{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:00:55Z","timestamp":1760144455140,"version":"build-2065373602"},"reference-count":37,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2024,4,24]],"date-time":"2024-04-24T00:00:00Z","timestamp":1713916800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Nasal airway obstruction (NAO) is characterised by high resistance in the nasal cavity with a collapsible and narrowed upper airway and is an integral part of OSA pathophysiology. The literature demonstrates that the identification of high-risk OSA in the young adult population leads to the prevention of later health consequences. A nasoorospirometer is a prototype device that measures nasal capacity during inspiration. The basis for measurement is a Wheatstone bridge and a thermal anemometer. The parameters are recorded via hot wire anemometry (HTA) with velocity measurements in the airflow field. Therefore, this pilot study aimed to test the feasibility of the device by examining a young adult sample. The secondary aim was to determine whether subjective NAO correlates with nasal capacity and whether NAO corresponds with anthropometric parameters and individual risk of OSA. Methods: A group of 31 participants (mean age 24.9 years) underwent a thorough laryngological examination. The nasoorospirometer was used to measure objective NAO (nasal capacity), the NOSE scale was used to gain subjective NAO evaluation, and the Berlin Questionnaire for the risk of OSA. Results: A correlation analysis confirmed no significant associations between the subjective and objective measures (p &gt; 0.05). Higher BMI and neck circumference are associated with lower NAO and higher nasal patency in the population of young adults (r: 0.32\u20130.45; p &lt; 0.05). The risk of OSA showed no statistically significant association (p &gt; 0.05). Conclusions: We presented three methods of NAO assessment: subjective participant evaluation, objective nasoosopirometry, and objective laryngological assessment. However, the use of a nasoorospirometer with anthropometric measures in young adults needs to be verified in future studies.<\/jats:p>","DOI":"10.3390\/jcm13092506","type":"journal-article","created":{"date-parts":[[2024,4,25]],"date-time":"2024-04-25T05:26:13Z","timestamp":1714022773000},"page":"2506","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Correlation between Subjective Nasal Patency and Nasal Capacity in Young Adults: A Pilot Study with a Prototype Device\u2014A Nasoorospirometer"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5394-5540","authenticated-orcid":false,"given":"Katarzyna","family":"Zasadzi\u0144ska-Stempniak","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Diseases, School of Medicine, University of Warmia and Mazury in Olsztyn, al. Warszawska 30, 10-082 Olsztyn, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hanna","family":"Zaj\u0105czkiewicz","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Diseases, School of Medicine, University of Warmia and Mazury in Olsztyn, al. Warszawska 30, 10-082 Olsztyn, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrzej","family":"Kukwa","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Diseases, School of Medicine, University of Warmia and Mazury in Olsztyn, al. Warszawska 30, 10-082 Olsztyn, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,4,24]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2999","DOI":"10.1007\/s00405-014-3061-z","article-title":"High nasal resistance may be a result rather than a cause of obstructive sleep apnea","volume":"271","author":"Lu","year":"2014","journal-title":"Eur. Arch. Otorhinolaryngol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"S757","DOI":"10.1016\/S0091-6749(97)70124-6","article-title":"Nasal obstruction as a risk factor for sleep-disordered breathing. The University of Wisconsin Sleep and Respiratory Research Group","volume":"99","author":"Young","year":"1997","journal-title":"J. Allergy Clin. Immunol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1007\/s00784-009-0342-9","article-title":"Assessment of 3-D nasal airway morphology in Southeast Asian adults with obstructive sleep apnea using acoustic rhinometry","volume":"14","author":"Banabilh","year":"2010","journal-title":"Clin. Oral Investig."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"274","DOI":"10.2500\/ajr.2006.20.2859","article-title":"Nasal patency measured by acoustic rhinometry in East Asian patients with sleep-disordered breathing","volume":"20","author":"Liu","year":"2006","journal-title":"Am. J. Rhinol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/j.sleep.2020.03.024","article-title":"Impact of nasal resistance on the distribution of apneas and hypopneas in obstructive sleep apnea","volume":"71","author":"Hoel","year":"2020","journal-title":"Sleep Med."