Assessment of Nasal Resistance Measurement in the Diagnosis and Treatment of OSA in Children

Jin-yan ZU; Fan LOU; Cheng MING; guo LI; Ying-qin GAO; Jing MA

doi:10.12259/j.issn.2095-610X.S20211227

Volume 42 Issue 12

Dec. 2021

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Article Navigation > Journal of Kunming Medical University > 2021 > 42(12): 101-105

Jin-yan ZU, Fan LOU, Cheng MING, guo LI, Ying-qin GAO, Jing MA. Assessment of Nasal Resistance Measurement in the Diagnosis and Treatment of OSA in Children[J]. Journal of Kunming Medical University, 2021, 42(12): 101-105. doi: 10.12259/j.issn.2095-610X.S20211227

Citation:

Jin-yan ZU, Fan LOU, Cheng MING, guo LI, Ying-qin GAO, Jing MA. Assessment of Nasal Resistance Measurement in the Diagnosis and Treatment of OSA in Children[J]. Journal of Kunming Medical University, 2021, 42(12): 101-105. doi: 10.12259/j.issn.2095-610X.S20211227

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Assessment of Nasal Resistance Measurement in the Diagnosis and Treatment of OSA in Children

doi: 10.12259/j.issn.2095-610X.S20211227

Dept. of Otolaryngology and Head and Neck Surgery, Children’s Hospital Affiliated to Kunming Medical University，Kunming children’s hospital，Kunming Yunnan 650228，China

Received Date: 2021-09-06
Publish Date: 2021-12-25

Abstract

Abstract

Objective To analyze the efficacy of nasal resistance measurement in the diagnosis and treatment of OSA in children by measuring the data of nasal resistance measurement in children with OSA. Methods A total of 100 OSA children admitted to our hospital from July 2019 to July 2020 were included as the experimental group. All the children were diagnosed by polysomnograph （PSG）, and 20 healthy children without sleep disorders were randomly selected as the control group. The children in the experimental group and the control group were tested for nasal resistance. According to the results of PSG, the study group was divided into three groups: mild OSA, moderate OSA and severe OSA. According to the size of tonsils and adenoids, the experimental group was further divided into three subgroups: adenoid hypertrophy group, tonsil hypertrophy group, and adenotonsillar hypertrophy group. In the experimental group, hypertrophy tonsils and/or adenoids were removed by low-temperature plasma knife, and nasal resistance was measured again after 1 month follow-up. Results The mean nasal resistance value of experimental group was significantly higher than that of control group （P < 0.05）, but there was no statistical difference in the mean nasal resistance of mild OSA group, moderate OSA group and severe OSA group （ P > 0.05）. Adenoid hypertrophy group and adenotonsillar hypertrophy group were significantly higher than tonsil hypertrophy group and control group （ P < 0.05）. There was no statistical difference in mean nasal resistance value between tonsil hypertrophy group and control group （ P > 0.05）, and there was no statistical difference between adenoid hypertrophy group and adenotonsillar hypertrophy group （ P > 0.05）. The nasal resistance value of the study group was lower after surgery than before （ P < 0.05）. Nasal resistance value was positively correlated with adenoid hypertrophy （ ρ = 0.38, P < 0.001）, but not with OAHI value and tonsil hypertrophy （ ρ = 0.09, ρ= -0.16, P > 0.05）. Conclusion The nasal resistance value is significantly increased in OSA children, which reflects the degree of OSA adenoidal hypertrophy in children, and can be used to evaluate the effect of postoperative improvement of upper airway resistance to a certain extent.
- Nasal resistance,
- Sleep apnea,
- Obstructive,
- Children

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References(14)

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