Zasadzińska-Stempniak Katarzyna, Zajączkiewicz Hanna, Kukwa Andrzej
Department of Otorhinolaryngology, Head and Neck Diseases, School of Medicine, University of Warmia and Mazury in Olsztyn, al. Warszawska 30, 10-082 Olsztyn, Poland.
J Clin Med. 2024 Apr 24;13(9):2506. doi: 10.3390/jcm13092506.
Nasal airway obstruction (NAO) is characterised by high resistance in the nasal cavity with a collapsible and narrowed upper airway and is an integral part of OSA pathophysiology. The literature demonstrates that the identification of high-risk OSA in the young adult population leads to the prevention of later health consequences. A nasoorospirometer is a prototype device that measures nasal capacity during inspiration. The basis for measurement is a Wheatstone bridge and a thermal anemometer. The parameters are recorded via hot wire anemometry (HTA) with velocity measurements in the airflow field. Therefore, this pilot study aimed to test the feasibility of the device by examining a young adult sample. The secondary aim was to determine whether subjective NAO correlates with nasal capacity and whether NAO corresponds with anthropometric parameters and individual risk of OSA. : A group of 31 participants (mean age 24.9 years) underwent a thorough laryngological examination. The nasoorospirometer was used to measure objective NAO (nasal capacity), the NOSE scale was used to gain subjective NAO evaluation, and the Berlin Questionnaire for the risk of OSA. : A correlation analysis confirmed no significant associations between the subjective and objective measures ( > 0.05). Higher BMI and neck circumference are associated with lower NAO and higher nasal patency in the population of young adults (r: 0.32-0.45; < 0.05). The risk of OSA showed no statistically significant association ( > 0.05). : We presented three methods of NAO assessment: subjective participant evaluation, objective nasoosopirometry, and objective laryngological assessment. However, the use of a nasoorospirometer with anthropometric measures in young adults needs to be verified in future studies.
鼻气道阻塞（NAO）的特征是鼻腔阻力高，上气道可塌陷且变窄，是阻塞性睡眠呼吸暂停（OSA）病理生理学的一个组成部分。文献表明，识别年轻成年人群中的高危OSA可预防后期的健康后果。鼻气流肺活量计是一种在吸气时测量鼻腔容量的原型设备。测量的基础是惠斯通电桥和热风速仪。通过热线风速测定法（HTA）记录气流场中的速度测量参数。因此，这项初步研究旨在通过检查年轻成年样本测试该设备的可行性。次要目的是确定主观NAO是否与鼻腔容量相关，以及NAO是否与人体测量参数和OSA个体风险相对应。：一组31名参与者（平均年龄24.9岁）接受了全面的喉科检查。使用鼻气流肺活量计测量客观NAO（鼻腔容量），使用鼻阻塞症状评估量表（NOSE）进行主观NAO评估，并使用柏林OSA风险问卷。：相关性分析证实主观和客观测量之间无显著关联（>0.05）。在年轻成年人群中，较高的体重指数（BMI）和颈围与较低的NAO和较高的鼻腔通畅度相关（r：0.32 - 0.45；<0.05）。OSA风险无统计学显著关联（>0.05）。：我们介绍了三种NAO评估方法：参与者主观评估、客观鼻气流肺活量计测量和客观喉科评估。然而，在未来的研究中需要验证在年轻成年人中使用鼻气流肺活量计结合人体测量指标的情况。
