Objective and subjective assessments of nasal obstruction in children and adolescents with allergic rhinitis
Open accessAbstract
Objective To correlate objective assessment of nasal obstruction, as measured by acoustic rhinometry (volume of the first 5 cm of the nasal cavity) and active anterior rhinomanometry (total nasal airway resistance), with its subjective evaluation (obstruction scores). Method Thirty patients, aged 7 to 18 years, with persistent allergic rhinitis and thirty controls were enrolled. The obstruction score was reported for the whole nasal cavity and for each nostril separately. The three variables were measured at baseline and after induction of nasal obstruction. Results There were significant and negative correlations between resistance and nasal volume in all groups and scenarios, except for the most obstructed nostril, in the control group, post-obstruction. For the whole nasal cavity, there was no significant correlation between objective and subjective variables except between score and total nasal cavity volume in the control group, post-obstruction. Regarding the most obstructed nostril, we found a significant negative correlation between score and resistance and a significant positive correlation between score and volume for the total group at baseline. There were no clear differences in the correlation coefficients found in patients and controls. The correlation coefficients did not change after induction of nasal obstruction. Conclusions Objective assessment of nasal obstruction did not correlate significantly with subjective evaluation for the nasal cavity as a whole, b…
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Mendes et al found no significant correlation between the objective and subjective methods used in children with allergic rhinitis and healthy controls.
“No significant correlation was detected between the objective and subjective methods used.”
From Position Paper on Nasal Obstruction: Evaluation and Treatment (2018) · cites this paper as [84]
Cites
Allergic Rhinitis and its Impact on Asthma (ARIA) 2008*
Bousquet, J., Khaltaev, N., Cruz, A. A., Denburg, J., Fokkens, W. J., Togias, A., Zuberbier, T., Baena‐Cagnani, C. E., Canonica, G. W., Van Weel, C., et al. (2008) · Allergy · doi:10.1111/j.1398-9995.2007.01620.x · Cited by 4,729 · see citing works
Allergic Rhinitis and Its Impact on Asthma
Bousquet, J., van Cauwenberge, P., & Khaltaev, N. (2001) · Journal of Allergy and Clinical Immunology · doi:10.1067/mai.2001.118891 · Cited by 3,588 · see citing works
Allergic Rhinitis and its Impact on Asthma (ARIA)
Bousquet, J. (2003) · Clinical & Experimental Allergy Reviews · doi:10.1046/j.1472-9725.2003.00063.x · Cited by 825 · see citing works
Acoustic rhinometry: evaluation of nasal cavity geometry by acoustic reflection
Hilberg, O., Jackson, A. C., Swift, D. L., & Pedersen, O. F. (1989) · Journal of Applied Physiology · doi:10.1152/jappl.1989.66.1.295 · Cited by 624 · see citing works
Consensus report on acoustic rhinometry and rhinomanometry.
Clement, P. A. R., & Gordts, F. (2005) · PubMed · Cited by 421 · see citing works
André, R. F., Vuyk, H. D., Ahmed, A., Graamans, K., & Trenité, G. J. N. (2009) · Clinical Otolaryngology · doi:10.1111/j.1749-4486.2009.02042.x · Cited by 319 · see citing works
Objective monitoring of nasal patency and nasal physiology in rhinitis
Nathan, R. A., Eccles, R., Howarth, P. H., Steinsvag, S. K., & Togias, A. G. (2005) · Journal of Allergy and Clinical Immunology · doi:10.1016/j.jaci.2004.12.015 · Cited by 204 · see citing works
Acoustic rhinometry, rhinomanometry, and the sensation of nasal patency: a correlative study.
Roithmann, R., Cole, P., Chapnik, J. S., Barreto, S. M., Szalai, J. P., & Zamel, N. (1994) · PubMed · Cited by 177 · see citing works
Nasal airflow: resistance and sensation
Jones, A. S., Willatt, D. J., & Durham, L. M. (1989) · The Journal of Laryngology & Otology · doi:10.1017/s0022215100110485 · Cited by 151 · see citing works
Comparison of Anatomic, Physiological, and Subjective Measures of the Nasal Airway
Lam, D. J., James, K. T., & Weaver, E. M. (2006) · American Journal of Rhinology · doi:10.2500/ajr.2006.20.2940 · Cited by 149 · cited 1× · see citing works
“Por outro lado, pacientes cronicamente obstruídos poderiam se acostumar à obstrução nasal, minimizando sua gravidade 29 .”
