Skip to main content
Log in

Correlation Between Objective Evaluation Result of Nasal Congestion and Life Quality in Patients with Acute Rhinosinusitis

  • Original Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Rhinosinusitis is an inflammatory process involving the nasal mucosa and paranasal sinuses. Rhinitis and sinusitis generally occur simultaneously and thus the current terminology used is rhinosinusitis. The blind nose can negatively affect the overall quality of life including the physical or emotional condition of the sufferer and disruption to work or school (reduced productivity and difficulty in concentrating). To analyse correlation between objective evaluation results of nasal congestion through NIPF and life quality based on sinonasal outcome Test-20 score in patients with acute rhinosinusitis. The study was conducted at Otolaryngology Outpatient Clinic at Dr. Soetomo General Hospital Surabaya. The time of study began in July 2011 until the minimum sample size was met. The sample of the study was patients diagnosed with acute rhinosinusitis treated at Otolaryngology Outpatient Clinic at Dr. Soetomo General Hospital Surabaya and meet the research criteria. Based on statistical analysis with Spearman rank correlation test, correlation between NIPF value and SNOT-20 score on 16 samples got correlation coefficient—0.310 and p = 0.243. The scatter diagram showed the NIPF value variables and the SNOT-20 scores being scattered in uneven spots and erratic patterns. This indicated that an objective evaluation of nasal congestion based on NIPF and subjective assessment of quality of life based on SNOT-20 score was not obtained correlation (p > 0.05). The results of the objective nasal obstruction examination based on Nasal Inspiratory Peak Flow have no correlation with subjective subjective assessment of quality of life based on Sino-Nasal Outcome Test-20 score in patients with acute rhinosinusitis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Busquets JM (2006) Nonpolypoid rhinosinusitis: classification, diagnosis and treatment. In: Bailey BJ, Johnson JT, Newlands SD (eds) Head and neck surgery-otolaryngology, 4th edn. Lippincott Wiliams and Wilkins, Philadelphia, pp 405–416

    Google Scholar 

  2. Fokkens W, Lund V, Mullol J, European Position Paper on Rhinosinusitis and Nasal Polyps Group (2007) European position paper on rhinosinusitis and nasal polyps. Rhinol 45(Suppl 20):1–139

    Google Scholar 

  3. Bousquet JKN, Cruz AA, Denburg J, Fokkens WJ, Togias A et al (2008) Allergic rhinitis and its impact on asthma (ARIA). Allergy 63(Suppl 86):8–160. https://doi.org/10.1111/j.1398-9995.2007.01620.x

    Article  PubMed  Google Scholar 

  4. Ikeda K, Kondo Y, Sunose H, Hirano K, Oshima T, Shimomura A, Suzuki H, Takasaka T (1996) Subjective and objective evaluation in endoscopic sinus surgery. Am J Rhinol 10(4):217–220

    Article  Google Scholar 

  5. Sakakura Y (1997) Mucocilliary transport in rhinologic desease. In: Munthabornk BC (ed) Asean rhinological practice. Siriyot Co. Ltd, Bangkok

    Google Scholar 

  6. Kentjono WA (2004) Rinosinusitis: etiologi dan patofisiologi’, dalam: perkembangan terkini diagnosis dan penatalaksanaan rinosinusitis Pendidikan Kedokteran Berkelanjutan IV Ilmu Kesehatan THT-KL. Bagian/SMF Ilmu Penyakit THT KL FK Unair/RSUD Dr. Soetomo, Surabaya

  7. Kristo A (2005) Acute rhinosinusitis during upper respiratory infection in children. Dissertation, University of Oulu, Oulu

  8. Stewart M, Ferguson B, Fromer L (2010) Epidemiology and burden of nasal congestion. Int J Gen Med 3:37–45

    Article  PubMed  PubMed Central  Google Scholar 

  9. Garbutt J, Spitznagel E, Piccirillo J (2011) Use of the modified SNOT-16 in primary care patients with clinically diagnosed acute rhinosinusitis. Arch Otolaryngol—Head & Neck Surg 137(8):792–797. https://doi.org/10.1001/archoto.2011.120

    Article  PubMed  PubMed Central  Google Scholar 

  10. Davis SS, Eccles R (2004) Nasal congestion: mechanisms, measurement and medications. Clin Otolaryngol 29:659–666

    Article  CAS  PubMed  Google Scholar 

  11. Nathan RA, Eccles R, Howarth PH et al (2005) Objective monitoring of nasal patency and nasal physiology in rhinitis. J Allergy Clin Immunol 115:442–459

