Pulmonary arterial pressure and nasal obstruction in mouth-breathing children: similarities between adenotonsillar hypertrophy and allergic rhinitis

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dc.creatorCarolina Maria Fontesferreira Nader
dc.creatorHelena Maria Gonçalves Becker
dc.creatorFlávio Diniz Capanema
dc.creatorLetícia Paiva Franco
dc.creatorZilda Maria Alves Meira
dc.creatorCláudia Pena Galvão
dc.creatorVinícius Malaquias Ramos
dc.creatorMariana Maciel Tinano
dc.creatorLucas Lima Torres
dc.creatorRoberto Becker Guimarães
dc.date.accessioned2023-05-09T21:46:01Z
dc.date.accessioned2025-09-08T23:44:17Z
dc.date.available2023-05-09T21:46:01Z
dc.date.issued2021-01
dc.format.mimetypepdf
dc.identifier.doi10.1002/alr.22651
dc.identifier.issn20426976
dc.identifier.urihttps://hdl.handle.net/1843/52992
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofInternational Forum of Allergy & Rhinology
dc.rightsAcesso Aberto
dc.subjectRinite alérgica
dc.subjectRespiração bucal
dc.subjectHipertensão pulmonar
dc.subject.otherAllergic rhinitis
dc.subject.otherMouth breathing
dc.subject.otherPulmonary hypertension
dc.titlePulmonary arterial pressure and nasal obstruction in mouth-breathing children: similarities between adenotonsillar hypertrophy and allergic rhinitis
dc.typeArtigo de periódico
local.citation.epage135
local.citation.issue2
local.citation.spage128
local.citation.volume11
local.description.resumoBackground Upper airway obstruction may cause pulmonary hypertension in childhood In this study we aimed to identify a possible correlation of systolic pulmonary arterial pressure SPAP using Doppler echocardiography with nasal patency NP as measured by rhinomanometry in mouth-breathing MB children with allergic rhinitis AR and adenotonsillar hypertrophy ATH.Methods In this cross-sectional study we evaluated patients from to years of age at an MB referral clinic in Brazil from December 2013 to 2017.We allocated patients to etiology groups: group 1,60 MBs with ATH;group 2,47 MBs with AR; group 3,43 MBs with both ATH and AR;and group 4,33 nasal breathing control subjects. The ratio of total nasal inspiratory flow (assessed by active anterior rhinomanometry and expected inspiratory flow adjusted for height determined the percent NP(%NP). Results: The median %NP was higher in controls than in the MB groups controls,114%[79-147%]: ATH:65%[5-116%]; AR:57%[23-144%]; ATH and AR:64%[3-120%]; p<0.001).Median SPAp was higher in the MB groups than in controls(SPAP:ATh 26.0[20.0-35.0] mmHg; Ar,26.0[22.0-32.0] mmHg; ATH and AR 26.30[20.0-34.0] mmHg control,22.0[16.0-30.0] mmHg; p<0.001) SPAP showed a negative association with %NP(Spearman's rho=-0,24:p<0,0001). Conclusion: Reduced nasal airflow in MB children showed a correlation with higher levels of systolic pulmonary arterial pressure. The AR and ATH groups were similar in nasal obstruction severity and systolic pulmonary arterial pressurelevel distribution © 2020 ARS-AAOA, LLC.
local.identifier.orcidhttps://orcid.org/0000-0003-0479-4621
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE OFTALMOLOGIA E OTORRINOLARINGOLOGIA
local.publisher.initialsUFMG
local.url.externahttps://onlinelibrary.wiley.com/doi/full/10.1002/alr.22651

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