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1093\/sleep\/31.4.543","article-title":"Influence of nasal resistance on oral appliance treatment outcome in obstructive sleep apnea","volume":"31","author":"Zeng","year":"2008","journal-title":"Sleep"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"835","DOI":"10.1053\/rmed.2000.0784","article-title":"Airway disorders and pulmonary function in snorers. A population-based study","volume":"94","author":"Gude","year":"2000","journal-title":"Respir. Med."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"201","DOI":"10.21053\/ceo.2022.01361","article-title":"Clinical Practice Guideline: Clinical Efficacy of Nasal Surgery in the Treatment of Obstructive Sleep Apnea","volume":"16","author":"Park","year":"2023","journal-title":"Clin. Exp. Otorhinolaryngol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"4397","DOI":"10.1007\/s00405-022-07267-0","article-title":"Effectiveness of submucosal turbinoplasty in refractory obstructive rhinitis: A prospective comparative trial","volume":"279","author":"Maniaci","year":"2022","journal-title":"Eur. Arch. Otorhinolaryngol."},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Schoustra, E., van Maanen, P., den Haan, C., Ravesloot, M.J.L., and de Vries, N. (2022). The Role of Isolated Nasal Surgery in Obstructive Sleep Apnea Therapy\u2014A Systematic Review. Brain Sci., 12.","DOI":"10.3390\/brainsci12111446"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1483","DOI":"10.1007\/s12070-021-02623-8","article-title":"Correlating Nasal Patency with Obstructive Sleep Apnea in Obese Versus Non-Obese Patients: An Acoustic Rhinometry Study","volume":"74","author":"Agarwal","year":"2022","journal-title":"Indian J. Otolaryngol. Head Neck Surg."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"410","DOI":"10.2500\/ajr.2008.22.3203","article-title":"Effect of weight reduction on rhinometric measurements in overweight patients with obstructive sleep apnea","volume":"22","author":"Kemppainen","year":"2008","journal-title":"Am. J. Rhinol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1579","DOI":"10.1152\/japplphysiol.00964.2018","article-title":"Predictors of oronasal breathing among obstructive sleep apnea patients and controls","volume":"127","author":"Nascimento","year":"2019","journal-title":"J. Appl. Physiol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"485","DOI":"10.7326\/0003-4819-131-7-199910050-00002","article-title":"Using the Berlin Questionnaire to identify patients at risk for the sleep apnea syndrome","volume":"131","author":"Netzer","year":"1999","journal-title":"Ann. Intern. Med."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/j.resp.2017.01.004","article-title":"Estimates of nasal airflow at the nasal cycle mid-point improve the correlation between objective and subjective measures of nasal patency","volume":"238","author":"Gaberino","year":"2017","journal-title":"Respir. Physiol. Neurobiol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1378\/chest.09-3066","article-title":"Association of obstructive sleep apnea risk with asthma control in adults","volume":"138","author":"Teodorescu","year":"2010","journal-title":"Chest"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1046","DOI":"10.1016\/S0140-6736(05)71141-7","article-title":"Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: An observational study","volume":"365","author":"Marin","year":"2005","journal-title":"Lancet"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"996","DOI":"10.1016\/j.amjcard.2016.11.058","article-title":"Screening for Obstructive Sleep Apnea in the Assessment of Coronary Risk","volume":"119","author":"Cheung","year":"2017","journal-title":"Am. J. Cardiol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1038\/oby.2001.61","article-title":"Neck Circumference as a Simple Screening Measure for Identifying Overweight and Obese Patients","volume":"9","author":"Sohar","year":"2001","journal-title":"Obes. Res."},{"key":"ref_20","first-page":"187","article-title":"Respiratory disorders\u2013measuring method and equipment","volume":"25","author":"Nitkiewicz","year":"2018","journal-title":"Metrol. Meas. Syst."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1111\/all.12778","article-title":"Measurements of nasal airflow and patency: A critical review with emphasis on the use of peak nasal inspiratory flow in daily practice","volume":"71","author":"Ottaviano","year":"2016","journal-title":"Allergy"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1055\/s-0037-1604356","article-title":"Objective Assessment of Nasal Patency","volume":"33","author":"Giotakis","year":"2017","journal-title":"Facial Plast. Surg."