Muscular, functional and orthodontic changes in pre school children with enlarged adenoids and tonsils

dc.contributorUniversidade Estadual Paulista (UNESP)
dc.creatorValera, FCP
dc.creatorTravitzki, LVV
dc.creatorMattar, SEM
dc.creatorMatsumoto, MAN
dc.creatorElias, A. M.
dc.creatorAnselmo-Lima, W. T.
dc.date2014-05-20T15:21:31Z
dc.date2016-10-25T17:54:58Z
dc.date2014-05-20T15:21:31Z
dc.date2016-10-25T17:54:58Z
dc.date2003-07-01
dc.date.accessioned2017-04-05T23:31:48Z
dc.date.available2017-04-05T23:31:48Z
dc.identifierInternational Journal of Pediatric Otorhinolaryngology. Clare: Elsevier Sci Ireland Ltd, v. 67, n. 7, p. 761-770, 2003.
dc.identifier0165-5876
dc.identifierhttp://hdl.handle.net/11449/32651
dc.identifierhttp://acervodigital.unesp.br/handle/11449/32651
dc.identifier10.1016/S0165-5876(03)00095-8
dc.identifierWOS:000183676200008
dc.identifierhttp://dx.doi.org/10.1016/S0165-5876(03)00095-8
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/876943
dc.descriptionIntroduction: Hypertrophy of the adenoids and palatine tonsils is the second most frequent cause of upper respiratory obstruction and, consequently, mouth breathing in children. Prolonged mouth breathing leads to muscular and postural alterations which, in turn, cause dentosketetal changes. Objective: the aim of this study was to determine muscular, functional and dentoskeletal alterations in children aged 3-6 years. Materials and methods: Seventy-three children, including 44 with tonsil hypertrophy and 29 controls, were submitted to otorhinolaryngologic, speech pathologic and orthodontic assessment. Results: Otorhinolaryngologic evaluation revealed a higher incidence of nasal obstruction, snoring, mouth breathing, apneas, nocturnal hypersalivation, itchy nose, repeated tonsillitis and bruxism in children with tonsils hypertrophy. Speech pathologic assessment showed a higher incidence of open lip and lower tongue position, and of hypotonia of the upper and lower lips, tongue and buccinator muscle in these children, accompanied by important impairment in mastication and deglutition. Orthodontic evaluation demonstrated a higher incidence of lower mandible position in relation to the cranial base, a reduction in lower posterior facial height, transverse atresia of the palate, and a dolicofacial pattern. Conclusion: Postural and functional alterations anticipate dentoskeletal changes, except for the facial pattern. Postural alterations and the skeletal pattern seem to play an important role in infant dentofacial growth. (C) 2003 Elsevier B.V. Ireland Ltd. All rights reserved.
dc.languageeng
dc.publisherElsevier B.V.
dc.relationInternational Journal of Pediatric Otorhinolaryngology
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectfacial growth
dc.subjectadenoids
dc.subjectpalatine tonsils
dc.subjectmouth breathing
dc.subjectpostural alterations
dc.titleMuscular, functional and orthodontic changes in pre school children with enlarged adenoids and tonsils
dc.typeOtro


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