    Article  Google Scholar 

  12. Scadding G, Hellings P, Alobid I, Bachert C, Fokkens W, van Wijk RG, Gevaert P, Guilemany J, Kalogjera L, Lund V, Mullol J, Passalacqua G, Toskala E, van Drunen C (2011) Diagnostic tools in rhinology EAACI position paper. Clin Transl Allergy 1(1):2. https://doi.org/10.1186/2045-7022-1-2

    Article  PubMed  PubMed Central  Google Scholar 

  13. Ibrahim M, Soemantri RD, Kristyono I (2014) Hubungan Antara Hambatan Aliran Udara Hidung dan Paru pada Penderita Rinitis Alergi. Jurnal THT-KL 7(1):1–10

    Google Scholar 

  14. Browne J, Hopkins C, Slack R, Cano SJ (2007) The Sino-Nasal Outcome Test (SNOT): can we make it more clinically meaningful? Otol Head Neck Surg 136:736–741

    Article  Google Scholar 

  15. Enhage A (2008) Nasal bronchial testing as well as treatment of patients with airway hiper-responsiveness and inflamation focusing on the united airway concept. Karolinka Institute Sweden, Stockholm

    Google Scholar 

  16. Krouse J, Lund V, Fokkens W, Meltzer EO (2010) Diagnostic strategies in nasal congestion. Int J Gen Med 3:59–67

    Article  PubMed  PubMed Central  Google Scholar 

  17. Schalek P (2011) Rhinosinusitis-Its Impact on Quality of Life. In: Marseglia GL (ed) Peculiar Aspects ofRhinosinusitis. InTech, Rijeka, pp 3–26

    Google Scholar 

  18. File TM (2006) Sinusitis: epidemiology. In: Brook I (ed) Sinusitis from microbiology to management. Taylor & Francis Group, Washington

    Google Scholar 

  19. Desrosiers M, Evans GA, Keith PK, Wright ED, Kaplan A, Bouchard J et al (2011) Canadian clinical practice guidelines for acute and chronic rhinosinusitis. All Clin Immunol 7:1–38

    Google Scholar 

  20. Alberta Clinical Practice Guideline Working Group for Antibiotics (2008) Guideline for the diagnosis and management of acute bacterial sinusitis. Alberta Medical Association, Edmonton

  21. Tomassen P, Van Zele T, Mahachie J, Van Bruaene N, Burney P, Fokkens W, Bachert C (2010) Incidence and risk factors of acute rhinosinusitis in an urban population: a Ga2len study. In: 1st European Rhinitis and Asthma Meeting, 8th Symposium on Experimental Rhinology and Immunology of the Nose (ERAM/SERIN 2010), Brussels, Belgium, 2010. European Academy of Allergy and Clinical Immunology (EAACI)

  22. Naclerio RM, Bachert C, Baraniuk JN (2010) Pathophysiology of nasal congestion. Int J Gen Med 3:47–57

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Piccirillo JF, Merritt MG Jr, Richards ML (2002) Psychometric and clinimetric validity of the 20-item Sino-Nasal Outcome Test (SNOT-20). Otolaryngol Head Neck Surg 26(1):41–47

    Article  Google Scholar 

  24. Supranto J (2008) Statistik: Teori dan Aplikasi. 7 edn. Erlangga, Jakarta

  25. Nathan RA, Eccles R, Howarth PH, Steinsvag SK, Togias A (2005) Objective monitoring of nasal patency and nasal physiology in rhinitis. J Allergy Clin Immunol 115(3 Suppl 1):S442–S459. https://doi.org/10.1016/j.jaci.2004.12.015

    Article  PubMed  PubMed Central  Google Scholar 

  26. Scadding GK, Lund VJ (2004) Investigative Rhinology, 1 edn. CRC Press, London

    Book  Google Scholar 

  27. Kamal I (2002) Objective assessment of nasal obstruction in snoring and obstructive sleep apnea patients: experience of a police authority hospital. Ann Saudi Med 22(3–4):158–162

    Article  Google Scholar 

  28. Lin SJ, Danahey DG (2015) Nasal aerodynamics. Medscape. https://emedicine.medscape.com/article/874822-overview. Accessed 20 May 2015

  29. Felce D, Perry J (1999) Quality of life: its definition and measurement. Res dev disabil 16(1):51–74

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sri Herawati Juniati.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Mengko, S.K., Soemantri, R. & Juniati, S.H. Correlation Between Objective Evaluation Result of Nasal Congestion and Life Quality in Patients with Acute Rhinosinusitis. Indian J Otolaryngol Head Neck Surg 71 (Suppl 3), 1929–1934 (2019). https://doi.org/10.1007/s12070-018-1333-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-018-1333-4

Keywords

Navigation