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Assessment of upper airway obstruction by measuring peak oral and nasal inspiratory flow

Published online by Cambridge University Press:  04 May 2015

S Bathala  and
R Eccles
S Bathala*
Affiliation:
Common Cold Centre, Cardiff School of Biosciences, Cardiff University, UK
R Eccles
Affiliation:
Common Cold Centre, Cardiff School of Biosciences, Cardiff University, UK
*
Address for correspondence: Mr S Bathala, Common Cold Centre, School of Biosciences, Cardiff University, CF103AX, Wales, UK E-mail: [email protected]
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Abstract

Objective:

We wanted to access upper airway obstruction in patients undergoing tonsillectomy by measuring peak oral and nasal inspiratory airflow.

Methods:

We recruited study participants from a cohort of patients on the waiting list for tonsillectomy, with or without adenoidectomy, at University Hospital of Wales, Cardiff, UK. Fifty patients enrolled on phase I of the study and underwent pre-operative measurement of the rate of peak oral and nasal inspiratory flow; 25 of these patients returned after one month for phase II of the study and underwent post-operative measurement of the rate of both peak oral and nasal inspiratory flow.

Results:

Of the 25 participants who completed phase II of the study, 17 (68 per cent) showed an increase in post-operative peak oral inspiratory flow rate by an average of 45 per cent, while 18 (72 per cent) showed an increase in post-operative peak nasal inspiratory flow rate by an average of 22 per cent.

Conclusion:

Both peak oral and nasal inspiratory flow rate measurements may be useful measures of oral and nasal obstruction. Further larger studies are needed to develop these measurements as screening and efficacy measures for adenotonsillectomy to relieve upper airway obstruction.

Keywords

TonsillectomySnoringSleep Apnea, Obstructive
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 5 , May 2015 , pp. 473 - 477
Copyright
Copyright © JLO (1984) Limited 2015 

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References

1Nixon, GM, Kermack, AS, Davis, GM, Manoukian, JJ, Brown, KA, Brouillette, RT. Planning adenotonsillectomy in children with obstructive sleep apnea: the role of overnight oximetry. Pediatrics 2004;113:e19–25CrossRefGoogle ScholarPubMed
2Indications for Tonsillectomy. Position Paper ENT UK 2009. In: https://entuk.org/sites/default/files/files/tonsillectomy_position_paper.pdf [26 February 2015]Google Scholar
3Papachristou, A, Bourli, E, Aivazi, D, Futzila, E, Papastavrou, T, Konstandinidis et al. Normal peak nasal inspiratory flow rate values in Greek children and adolescents. Hippokratia 2008;12:94–7Google ScholarPubMed
4van Spronsen, E, Ebbens, FA, Fokkens, WJ. Normal peak nasal inspiratory flow rate values in healthy children aged 6 to 11 years in the Netherlands. Rhinology 2012;50:22–5CrossRefGoogle ScholarPubMed
5Clark, TJ. Inspiratory obstruction. Br Med J 1970;3:682–4CrossRefGoogle ScholarPubMed
6Groth, S, Dirksen, A, Dirksen, H, Rossing, N. Intraindividual variation and effect of learning in lung function examinations. A population study. Bull Eur Physiopathol Respir 1986;22:35–42Google ScholarPubMed
7Smith, PL, Wise, RA, Gold, AR, Schwartz, AR, Permutt, S. Upper airway pressure-flow relationships in obstructive sleep apnea. J Appl Physiol 1988;64:789CrossRefGoogle ScholarPubMed