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"22084","DOI":"10.1038\/s41598-021-01631-6","article-title":"Comparison of nasal patency after nose-blowing between pinch versus no pinch method: A randomized controlled trial","volume":"11","author":"Piromchai","year":"2021","journal-title":"Sci. Rep."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1177\/0194599816687751","article-title":"Correlation between Subjective Nasal Patency and Intranasal Airflow Distribution","volume":"156","author":"Casey","year":"2017","journal-title":"Otolaryngol. Head Neck Surg."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"219","DOI":"10.3109\/00016489.2015.1100325","article-title":"Evaluation of nasal airway patency by analysis of breathing sounds","volume":"136","author":"Zaretsky","year":"2016","journal-title":"Acta Otolaryngol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"355","DOI":"10.4193\/Rhino15.226","article-title":"Type and severity of septal deviation are not related with the degree of subjective nasal obstruction","volume":"54","author":"Verhoeven","year":"2016","journal-title":"Rhinology"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1111\/j.1749-4486.2009.02042.x","article-title":"Correlation between subjective and objective evaluation of the nasal airway. A systematic review of the highest level of evidence","volume":"34","author":"Vuyk","year":"2009","journal-title":"Clin. Otolaryngol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1007\/s004050100360","article-title":"Comparison of perceptional nasal obstruction with rhinomanometric and acoustic rhinometric assessment","volume":"258","author":"Naito","year":"2001","journal-title":"Eur. Arch. Otorhinolaryngol."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1887","DOI":"10.1007\/s00405-010-1278-z","article-title":"Sensation of nasal patency compared to rhinomanometric results after septoplasty","volume":"267","author":"Tompos","year":"2010","journal-title":"Eur. Arch. Otorhinolaryngol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"354","DOI":"10.5935\/1808-8694.20130062","article-title":"Correlation of three variables describing nasal patency (HD, MCA, NOSE score) in healthy subjects","volume":"79","author":"Braun","year":"2013","journal-title":"Braz. J. Otorhinolaryngol."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"463","DOI":"10.2500\/ajr.2006.20.2940","article-title":"Comparison of Anatomic, Physiological, and Subjective Measures of the Nasal Airway","volume":"20","author":"Lam","year":"2006","journal-title":"Am. J. Rhinol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1017\/S0022215121000487","article-title":"Correlation between nasal mucosal temperature change and the perception of nasal patency: A literature review","volume":"135","author":"Tjahjono","year":"2021","journal-title":"J. Laryngol. Otol."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1002\/lary.24265","article-title":"Regional peak mucosal cooling predicts the perception of nasal patency","volume":"124","author":"Zhao","year":"2014","journal-title":"Laryngoscope"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1007\/s00405-023-08184-6","article-title":"Effectiveness and rapidity on olfactory fuction recovery in CRS patients treated with Dupilumab: A real life prospective controlled study","volume":"281","author":"Grigaliute","year":"2024","journal-title":"Eur. Arch. Otorhinolaryngol."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"192","DOI":"10.2500\/ajr.2007.21.2965","article-title":"Reduced nasal resistance after simple tonsillectomy in patients with obstructive sleep apnea","volume":"21","author":"Nakata","year":"2007","journal-title":"Am. J. Rhinol."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"587","DOI":"10.4193\/Rhino.11.131","article-title":"Impaired nasal breathing may prevent the beneficial effect of weight loss in the treatment of OSA","volume":"49","author":"Blomster","year":"2011","journal-title":"Rhinology"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1177\/0194599813515838","article-title":"Correlation between nasal anatomy and objective obstructive sleep apnea severity","volume":"150","author":"Leitzen","year":"2014","journal-title":"Otolaryngol. Head Neck Surg."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/9\/2506\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:33:32Z","timestamp":1760106812000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/9\/2506"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,24]]},"references-count":37,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2024,5]]}},"alternative-id":["jcm13092506"],"URL":"https:\/\/doi.org\/10.3390\/jcm13092506","relation":{},"ISSN":["2077-0383"],"issn-type":[{"type":"electronic","value":"2077-0383"}],"subject":[],"published":{"date-parts":[[2024,4,24]]}}}