Acoustic rhinometry in mouth breathing patients: a systematic review

Melo, Ana Carolina Cardoso de; Gomes, Adriana de Oliveira Camargo; Cavalcanti, Arlene Santos; Silva, Hilton Justino da

doi:10.1016/j.bjorl.2014.12.007

Cited by 17 publications

(6 citation statements)

References 37 publications

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“…have compromised the reproducibility of the findings for the general population. 22 The population of the three studies consisted of children aged between 2 and 13 years. The choice of age group can be understood due to the fact that mouth breathing is common in children, and because there is has a higher frequency of mouth breathing in the pediatric and school-age public.…”

Section: Grade Working Group Grades Of Evidencementioning

confidence: 99%

The Use of Rhinomanometry in Mouth Breathing: A Systematic Review of the Literature

Castellanos,

Silva,

Moura

et al. 2024

Int Arch Otorhinolaryngol

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Introduction Mouth breathing generates imbalances in the musculature, in craniofacial morphofunctionality, and in the stomatognathic system. Therefore, it is essential to make a diagnosis of mouth breathing through the quantitative assessment of nasal permeability, which can be performed through rhinomanometry. Objective To investigate the effectiveness of rhinomanometry in the diagnosis of mouth breathing in pediatric patients through a systematic review of the literature. Data synthesis The guiding question was: “Is the use of rhinomanometry as an assessment tool effective in the diagnosis of mouth breathing in pediatric patients?”. We conducted a search on the following databases: Latin American and Caribbean Center on Health Sciences Information (BIREME), Latin American and Caribbean Health Sciences Literature (LILACS), PubMed/Medical Literature Analysis and Retrieval System Online (MEDLINE), Scientific Electronic Library Online (SciELO), Web of Science, and Science Direct. The Health Sciences Descriptors (Descritores em Ciências da Saúde, DECS, in Portuguese) and Medical Subjects Headings (MESH) were combined with the Boolean operator AND in the search strategy: rhinomanometry AND mouth breathing AND diagnosis AND nasal pressure AND nasal airflow AND nasal resistance. Observational cohort and cross-sectional studies that addressed the effectiveness of rhinomanometry in the diagnosis of mouth breathing were included. The reviewers independently extracted the information and scored the review quality based on the Physiotherapy Evidence Database (PEDro) scale and the grading of evidence levels according to the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. Of the 1,536 articles identified, only 3 were selected for the present review after the application of the eligibility criteria. Conclusion There is great concern regarding the assessment of nasal function. There was a lack of standardization of rhinomanometry to test the effectiveness of nasal resistance as an aid in the diagnosis of breathing mode.

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Section: Grade Working Group Grades Of Evidencementioning

confidence: 99%

The Use of Rhinomanometry in Mouth Breathing: A Systematic Review of the Literature

Castellanos,

Silva,

Moura

et al. 2024

Int Arch Otorhinolaryngol

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“…This kind of tool is rarely used due to the complexity of its implementation in clinical settings, but has the advantage of being quantitative, objective and directly assessing the breathing function without intermediate information. Other authors use rhinomanometry ( 7 ) , peak nasal airflow ( 8 ) or graded mirror, water retention, and lip seal tests ( 9 , 10 ) . Most of these tools are not reliable for the preschool population because the administration is complicated or impossible.…”

Section: Introductionmentioning

confidence: 99%

Towards a better diagnosis of mouth breathing: validity and reliability of a protocol for assessing the awake breathing pattern in preschool children

Warnier,

Piron,

Morsomme

et al. 2024

CoDAS

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“…Quantitative methods have an important role in evaluating the magnitude of the symptom, thus allowing the comparison of potential changes and features of the nasal function that interfere with nasal patency, hence with the breathing mode, in addition to providing results based on several treatments aimed at the improvement of nasal ventilation (3) . Thus, the more thorough the diagnosis, the greater the possibilities of prevention and control of changes in the stomatognathic system.…”

Section: Introductionmentioning

confidence: 99%

Nasal patency in mouth breathing children

Castellanos

Silva

Moura

et al. 2023

Audiol., Commun. Res.

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Several studies have shown the importance of quantitative assessment in nasal patency and functional status of the upper airways to provide clinical and diagnostic information in oral breather individuals, which are of great interest to speech therapy. The aim of the study was to evaluate the effect of nasal saline solution irrigation on the upper airways through nasal aeration and active anterior rhinomanometry in oral breathing children. This was an eight case series study, carried out in children aged 7 to 10 years with an otorhinolaryngological clinical diagnosis of mouth breathing. The study consisted of three stages: (I) initial evaluation; (II) intervention; and (III) final evaluation. The questionnaires of the Index for the Identification of Oral Breathing Signs and Symptoms and disease-specific quality of life in pediatric patients with sinonasal complaints were applied, nasal aeration assessments and the anterior active rhinomanometry exam were carried out. The intervention was performed by irrigating nasal saline solution with 10ml. Afterwards, they were re-evaluated by nasal aeration evaluation and rhinomanometry to compare the results. Regarding nasal aeration and rhinomanometry evaluation, from the 16 comparative measurements between pre and post nasal irrigation, we obtained significant changes in nasal aeration and nasal resistance. Nasal irrigation resulted in improvement in nasal aeration measurements while nasal flow measurements from rhinomanometry remained unchanged considering pre and post nasal irrigation.

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Acoustic rhinometry in mouth breathing patients: a systematic review

Abstract: According to the articles, acoustic rhinometry has been used for almost twenty years, but controlled studies attesting to the efficacy of measuring the geometry of nasal cavities for complementary diagnosis of respiratory mode are warranted.

Cited by 17 publications

References 37 publications

The Use of Rhinomanometry in Mouth Breathing: A Systematic Review of the Literature

The Use of Rhinomanometry in Mouth Breathing: A Systematic Review of the Literature

Towards a better diagnosis of mouth breathing: validity and reliability of a protocol for assessing the awake breathing pattern in preschool children

Nasal patency in mouth breathing children

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