Correlation of subjective sensation of nasal patency with nasal inspiratory peak flow rate
Fairley, J. W., Durham, L., & Ell, S. R. (1993) · Clinical Otolaryngology · doi:10.1111/j.1365-2273.1993.tb00803.x · Cited by 123 · see citing works
Meltzer, E. O., Jalowayski, A. A., Orgel, H. A., & Harris, A. G. (1998) · Journal of Allergy and Clinical Immunology · doi:10.1016/s0091-6749(98)70053-3 · Cited by 123 · see citing works
Skin testing: a survey of allergists
Oppenheimer, J., & Nelson, H. S. (2006) · Annals of Allergy, Asthma & Immunology · doi:10.1016/s1081-1206(10)61034-4 · Cited by 92 · see citing works
Objective versus Subjective Outcomes Assessment in Rhinology
Stewart, M., & Smith, T. L. (2005) · American Journal of Rhinology · doi:10.1177/194589240501900518 · Cited by 86 · see citing works
Objective and subjective nasal airflow
Yaniv, E., Hadar, T., Shvero, J., & Raveh, E. (1997) · American Journal of Otolaryngology · doi:10.1016/s0196-0709(97)90045-4 · Cited by 71 · see citing works
Van Spronsen, E., Ingels, K. J. A. O., Jansen, A. H., Graamans, K., & Fokkens, W. J. (2008) · Allergy · doi:10.1111/j.1398-9995.2008.01729.x · Cited by 70 · see citing works
The nasal valve: a physiological and clinical study
Jones, A., Wight, R. G., Stevens, J. C., & Beckingham, E. (1988) · The Journal of Laryngology & Otology · doi:10.1017/s0022215100107418 · Cited by 70 · see citing works
Rhinomanometry for Preoperative and Postoperative Assessment of Nasal Obstruction
Gordon, A. S. D., McCaffrey, T. V., Kern, E. B., & Pallanch, J. F. (1989) · Otolaryngology · doi:10.1177/019459988910100105 · Cited by 67 · see citing works
Evaluation of Nasal Patency: Comparison of Patient and Clinician Assessments with Rhinomanometry
Panagou, S. L. P. (1998) · Acta Oto-Laryngologica · doi:10.1080/00016489850182567 · Cited by 63 · see citing works
Sensation of nasal airflow compared with nasal airway resistance in patients with rhinitis
Simola, M., & Malmberg, H. (1997) · Clinical Otolaryngology · doi:10.1046/j.1365-2273.1997.00033.x · Cited by 60 · see citing works
Correlation between Objective and Subjective Assessments of Nasal Patency
Hirschberg, A., & Rezek, Ö. (1998) · ORL · doi:10.1159/000027595 · Cited by 53 · see citing works
The Objective Assessment of Nasal Patency
Lai, V. W. S., & Corey, J. P. (1993) · Ear Nose & Throat Journal · doi:10.1177/014556139307200606 · Cited by 50 · see citing works
Sipilä, J., Suonpää, J. T. K., & Laippala, P. J. (1994) · PubMed · Cited by 46 · see citing works
Re: Correlation between subjective and objective evaluation of the nasal airway
Eccles, R., Doddi, N. M., & Leong, S. (2010) · Clinical Otolaryngology · doi:10.1111/j.1749-4486.2010.02101.x · Cited by 33 · see citing works
Watson, W. T. A., Roberts, J. R., Becker, A. B., Gendreau-Reid, L. F., & Simons, F. E. R. (1995) · PubMed · Cited by 25 · see citing works
Clarke, J., Hopkins, M. L., & Eccles, R. (2005) · Clinical Otolaryngology · doi:10.1111/j.1365-2273.2004.00915.x · Cited by 24 · see citing works
Subjective and objective nasal obstruction assessment in children with chronic rhinitis
Priftis, K. Ν., Drigopoulos, K., Sakalidou, A., Triga, M., Kallis, V., & Nicolaidou, P. (2005) · International Journal of Pediatric Otorhinolaryngology · doi:10.1016/j.ijporl.2005.07.027 · Cited by 23 · see citing works
