ArticleJournal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
Predicting Nasopharyngeal Depth in Children Using Body Measurements: A Pilot Study.
Article in Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
ImportanceA predictive formula for pediatric nasopharyngeal depth (ND) could tailor nasopharyngeal swabbing technique to individual anatomy and reduce the incidence of false negatives.ObjectiveTo provide a formula predicting ND based on surface anatomy measurements in children.Study DesignProspective pilot study.SettingBritish Columbia Children's Hospital Pediatric Otolaryngology Clinic (Canada) between June 2022 to May 2024.ParticipantsChildren receiving flexible nasal endoscopy at a tertiary otolaryngology clinic.Intervention and Main Outcome MeasuresPredictor variables collected were sex, age, height, weight, curved nasal ala-tragus distance, finger lengths, and history of adenoidectomy. The outcome variable of ND was measured from the nasal nares to the posterior nasopharyngeal wall during routine nasal endoscopy. Relationships between predictor and outcome variables were analyzed. A predictive formula for ND was generated using stepwise linear regression, formula simplification, and model validation.ResultsSixty-three pediatric patients were included (67% male, average age 6.4 years, range 3 weeks-18 years). ND differed by age: average ND for age <2 was 5.4 ± 0.8 cm, ages 2 to 10 was 7.4 ± 1.1 cm, and ages >10 was 9 ± 1.1 cm. Stepwise linear regression resulted in the formula: ND (cm) = ⅔ (pinky length) + ⅓ (ala-tragus distance) + 1 (if history of adenoidectomy) + 1.
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