Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Research Article Volume 4 Issue 5

Nasal Airflow Changes After Targeted Nasal and Sinus Surgery in Children

Peter Catalano1*, Michael Schlewet1, Melih Motro2, John Walker2 and Ayman Fraihat3

1Department of Otolaryngology, St. Elizabeth’s Medical Center, Brighton, MA, USA
2Department of Orthodontics, Goldman School of Dentistry, Boston University, Boston, MA, USA
3Department of Otolaryngology, Sulaiman Al Habib Medical Center, Dubai, UAE

*Corresponding Author: Peter Catalano, Chief of Otolaryngology, St. Elizabeth’s Medical Center, Professor of Otolaryngology, Tufts University School of Medicine, Brighton, MA, USA.

Received: March 11, 2022; Published: April 29, 2022


Background: Nasal airway obstruction in children is far more common than is currently appreciated, and is often associated with sleep disordered breathing and recurrent sinusitis. Surgical attempts to reduce this obstruction have primarily focused on adenoidectomy and turbinate reduction. However, many children have nasal obstruction despite adenoidectomy, or without enlarged adenoids. In adults, nasal surgery for obstruction has been limited to septoplasty and inferior turbinoplasty. We have used a different approach to nasal obstruction in children that involves minimally invasive targeted nasal and sinus surgery together. In this study, we evaluate these airway changes in highly symptomatic children with nasal obstruction and recurrent acute sinusitis.

Method: This retrospective pilot study is designed to evaluate the change in nasal obstruction and nasal airway dimensions in children with nasal obstruction, sleep disordered breathing, and recurrent acute sinusitis following targeted minimally invasive nasal and sinus surgery. Fourteen children who demonstrated recurrent acute sinusitis, nasal obstruction, and sleep disordered breathing as determined by history, physical exam, 3D sinus CT-scan, and NOSE scores, and did not have adeno-tonsillar hypertrophy, were included. No palatal expansion had yet been performed. CT imaging used to calculate nasal airway volumes was performed at baseline and 3 months post-surgery, and NOSE scores were used to evaluate nasal obstruction pre and 3 months after surgery.

Result: 14 consecutive patients aged 5-14 years (M 57%; F 43%) were included in this study. All patients demonstrated significant increase in nasal airway volume after surgery (p < 0.0001), and NOSE scores improved from an average of 59 pre-op to 8.6 post-op. There was no surgical morbidity.

Conclusion: Targeted minimally invasive nasal and sinus surgery in children with nasal obstruction, sleep disordered breathing, and recurrent acute sinusitis can produce significant improvement in nasal airflow and safely reduce disease related symptoms.

Keywords: Minimally Invasive Nasal Airway Surgery; Nasal Airflow; Nasal Breathing In Children; Pediatric Rhinology


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Citation: Peter Catalano., et al. “Nasal Airflow Changes After Targeted Nasal and Sinus Surgery in Children". Acta Scientific Otolaryngology 4.5 (2022): 77-83.


Copyright: © 2022 Peter Catalano., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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