Evaluation of atopy among mouth-breathing pediatric patients referred for treatment to a tertiary care center

Barros, Juliana Rocha Cavalcanti; Becker, Helena Maria Gonçalves; Pinto, Jorge

doi:10.2223/jped.1561

Cited by 42 publications

(53 citation statements)

References 18 publications

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“…If, however, the musculature in the oronasal respirator is compromised in the same way as in the oral respirator, some care must be guaranteed, once the incidence of chronic diseases 20,21 is high, such as rhinitis in children, from 26.6% to 53.3% 22 . Unfortunately, when untreated, they can cause similar morphological damage to the mouth respirator, besides compromising orthodontic interventions with relapses or treatment limitations due to inadequate muscular action 23 .…”

Section: Introductionmentioning

confidence: 99%

The impact of oronasal breathing on perioral musculature

2017

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Purpose: to compare the behavior of perioral muscles in nasal, oral and oronasal respirators. Methods: a sample consisting of three distinct groups, equally subdivided into Nasal, Oral and Oronasal Respirators. The behavior of the orbicular muscle of the mouth (upper part) and mentual one was measured by surface electromyography at rest, swallowing and labial isometry. Results: in all situations investigated, the orbicular muscle of the mouth (upper part) and mental muscle showed no significant difference in relation to Root Means Square, that is, average electrical activity between Oral and Oronasal Respirators. The data showed a significant difference in In Nasal Respirators, as compared to the other groups. Conclusion: similarity was seen in the comparison of perioral muscles behavior between oral and oronasal respirators, however, a significant difference in relation to nasal respirators.

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Section: Introductionmentioning

confidence: 99%

The impact of oronasal breathing on perioral musculature

2017

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“…This syndrome presents functional, structural, postural, biomechanical, occlusal, and behavioral involvement 1,2 . An altered respiration pattern in the mouth breathing syndrome implies necessary adaptive body postures.…”

Section: Introductionmentioning

confidence: 99%

Exercise capacity, respiratory mechanics and posture in mouth breathers

Okuro¹,

Morcillo²,

Sakano³

et al. 2011

Braz. j. otorhinolaryngol. (Impr.)

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Chroni c and persistent mouth or oral breathing (OB) has been associated with postural changes.Although posture changes in OB causes decreased respiratory muscle strength, reduced chest expansion and impaired pulmonary ventilation with consequences in the exercise capacity, few studies have verified all these assumptions.Objective: To evaluate exercise tolerance, respiratory muscle strength and body posture in oral breathing (OB) compared with nasal breathing (NB) children. Material and method:A cross-sectional contemporary cohort study that included OB and NB children aged 8-11 years old. Children with obesity, asthma, chronic respiratory diseases, neurological and orthopedic disorders, and cardiac conditions were excluded. All participants underwent a postural assessment, maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP), the six-minute walk test (6MWT), and otorhinolaryngologic evaluation. Conclusion: OB children had cervical spine postural changes and decreased respiratory muscle strength compared with NB. Braz J Otorhinolaryngol. 2011;77(5):656-62. ORIGINAL ARTICLE BJORL

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“…Essa condição é denominada síndrome do respirador oral (SRO) quando mantida por um período igual ou maior que 6 meses. A SRO é frequente na infância, com prevalência variando de 26,6 a 53,3% das crianças em idade escolar no Brasil [1][2][3][4][5] .…”

Section: Introductionunclassified

“…As principais etiologias da SRO são as obstruções mecâni-cas de vias aéreas superiores (hiperplasia adenoamigdaliana, hipertrofia de cornetos inferiores, alterações de septo nasal), doenças inflamatórias (rinite alérgica) e malformações congênitas com deformidades craniofaciais 2,7,9 .…”

Section: Introductionunclassified

“…Como consequência, pode ocorrer mudança no ritmo respiratório, com deglutição de ar, causando flacidez e distensão abdominal, prejuízo da expansão torácica e da ventilação pulmonar. Também se observam alterações no equilíbrio das forças musculares e repercussões no crescimento e no desenvolvimento, decorrentes da má mecânica e função respiratória 2,7,8 .…”

Section: Introductionunclassified

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Assessment of the body posture of mouth-breathing children and adolescents

Conti¹,

Sakano²,

Ribeiro³

et al. 2011

J Pediatr (Rio J)

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Objective: To investigate associations between mouth breathing (MBr), nose breathing (NBr) and body posture classification and clinical variables in children and adolescents, by comparing patients with mouth breathing syndrome with a control group of similar age. Methods:This was an observational, analytical, controlled, crosssectional study conducted at a university hospital. Children aged 5 years or more were recruited to one of two groups: healthy controls (NBr) or an MBr group. The MBr group comprised patients with a diagnosis of mouth breathing syndrome confirmed by clinical examination by a physician plus nasal endoscopy. The control group comprised healthy volunteers of the same age, with NBr confirmed by medical examination. All participants underwent postural assessment. Data were analyzed using the MannWhitney nonparametric test, the chi-square test and Fisher's exact test, to a significance level of 0.05%. Results:A total of 306 MBr and 124 NBr were enrolled. Mouth breathers were more likely to be male (p = 0.0002), have more frequent and more severe nasal obstruction and larger tonsils (p = 0.0001) than NBr. Mouth breathers also exhibited higher incidence rates of allergic rhinitis (p = 0.0001), of thoracic respiratory pattern (p = 0.0001), high-arched palate (p = 0.0001) and unfavorable postural classifications (p = 0.0001) with relation to the control group. Postural classification scores were directly proportional to nasal obstruction (p = 0.0001) and male sex (p = 0.0008).Conclusions: Postural problems were significantly more common among children in the group with mouth breathing syndrome, highlighting the need for early interdisciplinary treatment of this syndrome. J Pediatr (Rio J). 2011;87(4):357-363:Mouth breathing, child, adenoids, tonsils, rhinitis, prevalence. ResumoObjetivo: Verificar a associação do tipo respiratório oral (RO) e nasal (RN) e da classificação da postura corporal em variáveis clínicas de crianças e adolescentes com a síndrome do respirador oral, em relação a um grupo-controle de mesma faixa etária.Métodos: Estudo analítico do tipo observacional e transversal, com grupo-controle, realizado em hospital universitário. Foram incluídas crianças maiores de 5 anos, distribuídas em dois grupos: controle saudável (RN) e grupo RO. O grupo RO incluiu pacientes com diagnóstico de síndrome do respirador oral confirmado por exame clínico médico e nasofibroscopia. Participaram do grupo-controle voluntários saudá-veis da mesma faixa etária, cujo tipo RN foi confirmado por avaliação médica. Todos os participantes foram submetidos à avaliação postural. Para análise dos dados, foram utilizados os testes: não paramétrico de Mann-Whitney, qui-quadrado e exato de Fisher, considerando-se nível de significância de 0,05%. Artigo originAl 0021-7557/11/87- Não foram declarados conflitos de interesse associados à publicação deste artigo.Como citar este artigo: Conti PB, Sakano E, Ribeiro MA, Schivinski CI, Ribeiro JD. Assessment of the body posture of mouth-breathing children and adolescents.

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Evaluation of atopy among mouth-breathing pediatric patients referred for treatment to a tertiary care center

Cited by 42 publications

References 18 publications

The impact of oronasal breathing on perioral musculature

The impact of oronasal breathing on perioral musculature

Exercise capacity, respiratory mechanics and posture in mouth breathers

Assessment of the body posture of mouth-breathing children and adolescents

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