2012
DOI: 10.1590/s1808-86942012000200017
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Abstract: Obstructive hypertrophy of the tonsils and/or adenoids is associated with mouth breathing and can lead to facial imbalances. Adenotonsillectomy is not enough to treat the anatomic changes. Facial orthopedic techniques aid in morphological and functional recovery. This prospective longitudinal clinical study aimed to observe craniofacial changes after adenotonsillectomy and to verify the importance of linking rapid maxillary expansion to treatment. Method Fifty-three children of both… Show more

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Cited by 13 publications
(12 citation statements)
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“…The lack of difference between the patient and treatment groups in terms of self-image might be because of the previously mentioned fact that adequate recovery of dentofacial changes was not achieved after adenotonsillectomy surgery. In accordance with our findings, Pereira et al [ 50 ] reported that adenotonsillar hypertrophy is associated with mouth breathing and can cause facial changes, while adenotonsillectomy is not sufficient for improvement and recommended facial orthodontic treatments in order to achieve functional and morphological healing. William and Mahony [ 51 ] reported that by the age of 12, 80%-90% of craniofacial growth is complete, and the early prevention and management of young patients with increased nasal airway resistance have vital importance.…”
Section: Discussionsupporting
confidence: 92%
“…The lack of difference between the patient and treatment groups in terms of self-image might be because of the previously mentioned fact that adequate recovery of dentofacial changes was not achieved after adenotonsillectomy surgery. In accordance with our findings, Pereira et al [ 50 ] reported that adenotonsillar hypertrophy is associated with mouth breathing and can cause facial changes, while adenotonsillectomy is not sufficient for improvement and recommended facial orthodontic treatments in order to achieve functional and morphological healing. William and Mahony [ 51 ] reported that by the age of 12, 80%-90% of craniofacial growth is complete, and the early prevention and management of young patients with increased nasal airway resistance have vital importance.…”
Section: Discussionsupporting
confidence: 92%
“…However, in children subjected to surgery and RME, they noticed that the vertical growth pattern was controlled, and the maxillomandibular sagittal measurements were significantly changed, with a consequent improvement in facial profile. Furthermore, in the frontal view, the group treated by AT and RME showed a significant cross-sectional gain in maxillary width and nasal width measures [ 37 ].…”
Section: Discussionmentioning
confidence: 99%
“…Additionally, there was also a positive correlation between the bite force magnitude and the number of occlusal contacts (13) , and that a lower bite force was also incidental to children who had a vertical, craniofacial growth (19,23) . Early intervention is the best way to prevent the exacerbation of the changes caused by chronic mouth breathing (5,15) . The standard deviation of the cohort indicated that this was a heterogeneous group.…”
Section: Discussionmentioning
confidence: 99%
“…Additionally, nasal breathing allows for the tongue to remain inside the oral cavity and in contact with the palate, which exerts an expansive force within the oral cavity that opposes the inwardly directed forces of the buccinator muscle (1) . Chronic mouth breathing, or mixed pattern, is used as a substitution for the nasal breathing pattern, resulting in functional, structural, postural, and biomechanical changes that additionally interfere with the lip seal closure (2,3,4,5,6,7) . The main changes occur in the craniofacial morphology (1) .…”
Section: Introductionmentioning
confidence: 99%
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