The Recumbent Position Affects Nasal Resistance: A Systematic Review and Meta-Analysis
Por:
Calvo-Henríquez C, Chiesa-Estomba C, Lechien JR, Carrasco-Llatas M, Cammarotto G, Mayo-Yáñez M, Abelleira-Paris R, Gonzalez-Barcala FJ, Martinez-Capoccioni G and Martin-Martin C
Publicada:
1 ene 2022
Ahead of Print:
1 mar 2021
Categoría:
Otorhinolaryngology
Resumen:
Objective Nasal diseases are among the main motives for the early discontinuation of continuous positive airway pressure therapy and for long-term therapeutic compliance with mandibular advancement device. Although our clinical experience leads us to the belief that recumbency impacts nasal airflow in some patient populations, there is no consensus regarding the magnitude of this effect and the specific group of patients who are the most affected by this condition. In this study, we conducted a meta-analysis to assess the effect of the recumbent position on nasal resistance and nasal airflow.
Review Methods PubMed (Medline), Cochrane Library, EMBASE, Scopus, and SciELO databases were checked for relevant studies by two members of the YO-IFOS study group. The two authors extracted the data. The main outcome was expressed as the difference between nasal resistance and nasal airflow before and after recumbency.
Results Nine studies with a total population of 291 individuals were included in the meta-analysis for nasal resistance after recumbency. We found a statistically significant difference in nasal airway resistance of -0.18 Pa sec/cm(3) as compared to before and after recumbency through rhinomanometry (RMM) analysis. A subgroup analysis revealed a variation of -0.20 Pa sec/cm(3) for patients with snoring or sleep apnea and - 0.10 Pa sec/cm(3) for healthy individuals. Regarding nasal airflow measured with RMM, three studies (n = 32) in asymptomatic controls revealed a statistically significant difference of 47.33 ml/sec.
Conclusions Recumbency increases nasal resistance and diminishes nasal airflow. This finding is of utmost importance in snorers and sleep apnea patients. Laryngoscope, 2021
Filiaciones:
Calvo-Henríquez C:
Rhinology Study Group of the Young-Otolaryngologists of the International Federations of Otorhinolaryngological Societies (YO-IFOS), Paris, France
Service of Otolaryngology, Hospital Complex of Santiago de Compostela, Santiago, Spain
Chiesa-Estomba C:
Rhinology Study Group of the Young-Otolaryngologists of the International Federations of Otorhinolaryngological Societies (YO-IFOS), Paris, France
Service of Otolaryngology, Donostia University Hospital, San Sebastian, Spain
Lechien JR:
Rhinology Study Group of the Young-Otolaryngologists of the International Federations of Otorhinolaryngological Societies (YO-IFOS), Paris, France
Foch Hospital, University of Paris-Saclay, Paris, France
:
Service of Otolaryngology, Hospital Universitario Dr. Peset, Valencia, Spain
Cammarotto G:
Rhinology Study Group of the Young-Otolaryngologists of the International Federations of Otorhinolaryngological Societies (YO-IFOS), Paris, France
Department of Head-Neck Surgery, Morgagni-Pierantoni Hospital, Forlì, Italy
Mayo-Yáñez M:
Rhinology Study Group of the Young-Otolaryngologists of the International Federations of Otorhinolaryngological Societies (YO-IFOS), Paris, France
Service of Otolaryngology, Hospital Complex of La Coruña, La Coruña, Spain
Abelleira-Paris R:
Service of Pneumology, Hospital Complex of Santiago de Compostela, Santiago, Spain
Gonzalez-Barcala FJ:
Service of Pneumology, Hospital Complex of Santiago de Compostela, Santiago, Spain
Martinez-Capoccioni G:
Rhinology Study Group of the Young-Otolaryngologists of the International Federations of Otorhinolaryngological Societies (YO-IFOS), Paris, France
Service of Otolaryngology, Hospital Complex of Santiago de Compostela, Santiago, Spain
Martin-Martin C:
Service of Otolaryngology, Hospital Complex of Santiago de Compostela, Santiago, Spain
|