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Primary school children often underestimate their nasal obstruction
Francesca Occasi1, Marzia Duse1, Tommaso Vittori1
1Department of Pediatrics, University La Sapienza, Rome, Italy.
Rhinology
|February 15, 2016
Summary
Children aged 6-9 often underestimate nasal obstruction, while older children overestimate it. Objective measurements are crucial for accurate diagnosis and treatment in pediatric allergic rhinitis.
Area of Science:
- Pediatric Otolaryngology
- Allergy and Immunology
- Respiratory Medicine
Background:
- The correlation between nasal airflow resistance and perceived nasal patency remains debated.
- Accurate self-assessment of nasal obstruction in children is not well-established.
Purpose of the Study:
- To investigate whether primary and secondary school-aged children accurately estimate their nasal obstruction.
- To correlate subjective nasal obstruction scores with objective measurements in pediatric patients.
Main Methods:
- 284 children (6-14 years) with Pediatric Allergic Rhinitis underwent Rhinomanometry.
- Nasal patency was compared to the Nasal Obstruction Symptom Evaluation (NOSE) score to assess estimation accuracy.
- Children were categorized as underestimating, overestimating, or correctly estimating obstruction based on score discrepancies.
Main Results:
- A statistically significant correlation (r -0.74; p<0.001) was found between NOSE score and nasal patency.
- Younger children (6-9 years) more frequently underestimated their nasal obstruction (43.7%).
- Older children (>12 years) more frequently overestimated their symptoms (34.7%).
Conclusions:
- The NOSE score offers an approximate quantification of nasal obstruction in children.
- Objective nasal patency measurements are recommended, particularly for children aged 6-9, to guide therapeutic decisions.
- Accurate assessment of nasal obstruction in pediatric allergic rhinitis requires integrating subjective and objective data.
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