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Minerva Pediatrica 2019 Jul 25

DOI: 10.23736/S0026-4946.19.05563-4

Copyright © 2019 EDIZIONI MINERVA MEDICA

lingua: Inglese

Relationship between sleep quality and rhinitis in children: role of medical treatment with isotonic and hypertonic salines

Giuseppina MARCUCCIO 1 , Matteo DI BARI 1, Francesco PRECENZANO 2, Francesca F. OPERTO 3, Ilaria BITETTI 2, Gaetano MOTTA 1, Domenico TESTA 1

1 Otorhinolaryngology, Head and Neck Surgery Unit, Department of Mental and Physical Health and Preventive Medicine, Università degli Studi della Campania Luigi Vanvitelli, Naples, Italy; 2 Child and Adolescent Neuropsychiatry Unit, Department of Mental and Physical Health and Preventive Medicine, Università degli Studi della Campania Luigi Vanvitelli, Naples, Italy; 3 Child Neuropsychiatry Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Bari Aldo Moro, Bari, Italy


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BACKGROUND: The nose represents the port of entry, the first part of the upper airway and accounts for 50% of its total resistance. Many authors identified rhinitis as relevant factor affecting quality of life, and sleep habits of sufferers and their caregiver’s, particularly between 4-17 years old children. Both allergic rhinitis and non-allergic rhinitis may represent an important risk for obstructive sleep apnea syndrome in children. We evaluated the quality of sleep and the role of nasal irrigations with saline solutions in children with sign and symptoms of rhinitis.
METHODS: An observational retrospective study was conducted on 58 children aged 3-6 years old receiving diagnosis of rhinitis according to clinical and amnestic evaluation. All recruited children were screened before medical topic treatment with the Pediatric Sleep Questionnaire test in order to evaluate the sleep habits and after isotonic and hypertonic saline nasal irrigation for six months. One-Way Anova was used for statistical analysis of the results.
RESULTS: 49 of 58 recruited children reached the follow-up control after six months of medical treatment. Mean score at Pediatric Sleep Questionnaire before and after medical treatments was respectively 0,39 and 0,28. One-Way Anova test showed a significant statistical difference (p<0,05).
CONCLUSIONS: Nasal topic decongestant may be used only for short term treatments and they do not seem to have long-term results. Topic corticosteroids may be used for long term treatment and their correlations with OSA seem to have different results. This study aims to attracting the attention of pediatricians on the importance of nasal topic saline solutions irrigations in children with rhinitis in improving HRQoL decreasing snoring and apneas and so daytime symptoms.


KEY WORDS: Pediatric sleep questionnaire; Sleep-related breathing disorders; Saline solution; Obstructive sleep apnea syndrome; Rhinitis

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