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Immediate effects of a rhino-pharyngeal clearance protocol in nasal obstruction and middle ear condition of children under 3 years of age with upper respiratory infections: A randomized controlled trial

2019Journal article Open access
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dc.contributor.authorAlexandrino, Ana Silva
dc.contributor.authorSantos, Rita
dc.contributor.authorMelo, Cristina
dc.contributor.authorTomé, David
dc.contributor.authorBastos, José Mesquita
dc.contributor.authorPostiaux, Guy
dc.date.accessioned2019-11-22T11:57:00Z
dc.date.available2020-09-05T00:30:25Z
dc.date.issued2019
dc.description.abstractIntroduction and objectives Children up to 2 years old are at high risk of respiratory infections and nasal irrigation is often prescribed. Yet, to date there is no sufficient knowledge about its immediate effects on the nasopharynx and middle ear. Therefore, this study aimed to analyze the effect of a rhino-pharyngeal clearance intervention protocol on nasal obstruction and middle ear condition in children under 3 years of age with URTI. Materials and methods Randomized controlled trial in a day-care centre of Porto, including 44 children randomized to Intervention Group (IG) and Control Group (CG). Nasal auscultation and tympanometry were performed at baseline (M0) as well as after the intervention (M1), which consisted of nasal irrigation (NaCl .9%) followed by a forced nasal inspiration in the IG, and after 30 min of normal activities, in the CG. Results In M1 there was a lower frequency of children classified as having an obstructed nasal sound in the IG when compared to the CG (IG = 33.3%; CG = 68.4%; p = 0.042). We also observed an improvement of mean peak pressure (PP) in the IG (Left ear: M0 = −124daPa; M1 = −92daPa; p = 0.022. Right ear: M0 = −102daPa; M1 = −77daPa; p = 0.021), which was not observed in the CG (Left ear: M0 = −105daPa; M1 = −115daPa; p = 0.485. Right ear: M0 = −105daPa; M1 = −131daPa; p = 0.105). There were no significant results concerning the compliance of the tympanic membrane. Conclusions The rhino-pharyngeal clearance improved the nasal obstruction and PP of the middle ear of children under 3 years of age with URTI.pt_PT
dc.description.abstractIntroducción y objetivos Los niños corren un alto riesgo de infecciones respiratorias superiores (IRS) y con frecuencia se prescriben irrigaciones nasales. Hasta hoy no hay suficiente conocimiento sobre sus efectos inmediatos en la nasofaringe y el oído medio. Por lo tanto, este estudio tuvo como objetivo analizar el efecto de un protocolo de intervención de limpieza nasal en la obstrucción y en el estado del oído medio de niños menores de 3 años con IRS. Material y métodos Ensayo controlado aleatorizado en una guardería de Oporto, incluidos 44 niños asignados al Grupo de intervención (IG) y al Grupo de control (CG). La auscultación nasal y la timpanometría se realizaron al inicio (M0) y después de la intervención (M1), que consistió en irrigación nasal (NaCl 0,9%) seguido de una inspiración nasal forzada en IG, y después de 30 min de actividades normales en CG. Resultados En M1 hubo una menor frecuencia de niños clasificados como con un sonido nasal obstruido en IG en comparación con CG (IG = 33,3%; CG = 68,4%; p = 0,042). También se observó una mejora de la presión máxima media (PP) en IG (oído izquierdo: M0 = −124 daPa; M1 = −92 daPa; p = 0,022; oído derecho: M0 = −102 daPa; M1 = −77 daPa; p = 0,021), que no se observó en CG (oído izquierdo: M0 = −105 daPa; M1 = −115 daPa; p = 0,485; oído derecho: M0 = −105 daPa; M1 = −131 daPa; p = 0,105). No hubo resultados significativos con respecto al cumplimiento de la membrana timpánica. Conclusiones La limpieza nasal mejoró la obstrucción y la PP del oído medio de niños menores de 3 años con IRS.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationAlexandrino, A. S., Santos, R., Melo, C., Tomé, D., Bastos, J. M., & Postiaux, G. (2019). Immediate effects of a rhino-pharyngeal clearance protocol in nasal obstruction and middle ear condition of children under 3 years of age with upper respiratory infections: A randomized controlled trial. Acta Otorrinolaringológica Española, 70(4), 192–199. https://doi.org/10.1016/j.otorri.2018.03.004
dc.identifier.doi10.1016/j.otorri.2018.03.004pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.22/14919
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.relation.publisherversionhttps://www.sciencedirect.com/science/article/pii/S0001651918300840?via%3Dihubpt_PT
dc.subjectRhinopharyngeal clearancept_PT
dc.subjectNasal irrigationpt_PT
dc.subjectRespiratory tract infectionspt_PT
dc.subjectTympanometrypt_PT
dc.subjectChildrenpt_PT
dc.subjectRespiratory physiotherapypt_PT
dc.subjectAclaramiento de la rinofaringept_PT
dc.subjectIrrigación nasalpt_PT
dc.subjectInfecciones del tracto respiratoriopt_PT
dc.subjectTimpanometríapt_PT
dc.subjectNiñospt_PT
dc.subjectFisioterapia respiratoriapt_PT
dc.titleImmediate effects of a rhino-pharyngeal clearance protocol in nasal obstruction and middle ear condition of children under 3 years of age with upper respiratory infections: A randomized controlled trialpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage199pt_PT
oaire.citation.issue4pt_PT
oaire.citation.startPage192pt_PT
oaire.citation.titleActa Otorrinolaringológica Españolapt_PT
oaire.citation.volume70pt_PT
person.familyNameAlexandrino
person.familyNameSantos
person.familyNameMelo
person.familyNameTomé
person.givenNameAna Silva
person.givenNameRita
person.givenNameCristina
person.givenNameDavid
person.identifier472686
person.identifier.ciencia-idE213-85E6-716F
person.identifier.ciencia-idD314-7D17-7859
person.identifier.ciencia-id5F12-B2B1-B40B
person.identifier.orcid0000-0001-8146-6950
person.identifier.orcid0000-0002-7489-1411
person.identifier.orcid0000-0003-2829-4744
person.identifier.orcid0000-0002-1824-1019
person.identifier.scopus-author-id57110502100
person.identifier.scopus-author-id57190185327
person.identifier.scopus-author-id55749731500
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication1a3a8a6c-815d-49b0-bd3b-6db516fafd25
relation.isAuthorOfPublicationdc8879aa-fcd3-4f44-add1-3287db1ebb38
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relation.isAuthorOfPublicatione787e2b5-3ea1-4ca0-8a70-576058d54f8e
relation.isAuthorOfPublication.latestForDiscoverydc8879aa-fcd3-4f44-add1-3287db1ebb38

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