Clarke, J. D., Hopkins, M. L., & Eccles, R. (2006) · American Journal of Rhinology · doi:10.1177/194589240602000104 · Cited by 21 · see citing works
Campanha, S. M. A., Fontes, M. J. F., Camargos, P. A. M., & Freire, L. M. S. (2010) · Jornal de Pediatria · doi:10.2223/jped.1995 · Cited by 20 · see citing works
Mj, W., Meltzer, E. O., Orgel, H. A., & Kemp, J. (1985) · PubMed · Cited by 16 · see citing works
Birchall, M., Henderson, J. C., STUDHAM, J. M., PHILLIPS, I., Pride, N. B., & Fuller, R. W. (1995) · Clinical Otolaryngology · doi:10.1111/j.1365-2273.1995.tb01848.x · Cited by 13 · see citing works
Selner, J. C., Koepke, J. W., Staudenmayer, H., Dolen, W. K., Glover, G. C., Linzmayer, M. I., Mooney, J. J., & Wiener, M. B. (1991) · PubMed · Cited by 4 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Ottaviano, G., & Fokkens, W. J. (2016) · Allergy · doi:10.1111/all.12778 · Cited by 160 · see citing works
Ta, N. H., Gao, J., & Philpott, C. M. (2021) · International Forum of Allergy & Rhinology · doi:10.1002/alr.22744 · Cited by 82 · see citing works
Position Paper on Nasal Obstruction: Evaluation and Treatment
SEAIC Rhinoconjunctivitis Committee & SEORL Rhinology, A., Valero, A., Navarro, A., del Cuvillo, A., Alobid, I., Benito, Jr., Colás, C., de los Santos, G., Fernández Liesa, R., García-Lliberós, A., et al. (2018) · Journal of Investigational Allergology and Clinical Immunology · doi:10.18176/jiaci.0232 · Cited by 76 · see citing works
Isaac, A., Major, M., Witmans, M., Alrajhi, Y., Flores-Mir, C., Major, P., Alsufyani, N., Korayem, M., & El-Hakim, H. (2015) · JAMA Otolaryngology–Head & Neck Surgery · doi:10.1001/jamaoto.2015.0468 · Cited by 54 · see citing works
Sleep disorders in children with moderate to severe persistent allergic rhinitis
Loekmanwidjaja, J., Carneiro, A. C. F., Nishinaka, M. L. T., Munhoes, D. A., Benezoli, G., Wandalsen, G. F., & Solé, D. (2017) · Brazilian Journal of Otorhinolaryngology · doi:10.1016/j.bjorl.2017.01.008 · Cited by 41 · see citing works
Self-citationA 3-Dimensional Analysis of Nasal Cavity Volume After Maxillary Le Fort I Osteotomy
Ha, Y.-C., & Han, S. J. (2018) · Journal of Oral and Maxillofacial Surgery · doi:10.1016/j.joms.2017.12.033 · Cited by 22 · see citing works
Computational Fluid Dynamics in the assessment of nasal obstruction in children
Moreddu, É., Meister, L., Philip-Alliez, C., Triglia, J.-M., Médale, M., & Nicollas, R. (2018) · European Annals of Otorhinolaryngology Head and Neck Diseases · doi:10.1016/j.anorl.2018.11.008 · Cited by 22 · see citing works
Calvo‐Henríquez, C., Capasso, R., Martínez‐Capoccioni, G., Rangel-Chaves, J., Liu, S. Y., O’Connor-Reina, C., Lechien, J. R., & Martín‐Martín, C. (2020) · International Journal of Pediatric Otorhinolaryngology · doi:10.1016/j.ijporl.2020.110128 · Cited by 21 · see citing works
Acoustic rhinometry in mouth breathing patients: a systematic review
Cardoso de Melo, A. C., de Oliveira de Camargo Gomes, A., Santos Cavalcanti, A., & da Silva, H. J. (2015) · Brazilian Journal of Otorhinolaryngology · doi:10.1016/j.bjorl.2014.12.007 · Cited by 17 · see citing works
Clinical recognition of mouth breathers by orthodontists: A preliminary study
Costa, J. G., Costa, G. S., Costa, C., Vilella, O. D. V., Mattos, C. T., & Cury-Saramago, A. D. A. (2017) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2017.03.025 · Cited by 13 · see citing works
