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Dependence of Anterior Active Rhinomanometry Indices on Nasal Obstructive Disorders in Children with Atopic Bronchial

Tatyana I Eliseeva1, Svetlana V Krasilnikova2, Sergey Yu Babaev3

  • 1MD, DSc, Professor, Chair of Hospital Pediatrics, Privolzhsky Research Medical University, 10/1 Minin and Pozharsky Square, Nizhny Novgorod 603005, Russia.

Biomed Research International
|November 8, 2018
PubMed

Insights

Nasal obstructive disorders, particularly enlarged pharyngeal tonsils, significantly impact nasal airflow measurements in children with asthma and allergic rhinitis. This finding is crucial for accurate clinical assessments.

Area of Science:

  • Pediatric Pulmonology
  • Otolaryngology
  • Allergy and Immunology

Background:

  • Atopic bronchial asthma (BA) in children frequently co-occurs with upper airway pathologies (UAP).
  • Common UAP include allergic rhinitis (AR) and nasal obstructive disorders (NOD), such as hypertrophy of the pharyngeal tonsil (HPT) and anomalies of intranasal structures (AINS).
  • Anterior active rhinomanometry (AARM) is vital for assessing nasal patency in these patients.

Purpose of the Study:

  • To determine the influence of nasal obstructive disorders (NOD) on rhinomanometric parameters in children with bronchial asthma and allergic rhinitis.

Main Methods:

  • Sixty-six children with BA and AR underwent AARM, rhinovideoendoscopy, spirometry, and clinical evaluations.
  • A specialized index of reduced total nasal airflow was employed to mitigate the impact of anthropometric and age-related variations on AARM results.

Main Results:

  • NOD, particularly HPT, significantly impair AARM indices during both AR remission and exacerbation phases.
  • The impact of AINS on AARM was less pronounced, becoming notable primarily when co-occurring with HPT.

Conclusions:

  • Hypertrophy of the pharyngeal tonsil is a key factor negatively affecting nasal airflow measurements in children with asthma and allergic rhinitis.
  • Clinical interpretation of AARM in pediatric BA patients with nasal symptoms must account for the presence and severity of NOD.
Abstract

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