.8-13.1 years; 123 boys/133 girls) were measured by AR. Variables were MCA (first, second, and absolute minimum) and nasal volumes from 0 to 4 cm (Vol0-4), 0 to 5 cm (Vol0-5), 1 to 4 cm (Vol1-4), and 2 to 5 cm (Vol2-5) into the nasal cavity. Height and weight were measured and atopic status was determined by skin-prick test. Age and current and past respiratory health were recorded from a questionnaire.
Results:
In multiple linear regression models height was the main predictor for all AR variables although weight also was a significant predictor of MCAs. There was no association between any AR variables with sex, atopy, or hay fever but children with current wheeze (within last 12 months) and asthma had decreased nasal patency.
Conclusion:
This article presents the most extensive current reference material for AR in nondecongested prepubescent healthy children. The presented reference material will facilitate the interpretation and evaluation of future and present epidemiologic studies based on AR in children.
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