Ramos, V. M., Nader, C. M. F. F., Meira, Z. M. A., Capanema, F. D., Franco, L. P., Tinano, M. M., dos Anjos, C. P. G., Nunes, F. B., de Oliveira, I. S., Guimarães, R. E. S., et al. (2019) · International Journal of Pediatric Otorhinolaryngology · doi:10.1016/j.ijporl.2019.06.025 · Cited by 13 · see citing works
Oliveira, P. C., Correia, L. O., Lopes, N. M. D., Molossi, J., & Fornazieri, M. A. (2025) · International Forum of Allergy & Rhinology · doi:10.1002/alr.23532 · Cited by 10 · see citing works
Eliseeva, T. I., Krasilnikova, S. V., Юрьевич, Б. С., Novozhilov, A. A., Ovsyannikov, D. Y., Ignatov, S. K., Kubysheva, N. I., & Shakhov, A. V. (2018) · BioMed Research International · doi:10.1155/2018/1869613 · Cited by 9 · see citing works
Nader, C. M. F. F., Capanema, F. D., Franco, L. P., Meira, Z. M. A., Galvão, C. P., Ramos, V. M., Tinano, M. M., Torres, L. L., Guimarães, R. B., & Becker, H. M. G. (2020) · International Forum of Allergy & Rhinology · doi:10.1002/alr.22651 · Cited by 8 · see citing works
Pediatric Inferior Turbinate Hypertrophy: Diagnosis and Management. A YO‐IFOS Consensus Statement
Maniaci, A., Calvo‐Henríquez, C., Cammaroto, G., García‐Magán, C., García-Paz, V., Iannella, G., Huerta, I. J., Mantia, I. L., Lechien, J. R., Leong, S. C., et al. (2023) · The Laryngoscope · doi:10.1002/lary.30907 · Cited by 7 · see citing works
The Use of Infrared Thermal Imaging to Determine Functional Nasal Adequacy: A Pilot Study
Jiang, S. T., Chan, J., & Stupak, H. D. (2021) · OTO Open · doi:10.1177/2473974x211045958 · Cited by 6 · see citing works
Clinical parameters influencing the results of anterior rhinomanometry in children
Welkoborsky, H. J., Rose-Diekmann, C., der Holte, A. P. V., & Ott, H. (2022) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/s00405-021-07218-1 · Cited by 4 · see citing works
The acoustic reflection method for the assessment of paediatric upper airways
Leboulanger, N., Louis, B., & Fauroux, B. (2013) · Paediatric Respiratory Reviews · doi:10.1016/j.prrv.2013.04.001 · Cited by 4 · see citing works
Nasal Patency Measurement: State of the Art of Acoustic Rhinometry
Ottaviano, G. (2023) · Facial Plastic Surgery · doi:10.1055/a-2218-7297 · Cited by 3 · see citing works
Archives of Otolaryngology and Rhinology
Yang, J., Lu, C.-S., & Zhang, S. (2015) · Cited by 3 · see citing works
Visconti, P., Saranz, R. J., Lozano, N. A., Alegre, G., Robredo, P., Ramello, M. S., Sasia, L. V., & Lozano, A. (2021) · Archivos Argentinos de Pediatria · doi:10.5546/aap.2021.eng.331 · Cited by 3 · see citing works
Clinical Circadian Behaviour of Infantile Allergic Rhinitis
Palhares, D. (2016) · Archives of Otolaryngology & Rhinology · doi:10.17352/2455-1759.000022 · Cited by 1 · see citing works
Kapadia, P. B., Chaudhari, A. V., Contractor, J. A., Patel, R. B., & Patel, J. A. (2017) · Clinical Rhinology An International Journal · doi:10.5005/jp-journals-10013-1293 · Cited by 1 · see citing works
Trevisan, M. E., Boufleur, J., Soares, J. C., Ritzel, R. A., da Silva, A. M. T., & Corrêa, E. C. R. (2018) · Fisioterapia Brasil · doi:10.33233/fb.v19i1.2178 · Cited by 1 · see citing works
Rhinomanometric Evaluation of Patients with Nasal Obstruction Before and After Nasal Surgery
., T. Y. A. A., & ., H. H. S. (2021) · Al- Anbar Medical Journal · doi:10.33091/amj.2021.171070 · Cited by 1 · see citing works
