Assessment of nasal airway patency during pregnancy and postpartum period: correlation between subjective and objective techniques

Year 2016, Volume: 26 Issue: 2, 92 - 100, 10.05.2016

Mehmet Karataş Osman Halit Çam Muhammet Tekin

Abstract

Objectives: This study aims to determine the physiological changes in a pregnant woman’s nasal airway, the frequency of pregnancy rhinitis, and the correlation among anterior rhinoscopy AnR , anterior rhinomanometry ARM , and subjective nasal obstruction score as she progresses through pregnancy into the postpartum period PPP . Patients and Methods: Twenty non-smoking healthy pregnant women aged 19-35 average 27.5±4.7 without a history of either respiratory allergy or chronic nasal or sinus problems were included in the study. Detailed history taking, AnR, and ARM were performed by the same ear nose and throat specialist at each trimester and postpartum second week. From then on, the participants scored, subjectively, morning levels of nasal obstruction 0= none, 1= slight, 2= moderate, 3= severe, 4= total obstruction . Results: The AnR scores were low and the ARM findings were in normal range in the first trimester. Increasing AnR scores through pregnancy and decreasing AnR scores at PPP were statistically significant. Similarly, the ARM findings increased through pregnancy and decreased to normal levels at PPP; however, these changes among trimesters and PPP were not statistically significant. Conclusion: Anterior rhinomanometry and AnR are useful tools in the determination of nasal physiological changes as pregnancy progresses to PPP.

Keywords

Anterior rhinoscopy, objective/subjective technique, pregnancy rhinitis, rhinomanometry

Gebelik sırasında ve postpartum dönemde nazal hava yolu açıklığının değerlendirilmesi

Abstract

Amaç: Bu çalışmada gebeliği postpartum döneme PPD doğru ilerleyen bir kadının nazal hava yolundaki fizyolojik değişiklikler, gebelik rinitinin sıklığı ve anterior rinoskopi AnR , anterior rinomanometri ARM ve subjektif burun tıkanıklığı skoru arasındaki ilişki belirlendi.Hastalar ve Yöntemler: Yaşları 19-35 ortalama 27.5±4.7 olan, sigara içmeyen, respiratuvar alerjisi veya kronik nazal ya da sinüs problemleri olmayan 20 sağlıklı gebe kadın çalışmaya dahil edildi. Her trimesterde ve postpartum ikinci haftada aynı kulak burun ve boğaz uzmanı tarafından detaylı öykü alımı, AnR ve ARM uygulandı. Sonrasında, katılımcılar burun tıkanıklığının sabahki düzeylerini subjektif olarak puanladı 0= yok, 1= az, 2= orta, 3= şiddetli, 4= tam tıkalı .Bulgular: Birinci trimesterde AnR skorları düşük ve ARM bulguları normal aralıkta idi. Gebelik boyunca artan AnR skorları ve PPD’de azalan AnR skorları istatistiksel olarak anlamlıydı. Benzer şekilde, ARM bulguları gebelik boyunca arttı ve PPD’de normal düzeylere azaldı; ancak, trimesterler ve PPD arasındaki bu değişiklikler istatistiksel olarak anlamlı değildi.Sonuç: Gebelik PPD’ye doğru ilerledikçe nazal fizyolojik değişikliklerin belirlenmesinde ARM ve AnR faydalı araçlardır

Keywords

Anterior rinoskopi, objektif/subjektif teknik, gebelik riniti, rinomanometri

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