Computed tomographic evaluation of mouth breathers among paediatric patients

Farid, Mary; Metwalli, Nadia

doi:10.1259/dmfr/80778956

Cited by 35 publications

(51 citation statements)

References 27 publications

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“…Another finding in our study was inadequate resting lip posture, with most children showing a lips-apart posture, which corroborates other studies 3,10,15,20,23 . However, changes in cheek tension and resting tongue posture, mentioned in the literature 20 , were not identified in our study.…”

Section: Discussionsupporting

confidence: 93%

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Achados da avaliação multiprofissional de crianças respiradoras orais

Costa

Valentim²,

Becker

et al. 2015

Rev. CEFAC

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OBJETIVO: descrever os achados miofuncionais orofaciais, bem como os principais problemas otorrinolaringológicos, alergológicos e ortodônticos encontrados em crianças com respiração oral. MÉTODOS: análise de prontuários de 502 crianças do Ambulatório do Respirador Oral do Hospital das Clínicas da Universidade Federal de Minas Gerais. Os participantes tinham idades entre 2 e 12 anos (mediana de 6,0 anos), sendo 289 (57,6%) do sexo masculino e 213 (42,4%) do sexo feminino. Foram coletados dados dos prontuários referentes à anamnese geral, avaliação fonoaudiológica, bem como as partes relevantes das avaliações otorrinolaringológica, alergológica e ortodôntica. Os dados foram submetidos à análise estatística. RESULTADOS: na anamnese, observou-se prevalência significante de permanência de boca aberta (98,0%), ronco (89,9%) e sialorreia noturna (68,6%). Na avaliação alergológica, verificou-se teste cutâneo positivo (59%) e rinite (57,8%) e na otorrinolaringológica, hipertrofia de adenoide (91,7%) e amígdalas (72,6%), além de mucosa nasal alterada (60,3%). A avaliação ortodôntica indicou presença de má oclusão (86,8%), perfil facial convexo (62,9%) e trespasse vertical aumentado (55,5%). Os dados da avaliação fonoaudiológica indicaram inadequação da posição habitual de lábios (70,5%), tensão de lábios (65,4%) e de língua (64,4%) alteradas, palato duro alto (57,1%), ângulo nasolabial alterado (57,0%) e assimetria facial (55,0%). CONCLUSÃO: verificaram-se alterações nas avaliações realizadas por todos os profissionais, confirmando o grande impacto da respiração oral na qualidade de vida e, portanto, a necessidade de tratamento multidisciplinar para esses pacientes.

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Section: Discussionsupporting

confidence: 93%

“…Studies have shown a variety of causes for mouth breathing 5,7,10,11 . The children whose charts were reviewed in the present study had rhinitis and a positive skin test, as well as nasal mucosa abnormalities and hypertrophic tonsils and adenoids.…”

Section: Discussionmentioning

confidence: 99%

Achados da avaliação multiprofissional de crianças respiradoras orais

Costa

Valentim²,

Becker

et al. 2015

Rev. CEFAC

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show abstract

“…3e5 As mouth becomes the primary means of breathing, there is a reduced or complete loss of function of nose, which shows underdevelopment or stunted growth (change in form). 6,7 According to Moss 6 "All growth changes in size, shape, and spatial position, and the maintenance of all skeletal units are always secondary to specific functional matrices." (i.e.…”

Section: Introductionmentioning

confidence: 99%

Dimensional changes in maxillary sinus of mouth breathers

Tikku

Khanna

Sachan

et al. 2013

Journal of Oral Biology and Craniofacial Research

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Mouth breathingMaxillary sinus volume CBCT DICOM a b s t r a c t Aims: Nose being the primary mode of air intake in humans can be obstructed in certain conditions and mouth takes over the process of breathing. As a result, there is a reduced or complete loss of function of nose, which shows underdevelopment or stunted growth (change in form). This can lead to impaired pneumatization that can result in dimensional changes in the sinus.Objective: To assess volume alterations in maxillary sinus as secondary and as compensatory mechanism to altered functional matrices by comparing overall maxillary sinus volume of mouth breathers with normal breathers in the age group 12e14 years and to evaluate effect of gender on maxillary sinus volume.Material and method: Maxillary sinus volume calculated using manual segmentation method from CBCT scans of 25 normal breathers and 25 mouth breathers were compared.Results: Mean maxillary sinus volume of mouth breathers was significantly less than normal breathers ( p < 0.05). Conclusion:Mouth breathers showed lesser maxillary sinus volume but it is still uncertain whether the reduction in the volume of maxillary sinus is because the form of the maxillary sinus is affected due to improper functioning of nasal cavity or due to the underlying pathological condition resulting in poorly growing sinus.

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“…[2][3][4][5][6] Much attention has been paid to the relationship between respiratory function and facial morphology. 7 Some articles have analysed the dimensions of the upper airway in patients with different sagittal and vertical skeletal facial morphologies using lateral cephalograms. 5,6,8 Class II patients have a narrower anteroposterior pharyngeal dimension, and this narrowing is specifically noted in the nasopharynx area at the hard palate level and in the oropharynx at the level of the tip of the soft palate and the mandible.…”

mentioning

confidence: 99%