@article{10.11648/j.ijo.20200601.13,
  author = {Soroush Zaghi and Cynthia Peterson and Shayan Shamtoob and Brigitte Fung and Daniel Kwok-keung Ng and Triin Jagomagi and Nicole Archambault and Bridget O’Connor and Kathy Winslow and Zahra Peeran and Miche’ Lano and Janine Murdock and Sanda Valcu-Pinkerton and Lenore Morrissey},
  title = {Assessment of Nasal Breathing Using Lip Taping: A Simple and Effective Screening Tool},
  journal = {International Journal of Otorhinolaryngology},
  volume = {6},
  number = {1},
  pages = {10-15},
  doi = {10.11648/j.ijo.20200601.13},
  url = {https://doi.org/10.11648/j.ijo.20200601.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20200601.13},
  abstract = {Objectives: Subjective assessment of nasal obstruction with patient-reported outcome measures such as visual analogue scale and NOSE score may be limited in chronic mouth breathing subjects who are not consciously aware of nasal breathing difficulties. This study investigates a simple objective screening tool to assess the capacity for comfortable nasal breathing that is based on sealing the lips and mouth with tape and assessing whether the subject can breathe comfortably through the nose for up to three minutes. Method: Cross-sectional, multi-center cohort study with 663 participants (ages: 3-83 years, 50.5% female). Lips were gently sealed using MicroPore paper tape; timer was used to assess how long the participants were able to breathe comfortably through the nose for up to 180 seconds. Other measures included subjective rating of perceived difficulty with nasal breathing (VAS, 0-100) as well as self-assessed reports of mouth breathing. Results: There were 9.3% of patients with subjective reports of moderate to severe nasal obstruction (VAS> 50) and 17.2% of patients with predominance of self-reported mouth breathing in this series. Overall, 93.4% of participants successfully passed the nasal breathing test. Among patients with habitual mouth breathing, 83.5% (91/109) were able to breathe comfortably through the nose when instructed to do so for the entire 3-minute duration tested. Similarly, there were 67% (40/59) patients with VAS score >50 who could breathe comfortably through the nose for >180 seconds despite subjective reports of moderate to severe nasal obstruction. Participants unable to breathe exclusively through the nose for 180 seconds had increased likelihood of mouth breathing while awake (OR 4.12, 95% confidence interval 2.14-7.89, pConclusion: Objectively testing whether a subject can breathe through the nose with the lips and mouth taped for three minutes can identify patients at risk of mouth breathing and is a simple and effecting screening tool to distinguish organic nasal obstruction from functional mouth breathing habit and or nasal resistance.},
 year = {2020}
}

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TY  - JOUR
T1  - Assessment of Nasal Breathing Using Lip Taping: A Simple and Effective Screening Tool
AU  - Soroush Zaghi
AU  - Cynthia Peterson
AU  - Shayan Shamtoob
AU  - Brigitte Fung
AU  - Daniel Kwok-keung Ng
AU  - Triin Jagomagi
AU  - Nicole Archambault
AU  - Bridget O’Connor
AU  - Kathy Winslow
AU  - Zahra Peeran
AU  - Miche’ Lano
AU  - Janine Murdock
AU  - Sanda Valcu-Pinkerton
AU  - Lenore Morrissey
Y1  - 2020/02/24
PY  - 2020
N1  - https://doi.org/10.11648/j.ijo.20200601.13
DO  - 10.11648/j.ijo.20200601.13
T2  - International Journal of Otorhinolaryngology
JF  - International Journal of Otorhinolaryngology
JO  - International Journal of Otorhinolaryngology
SP  - 10
EP  - 15
PB  - Science Publishing Group
SN  - 2472-2413
UR  - https://doi.org/10.11648/j.ijo.20200601.13
AB  - Objectives: Subjective assessment of nasal obstruction with patient-reported outcome measures such as visual analogue scale and NOSE score may be limited in chronic mouth breathing subjects who are not consciously aware of nasal breathing difficulties. This study investigates a simple objective screening tool to assess the capacity for comfortable nasal breathing that is based on sealing the lips and mouth with tape and assessing whether the subject can breathe comfortably through the nose for up to three minutes. Method: Cross-sectional, multi-center cohort study with 663 participants (ages: 3-83 years, 50.5% female). Lips were gently sealed using MicroPore paper tape; timer was used to assess how long the participants were able to breathe comfortably through the nose for up to 180 seconds. Other measures included subjective rating of perceived difficulty with nasal breathing (VAS, 0-100) as well as self-assessed reports of mouth breathing. Results: There were 9.3% of patients with subjective reports of moderate to severe nasal obstruction (VAS> 50) and 17.2% of patients with predominance of self-reported mouth breathing in this series. Overall, 93.4% of participants successfully passed the nasal breathing test. Among patients with habitual mouth breathing, 83.5% (91/109) were able to breathe comfortably through the nose when instructed to do so for the entire 3-minute duration tested. Similarly, there were 67% (40/59) patients with VAS score >50 who could breathe comfortably through the nose for >180 seconds despite subjective reports of moderate to severe nasal obstruction. Participants unable to breathe exclusively through the nose for 180 seconds had increased likelihood of mouth breathing while awake (OR 4.12, 95% confidence interval 2.14-7.89, pConclusion: Objectively testing whether a subject can breathe through the nose with the lips and mouth taped for three minutes can identify patients at risk of mouth breathing and is a simple and effecting screening tool to distinguish organic nasal obstruction from functional mouth breathing habit and or nasal resistance.
VL  - 6
IS  - 1
ER  - 

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