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What happens to patients with nasal stuffiness and pathological rhinomanometry left without surgery?
Rhinology. 2009 Mar; 47(1):24-7.R

Abstract

In this study we explored long term outcomes of patients with nasal stuffiness and high nasal airway resistance (NAR) that did not undergo nasal surgery. The same investigation was repeated on average 8 years after a baseline investigation with an ENT-examination, a rhinomanometric survey and a rhinomanometry. We did follow-up investigations in 44 out of 59 non-operated patients with a pathological NAR on at least one side. At follow-up 2 persons (4%) had no complaints, 14 (32%) had reduced, 22 (50%) unchanged, and 6 (14%) increased complaints of nasal stuffiness. Rhinomanometry showed that NAR values decreased significantly between baseline and follow-up on both wider and narrower sides after decongestion. There was no correlation between subjective nasal complaints and NAR-values. In logistic regression models increasing age and allergy prevalence at baseline were significantly associated with having no, or reduced nasal stuffiness at follow-up. The results show that both NAR and subjective nasal stuffiness decreased with age. Consequently, we suggest that NAR normal values should be age adjusted. Also, a wait and see policy towards nasal stuffiness seems relevant since 36% of our patients had no or reduced nasal stuffiness while their NAR-values were reduced after 8 years.

Authors+Show Affiliations

ENT-Department, Central Hospital, Växjö, Sweden. helle.thulesius@ltkronoberg.seNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19382490

Citation

Thulesius, Helle L., et al. "What Happens to Patients With Nasal Stuffiness and Pathological Rhinomanometry Left Without Surgery?" Rhinology, vol. 47, no. 1, 2009, pp. 24-7.
Thulesius HL, Thulesius HO, Jessen M. What happens to patients with nasal stuffiness and pathological rhinomanometry left without surgery? Rhinology. 2009;47(1):24-7.
Thulesius, H. L., Thulesius, H. O., & Jessen, M. (2009). What happens to patients with nasal stuffiness and pathological rhinomanometry left without surgery? Rhinology, 47(1), 24-7.
Thulesius HL, Thulesius HO, Jessen M. What Happens to Patients With Nasal Stuffiness and Pathological Rhinomanometry Left Without Surgery. Rhinology. 2009;47(1):24-7. PubMed PMID: 19382490.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - What happens to patients with nasal stuffiness and pathological rhinomanometry left without surgery? AU - Thulesius,Helle L, AU - Thulesius,Hans O, AU - Jessen,Max, PY - 2009/4/23/entrez PY - 2009/4/23/pubmed PY - 2009/5/29/medline SP - 24 EP - 7 JF - Rhinology JO - Rhinology VL - 47 IS - 1 N2 - In this study we explored long term outcomes of patients with nasal stuffiness and high nasal airway resistance (NAR) that did not undergo nasal surgery. The same investigation was repeated on average 8 years after a baseline investigation with an ENT-examination, a rhinomanometric survey and a rhinomanometry. We did follow-up investigations in 44 out of 59 non-operated patients with a pathological NAR on at least one side. At follow-up 2 persons (4%) had no complaints, 14 (32%) had reduced, 22 (50%) unchanged, and 6 (14%) increased complaints of nasal stuffiness. Rhinomanometry showed that NAR values decreased significantly between baseline and follow-up on both wider and narrower sides after decongestion. There was no correlation between subjective nasal complaints and NAR-values. In logistic regression models increasing age and allergy prevalence at baseline were significantly associated with having no, or reduced nasal stuffiness at follow-up. The results show that both NAR and subjective nasal stuffiness decreased with age. Consequently, we suggest that NAR normal values should be age adjusted. Also, a wait and see policy towards nasal stuffiness seems relevant since 36% of our patients had no or reduced nasal stuffiness while their NAR-values were reduced after 8 years. SN - 0300-0729 UR - https://www.unboundmedicine.com/medline/citation/19382490/What_happens_to_patients_with_nasal_stuffiness_and_pathological_rhinomanometry_left_without_surgery L2 - https://www.rhinologyjournal.com/Abstract.php?id=748 DB - PRIME DP - Unbound Medicine ER -