Year 2019, Volume 5 , Issue 1, Pages 1 - 7 2019-01-04

Childhood nasal obstruction and sleep-disordered breathing during clinical setting: Myth or reality?

Marco Zaffanello [1] , Giuseppe Lippi [2] , Laura Tenero [3] , Michele Piazza [4] , Luca Sacchetto [5] , Luana Nosetti [6] , Emma Gasperi [7] , Giorgio Piacentini [8]


Objectives: The severity of sleep apneas largely depends on abnormal size of upper airway. Therefore, nasal examination is essential part of clinical evaluation of children with sleep-disordered breathing.

Methods: We performed a retrospective survey involving children aged 4 years and older which underwent in-laboratory overnight cardiorespiratory polygraph study between January 2016 and May 2017. Nasal obstruction test was used to score severity.

Results: Fifty-three children (62% males) with a median age of 6.1 (IQR 3.1) years were enrolled in this study. Linear regression analysis showed that nasal obstruction score was correlated with apnea-hypopnea index (β=0.345; p < 0.014) and oxygen desaturation index (β=0.328; p < 0.022), whilst no association was found with age, BMI Z-score, snoring and phase angle. Correlation analysis also showed that nasal obstruction score was correlated with apnea-hypopnea index (r=0.364; p = 0.009) and oxygen desaturation index (r=0.350; p = 0.012) after adjustment for age and BMI Z-score., but not with snoring time or phase angle degree.

Conclusions: Nasal obstruction test may be a useful, time saving assessment which aid exploring sleep disordered breathing in children. However, this test should not be used alone because it is plagued by objective consideration and at risk of under or overestimation.

children, nasal obstruction, overnight respiratory polygraph, obstructive sleep apnea, sleep-disordered breathing
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Primary Language en
Subjects Health Care Sciences and Services
Journal Section Original Articles
Authors

Orcid: 0000-0002-8659-5505
Author: Marco Zaffanello (Primary Author)
Institution: Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, Pediatric Division, University of Verona, Verona, Italy
Country: Italy


Orcid: 0000-0001-9523-9054
Author: Giuseppe Lippi
Institution: Department of Clinical Biochemistry, University of Verona, Verona, Italy
Country: Italy


Orcid: 0000-0002-4738-8319
Author: Laura Tenero
Institution: Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, Pediatric Division, University of Verona, Verona, Italy
Country: Italy


Orcid: 0000-0001-7746-8267
Author: Michele Piazza
Institution: Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, Pediatric Division, University of Verona, Verona, Italy
Country: Italy


Orcid: 0000-0003-3880-4998
Author: Luca Sacchetto
Institution: Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, Otorhinolaryngology Division, University of Verona, Verona, Italy
Country: Italy


Orcid: 0000-0001-5115-4622
Author: Luana Nosetti
Institution: Department of Pediatrics, University of Insubria, Varese, Italy
Country: Italy


Orcid: 0000-0002-2275-0932
Author: Emma Gasperi
Institution: Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, Pediatric Division, University of Verona, Verona, Italy
Country: Italy


Orcid: 0000-0003-1324-4373
Author: Giorgio Piacentini
Institution: Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, Pediatric Division, University of Verona, Verona, Italy
Country: Italy


Dates

Publication Date : January 4, 2019

EndNote %0 The European Research Journal Childhood nasal obstruction and sleep-disordered breathing during clinical setting: Myth or reality? %A Marco Zaffanello , Giuseppe Lippi , Laura Tenero , Michele Piazza , Luca Sacchetto , Luana Nosetti , Emma Gasperi , Giorgio Piacentini %T Childhood nasal obstruction and sleep-disordered breathing during clinical setting: Myth or reality? %D 2019 %J The European Research Journal %P -2149-3189 %V 5 %N 1 %R doi: 10.18621/eurj.410657 %U 10.18621/eurj.410657