Comparison of different rhinomanometry methods in the measurement of nasal airway resistance
Wong, E. H. C. (2014) · ORCA Online Research @Cardiff (Cardiff University)
Jorge, J., Borges, G. C., Antila, M. A., da Silva, A. P. B. R., Rubez, A. C., & Abrahão, A. R. (2019) · Revista da Faculdade de Ciências Médicas de Sorocaba · doi:10.23925/1984-4840.2019v21i3a4
Intérêt des simulations numériques dans l’évaluation de l’obstruction nasale de l’enfant
Moreddu, É., Meister, L., Philip-Alliez, C., Triglia, J., Médale, M., & Nicollas, R. (2019) · Annales françaises d Oto-rhino-laryngologie et de Pathologie Cervico-faciale · doi:10.1016/j.aforl.2018.02.010
de Moura, S. R. C., da Silva, H. J., Castellanos, M. F. I., Fontes, L. D. B. C., de Lima, N. S., Bezerra, T. F. P., & da Cunha, D. A. (2022) · Revista CEFAC · doi:10.1590/1982-0216/20222456522 · Cited by 1 · see citing works
de Moura, S. R. C., da Silva, H. J., Castellanos, M. F. I., Fontes, L. D. B. C., de Lima, N. S., Bezerra, T. F. P., & da Cunha, D. A. (2022) · Revista CEFAC · doi:10.1590/1982-0216/20222456522s
Nasal airway resistance in moderately severe allergic rhinitis and impact of Vitamin D deficiency
Sunar, D., Kajal, S., Pachaury, S. S., Gupta, Y., Thakar, A., Sikka, K., & Verma, H. (2025) · Indian Journal of Allergy Asthma and Immunology · doi:10.4103/ijaai.ijaai_51_24
Correlation of Patient-Reported Symptoms With Rhinogram Features Beyond Simple Airway Resistance
Kaul, R. D., Alvarado, R., Choy, C., Sun, H., Liu, S., Hua, E., Grouse, L., Haghighi, M. S., Liang, K., Zou, E., et al. (2026) · Annals of Otology Rhinology & Laryngology · doi:10.1177/00034894261454654
- Authors
- Mendes, A. I. S., Wandalsen, G. F., & Solé, D.
- Affiliations
- Universidade Federal de São Paulo (BR)
- Venue
- Jornal de Pediatria
- Publisher
- Jornal de Pediatria
- Published
- 2012-09-22
- Volume
- 88
- Issue
- 5
- Pages
- 389-95
- ISSN
- 0021-7557 (ISSN-L)
- OpenAlex
- W1591385081
- Cited by
- 35
- References
- 32
- Citations by year
- 2026: 1 · 2025: 2 · 2023: 2 · 2022: 3 · 2021: 5 · 2020: 2 · 2019: 3 · 2018: 6 · 2017: 3 · 2016: 2 · 2015: 3 · 2014: 2 · 2013: 1
- FWCI
- 1.95
- Type
- journal article
- Language
- en
- Open access
- Licence
- other-oa
- Locations
- Jornal de Pediatria (publishedVersion)
- PubMed (publishedVersion)
- Americanae (AECID Library) (publishedVersion, other-oa)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- Americanae (AECID Library) (submittedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Redalyc (Universidad Autónoma del Estado de México) (submittedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Health Sciences › Medicine › Immunology and Allergy › Allergic Rhinitis and Sensitization
- Health Sciences › Medicine › Otorhinolaryngology › Sinusitis and nasal conditions
- Keywords
- nasal obstruction, allergic rhinitis, children, adolescents, acoustic rhinometry, active anterior rhinomanometry, nasal resistance, nasal cavity volume, subjective and objective assessment, unilateral nasal obstruction
- MeSH terms
- Adolescent, Airway Resistance, Child, Female, Histamine, Humans, Male, Nasal Cavity, Nasal Provocation Tests, Rhinitis, Allergic, Perennial, Nasal Obstruction, Case-Control Studies, Rhinometry, Acoustic, Rhinomanometry
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review