2019, Number 3
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Otorrinolaringología 2019; 64 (3)
Utility of the peak nasal inspiratory flow to evaluate the degree of nasal obstruction according to the NOSE scale as a prognostic tool for response to treatment in allergic rhinitis
Martínez-Salazar NE, Márquez-López OL
Language: Spanish
References: 12
Page: 84-90
PDF size: 373.56 Kb.
ABSTRACT
Objective: To determine the efficacy of the use of peak nasal inspiratory flow to evaluate
its correlation with the degree of nasal obstruction as a predictive tool for response
to conservative or surgical treatment in patients whit allergic rhinitis.
Material and Method: A correlation analytical study was carried out by means of
simple non-probabilistic sampling of consecutive cases, prospective and analytical of
the patients of the otolaryngology outpatient clinic, with allergic rhinitis that referred
nasal obstruction among their symptoms from August to October 2017. Initial assessment
and follow-up were performed at 30, 60 and 90 days with the NOSE scale, inferior
turbinates were classified by anterior rhinoscopy and the peak nasal inspiratory flow
was measured before and after the application of phenylephrine.
Results: Fourty-six patients with allergic rhinitis with nasal obstruction, 19 men
(41.3%), with a mean age of 42.7 ± 13.1 years, were included in the study. Between the
NOSE scale and peak nasal inspiratory flow it was found that the initial correlation prior
to phenylephrine was -0.015, after phenylephrine -0.243, at 30 days 0.093 y -0.209, at
60 days -0.195 y -0.244, respectively, so, no correlation was found.
Conclusions: Peak nasal inspiratory flow is not a useful tool for choosing the type
of treatment for nasal obstruction in patients with allergic rhinitis, since the correlation
with the NOSE scale was less than 0.45.
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