Correlation Between Peak Nasal Flow Reversibility and Mucociliary Clearance in Allergic Rhinitis

Autor: Jitanong Leelapong, Suwalee Ruttanaphol, Virat Kirtsreesakul
Rok vydání: 2019
Předmět:
Zdroj: The LaryngoscopeBIBLIOGRAPHY. 130(6)
ISSN: 1531-4995
Popis: OBJECTIVES/HYPOTHESIS Reversibility of nasal airflow after decongestion measured by rhinomanometry is associated with the severity of allergic inflammation. Peak nasal flow is a simpler alternative method for assessing nasal patency. The aim of this study was to evaluate the correlation between changes in peak nasal expiratory and inspiratory flows (PNEFs and PNIFs) after decongestion and nasal mucociliary clearance times (NMCCTs). STUDY DESIGN Single-center, prospective cross-sectional study. METHODS One hundred one allergic rhinitis patients were enrolled. Nasal symptoms and NMCCTs were assessed. PNEF and PNIF were performed before and after decongestion. Correlations between changes in PNEF and PNIF after decongestion and NMCCTs were analyzed. One-half the standard deviation of baseline peak nasal flows was used to estimate the minimal clinically important differences (MCIDs) and discriminate between patients with reversible mucosa and with irreversible mucosa. RESULTS PNEF showed more peak flow improvements after decongestion compared to PNIF. Changes in PNEF had better negative correlations with NMCCTs than PNIF (ρ = -0.49, P
Databáze: OpenAIRE