Subjective feeling of nasal obstruction and its response to nasal steroids in the elderly

Year 2018, Volume: 28 Issue: 3, 126 - 131, 20.09.2018

Serap Şahin Önder Başak Çaypınar Aslı Şahin Yılmaz Sema Zer Toros Çağatay Oysu

Abstract

Objectives: This study aims to compare the effectiveness of topical nasal steroids for nasal obstruction symptoms between advanced age patients and young-middle age patients based on acoustic rhinometry values and correlations with mucociliary clearance. Patients and Methods: Our study population consisted of 27 advanced aged patients 15 males, 12 females; mean age 67 years; range, 65 to 76 group 1 and 36 young-middle aged patients 20 males, 16 females; mean age 36.1 years; range, 15 to 49 years group 2 . Patients with a history of allergic rhinitis AR with positive skin prick tests were referred from the Department of Respiratory Medicine. All patients were evaluated with objective and subjective methods before and after using topical nasal steroids for six weeks. We used rhinometric evaluation and saccharin test as objective methods and assessed patients with nasal obstruction symptom evaluation NOSE and visual analog scale VAS as subjective methods. Results: Baseline subjective scores of group 1 were significantly lower than group 2 p<0.05 . Percent change of VAS and NOSE scores were markedly higher in group 2 compared to group 1 p<0.05 . There was no significant difference between groups in terms of the change in saccharin time following nasal steroid treatment p>0.05 . Baseline total minimum cross-sectional area MCA3 and total volume of nasal cavity VOL3 values of group 1 were significantly higher than group 2 p<0.05 . The change of MCA3 and VOL3 values did not differ between the groups before and after treatment with nasal steroids p>0.05 . Conclusion: In this study, we have shown that the elderly have reduced awareness of their nasal symptoms of AR. We have demonstrated that topical treatment with nasal steroids was more effective in the young-middle age group subjectively.

Keywords

Acoustic rhinometry, elderly, nasal obstruction, topical nasal steroids

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