Computed tomographic evaluation of mouth breathers among paediatric patients
Computed tomographic evaluation of mouth breathers among paediatric patients
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DOI：
10.1259/dmfr/80778956
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发表时间：
2010-01-01
影响因子：
3.3
通讯作者：
Metwalli, N.
中科院分区：
文献类型：
--
作者：
Farid, M. M.;Metwalli, N.
目的：口腔呼吸在儿科人群中造成许多严重的问题。本研究旨在探讨其他机械障碍是否易致儿童口呼吸。方法：将67名10~15岁儿童分为口呼吸和鼻呼吸两组。这些儿童首先接受了他们最初被推荐的大脑的轴位CT扫描。此外，他们还接受了有限的鼻窦冠状CT检查。结果：87%的口呼吸儿童有腺样体肥大，77%有上颌窦炎，74%有中鼻甲气化，55%有鼻中隔偏曲，55%有下鼻甲肥大，45%有筛窦炎，23%有额窦炎。这种变化在鼻呼吸器中明显较少发生。12.9%的口腔先天性儿童无腺样体。在这些儿童中，只有3.3%的儿童有一种或多种先天性或炎症性改变，而其余9.6%的儿童CT扫描完全正常，表明习惯性非阻塞性口呼吸的发生率。结论：腺样体在引起口呼吸中起主导作用。现在还不行。我们建议儿科医生应该评估其他机械障碍，如果在腺样体切除术后，口腔呼吸没有得到纠正。这些因素在改善口腔呼吸儿童生活质量方面的有效性有待进一步研究。牙颌面放射学(2010)39，1-10。DOI：10.1259/dmfr/80778956
Objectives: Mouth breathing causes many Serious problems in the paediatric Population. It has been maintained that enlarged adenoids are principally responsible for Mouth breathing This Study was designed to evaluate whether other mechanical obstacles might predispose the child to Mouth breathing.Methods: 67 children with ages ranging from 10 to 15 years were studied and grouped into mouth-breathers and nose-breathers. The children first Underwent axial CT scans of the brain for which they were originally referred. In addition, they were Subjected to a limited coronal CT examination of the paranasal Sinuses. Congenital anatomical variations its well as inflammatory changes were assessed.Results: 87% of mouth-breathing children had hypertrophied adenoids, 77% had maxillary sinusitis, 74% had pneumatized middle concha, 55% had a deviated nasal Septum, 55% had hypertrophied inferior conchae, 45% had ethmoidal sinusitis and 23% showed frontal sinusitis. Such changes were significantly less prevalent in nose-breathers. 12.9% of mouth-congenital children did not have adenoids. Of these children, only 3.3% had one or more congenital or inflammatory change whereas the other 9.6% showed a completely normal CT scan signifying the incidence of habitual non-obstructive Mouth breathing.Conclusions: It is clear that adenoids have a dominant role in causing mouth breathing. Yet. we recommend that paediatricians should assess other mechanical obstacles if mouth breathing was not corrected after adenoidectomy. Further research should be performed to test the validity of correction Of Such factors in improving the quality Of life Of mouth-breathing children.Dentomaxillofacial Radiology (2010) 39, 1-10. doi: 10. 1259/dmfr/80778956