Correlation between acoustic rhinometry, computed rhinomanometry and cone-beam computed tomography in mouth breathers with transverse maxillary deficiency

Sakai, Raquel Harumi Uejima Satto; Marson, Fernando Augusto Lima; Sakuma, Emerson Taro Inoue; Ribeiro, José Dirceu; Sakano, Eulália

doi:10.1016/j.bjorl.2016.10.015

Cited by 4 publications

(10 citation statements)

References 23 publications

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“…We identified three systematic reviews [14][15][16] of very low quality, and methodological weaknesses consistent with the GRADE ratings assigned in the assessment of the quality of evidence were observed in the results.…”

Section: Discussionmentioning

confidence: 88%

“…Initially, 1,536 articles were found, 1,510 of which were excluded after reading the title and abstract. Of the remaining 26 articles, 16 were duplicates, and 10 were selected for full-text reading, after which 6 were excluded, totaling 3 articles [14][15][16] included that reported the effectiveness of rhinomanometry as a diagnostic tool for mouth breathing and, thus, were eligible for review (►Figure 1). Data from the articles included are described in ►Table 3.…”

Section: Resultsmentioning

confidence: 99%

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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: Discussionmentioning

confidence: 88%

Section: Resultsmentioning

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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“…Dentre os resultados, o volume fornecido pela rinometria teve correspondência apenas com a largura 4, que correspondia a base da cavidade nasal, aferida por uma linha horizontal na borda externa da região palatina do osso maxilar, no plano coronal que passa pela parte mais anterior dos cornetos médios. Outros dados de larguras correspondiam a regiões mais superiores da cavidade nasal (24) . Dessa forma, pode-se dizer que o volume nasal possui mais influência anatômica da região inferior aos cornetos médios, do que do restante da cavidade, assim como foi observado no presente estudo.…”

Section: Discussionunclassified

Dimensões internas nasais de crianças com fissura labiopalatina e deficiência maxilar: comparação entre a técnica de rinometria acústica e a tomografia computadorizada de feixe cônico

Hassegawa

Garcia-Usó

Yatabe

et al. 2021

CoDAS

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RESUMO Objetivo Comparar a geometria da cavidade nasal de crianças e adolescentes com fissura labiopalatina e deficiência maxilar por meio de dois métodos: a tomografia computadorizada de feixe cônico, considerada padrão-ouro, e a rinometria acústica. Método Foram avaliados, de maneira transversal, os exames de tomografia computadorizada de feixe cônico e de rinometria acústica, previamente obtidos para fins de planejamento ortodôntico, de 17 crianças e adolescentes com fissura labiopalatina e atresia maxilar. Por meio do programa Dolphin Imaging 11.8, a cavidade nasal das imagens tomográficas foi reconstruída por dois avaliadores e foram obtidos os volumes internos nasais. Por meio da rinometria, os volumes nasais foram aferidos para as regiões V1 e V2. Os valores de cada exame foram, então, comparados, a um nível de significância de 5%. Resultados A análise estatística mostrou alta reprodutibilidade intra e interavaliadores na análise da tomografia computadorizada de feixe cônico. Os volumes internos nasais médios (± desvio-padrão), utilizando a rinometria acústica e a tomografia computadorizada de feixe cônico corresponderam a 6,6 ± 1,9 cm3 e 8,1 ± 1,5 cm3, respectivamente. A diferença entre os exames foi de 17,7%, considerada estatisticamente significante (p = 0,006). Conclusão Os volumes nasais aferidos pelos dois métodos são diferentes, ou seja, apresentam discrepâncias nas medidas. A técnica considerada padrão-ouro identificou volumes maiores na cavidade nasal. A determinação de qual exame reflete a realidade clínica constitui passo futuro importante.

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“…Mouth-breathing children often have a narrow upper arch with high palate. These reduced nasal and maxillary transverse dimensions may be related to the increase in nasal flow resistance, observed in these children ( 1 ).…”

Section: Introductionmentioning

confidence: 95%

Impact of rapid maxillary expansion on mouth-breathing children and adolescents: A systematic review

Sakai¹,

Assumpção²,

Ribeiro³

et al. 2021

J Clin Exp Dent

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Background Rapid maxillary expansion (RME) is an orthodontic procedure used to correct transverse maxillary deficiency. Due to the anatomical relationship between the palate and the nasal cavity, RME promotes an increase in nasal dimensions, which should hypothetically improve nasal respiratory function. Objective: This review aimed to systematically verify studies that assessed the effects of RME on nasal patency in mouth-breathing children and adolescents. Material and Methods An electronic search was performed in the MEDLINE databases via OVID, Scopus and EMBASE. The terms were: “children and adolescents”, “rapid maxillary expansion” and “mouth breathing”. The search was conducted in October 2019, according to the criteria of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The assessment of the quality of the studies was conducted by two evaluators, using the Fowkes & Fulton´s guidelines for critical appraisal of medical research. Results 475 titles were identified and 18 articles were selected. All of them showed high methodological quality, but without randomized clinical trials. The instruments evaluated were: teleradiography, frontal postero-anterior radiography, computed tomography, acoustic rhinometry and computed rhinomanometry. Conclusions This review shows that RME promotes the enlargement of dental arches and of the nasal and maxillary structures, with improved mouth breathing in the short term. However, its long-term benefits could not be proved so far. More robust results of the effectiveness of RME in mouth breathing can be achieved with meta-analysis studies, with a consensual definition of the long-term follow-up period after RME. Key words: Child, adolescent, maxillary expansion, palatal expansion, mouth breathing.

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Correlation between acoustic rhinometry, computed rhinomanometry and cone-beam computed tomography in mouth breathers with transverse maxillary deficiency

Abstract: There were correlations between acoustic rhinometry, computed rhinomanometry, and cone-beam computed tomography in mouth breathers with transverse maxillary deficiency.

Cited by 4 publications

References 23 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

Dimensões internas nasais de crianças com fissura labiopalatina e deficiência maxilar: comparação entre a técnica de rinometria acústica e a tomografia computadorizada de feixe cônico

Impact of rapid maxillary expansion on mouth-breathing children and adolescents: A systematic review

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