Revista CEFAC
https://revistacefac.org.br/article/doi/10.1590/1982-0216/202123414020
Revista CEFAC
Original Articles

Comparison between rhinometric variables and nasal airing in children with mouth breathing

Ana Carolina Cardoso de Melo; Adriana de Oliveira Camargo Gomes; Daniele Andrade da Cunha; Wigna Rayssa Pereira Lima Almeida; Sandro Junior Henrique Lima; Renata Andrade da Cunha; Hilton Justino da Silva

Downloads: 0
Views: 438

Abstract

Purpose: to analyze the correlation between the values of nasal aeration and geometry of the nasal cavities, before and after nasal cleansing in children with mouth breathing.

Methods: 20 children aged 4 to 12 years old were chosen. The questionnaire Identification Index of Signs and Symptoms of Oral breathing was applied and nasal patency was assessed by nasal aeration, through the Altmann graded mirror, and the nasal geometry measured by acoustic rhinometry. After nasal cleansing and massage, the same aeration measurements and nasal geometry procedures were performed. Group normality was analyzed using the Shapiro-Wilk test considering the hypothesis of normal distribution whenever p>0.05. The Spearman's test was applied to analyze the correlation between variables (p<0.05).

Results: there was a strong and significant correlation between nasal aeration and the corresponding cross-sectional area of the front of the inferior turbinate (CSA2) in the left cavity before cleansing. There were no correlations between the nasal aeration and other rhinometric variables.

Conclusion: there was a correlation between nasal aeration values and the anterior portion of the turbinates, before the massage and nasal cleansing technique, in mouth breathing children. There were no significant differences when the nasal aeration was correlated with other rhinometric variables.

Keywords

Mouth Breathing; Nasal Cavity; Acoustic Rhinometry

Referencias

1. Pacheco AB, Silva AMT, Mezzomo CL, Berwig LC, Neu AP. Relação da respiração oral e hábitos de sucção não-nutritiva com alterações do sistema estomatognático. Rev. CEFAC. 2012;14(2):281-9.

2. Alqutami J, Elger W, Grafe N, Hiemisch A, Kiess W, Hirsch C. Dental health, halitosis and mouth breathing in 10-to-15year old children: na potential connection. Eur J Paed Dent. 2019;20(4): 274-9.

3. Hsu Y, Lan M, Huang Y, Kao M, Lan M. Association between breathing route, oxygen desaturation and upper airway morphology. Laryngoscope. 2021;131: e569-64.

4. Di Ninno CQM, Figueiredo JSS, Bosco RLG, Cruz SMS, Godinho RN, Miranda ICC. Obstrução nasal total: estudo morfofuncional de um caso de sinéquia de palato mole e paredes faríngeas pós blastomicose. Rev. CEFAC. 2012;14(5):963-70.

5. Brecvovici S, Roithmann R. Modified glatzel mirror test reproducibility in the evaluation of nasal patency. Braz J Otorhinolaryngol. 2008;74(2):215-22.

6. Cunha AD, Silva HJ, Moraes KJR, Cunha RA, Régis RMFL, Silva EGF et al. Aeração nasal em crianças asmáticas. Rev. CEFAC. 2011;13(5):783-9.

7. Gomes AOC, Sampaio-Teixeira ACM, Trindade SHK, Trindade IEK. Nasal cavity geometry of healthy adults assessed using acoustic rhinometry. Braz J Otorhinolaryngol. 2008;74(5):746-54.

8. Trindade IEK, Castilho RL, Sampaio-Teixeira ACM, Suedam-Trindade IK, Silva Filho OG. Effects of orthopedic rapid maxillary expansion on internal nasal dimensions in children with cleft lip and palate assessed by acoustic rhinometry. J Craniofac Surg. 2010;21(2):306-11.

9. Trindade IEK, Gomes AOC, Fernandes MBL, Trindade SHK, Silva Filho OG. Nasal airway dimensions of children with repaired unilateral cleft lip and palate. The Cleft Palate Craniofac J. 2015;52(5):512-6.

10. Melo ACC, Gomes AOC, Cavalcanti AS, Silva HJ. Acoustic rhinometry in mouth breathing patients: a systematic review. Braz J Otorhinolaryngol. 2015;81(2):212-8.

11. Trindade IEK, Conegliam PCP, Trindade SHK, Dias NH, Sampaio-Teixeira ACM. Internal nasal dimensions of adults with nasal obstruction. Braz J Otorhinolaryngol. 2013;79(5):575-81.

12. Melo FMG, Cunha AD, Silva HJ. Avaliação da aeração nasal pré e pós realização de manobras de massagem e limpeza nasal. Rev. CEFAC. 2007;9(3):375-82.

13. Melo ACC, Gomes AOC, Cunha DA, Lima SJH, Lima WRP, Cunha RA et al. Change in the nose areas in children with mouth breathing after nasal cleansing and massage. CoDAS. 2016;28(6):770-7. Doi:10.1590/2317-1782/20162015172.

14. Trindade IEK, Gomes AOC, Sampaio-Teixeira ACM, Trindade SHK. Adult nasal volumes assessed by acoustic rhinometry. Braz J Otorhinolaryngol. 2007;73(1):32-9.

15. Paiva JB, Freire-Maia BAV, Neto JN, Di Francesco RC, Voegels RL. Evaluation of children nasal geometry, employing accoustic rhinometry. Braz J Otorhinolaryngol. 2010;76(3):355-62.

16. Menezes VA, Cavalcanti LL, Albuquerque TC, Garcia AFG, Leal RB. Mouth breathing within a multidisciplinary approach: Perception of orthodontists in the city of Recife, Brazil. Dental Press J Orthod. 2011;16(6):84-92.

17. Wen J, Inthavong K, Tu J, Wang S. Numerical simulations for detailed airflow dynamics in a human nasal cavity. Resp Physiol Neurobiol. 2008;161: 125-35.

18. Mlynski G, Grutzenmacher S, Plontke S, Mlynski B, Lang C. Correlation of nasal morphology and respiratory function. Rhinology. 2001;39(4):197-201.

19. Nigro CEN, Nigro JFA, Mion O, Mello Jr JF. Nasal valve: anatomy and Physiology. Braz J Otorhinolaryngol. 2009;75(2):305-10.

20. Degan VV, Puppin-Rontani RM. Aumento da aeração nasal após remoção de hábitos de sucção e terapia miofuncional. Rev. CEFAC. 2007;9(1):55-60.

21. Bassi IB, Franco LP, Motta AR. Eficácia do emprego do espelho de Glatzel na avaliação da permeabilidade nasal. Rev. Soc. Bras. Fonoaudiol. 2009;14(3):367-71.

22. Cunha DA, Silva HD. Terapia fonoaudiológica em respiração Oral (como eu trato). In: Marchesan IQ, Silva HD, Berretin-Felix G, editors. Terapia Fonoaudiológica em Motricidade Orofacial. São José dos Campos, SP: Pulso Editorial. 2012. p. 87-94.

23. Krakauer LH. Terapia do respirador oral. In: Krakauer LH, Di Francesco RC, Marchesan IQ, editors. Respiração Oral: abordagem interdisciplinar. São José dos Campos, SP: Pulso. 2003. p.119-25.

24. Melo ACC, Gomes AOC, Silva HJ. Correlation of three variables describing nasal patency (HD, MCA, NOSE score) in healthy subjects. Resenha. Disturb. Comun. 2014;26(2):417-9.

25. Braun T, Rich M, Kramer MF. Correlation of three variables describing nasal patency (HD, MCA, NOSE score) in healthy subjects. Braz J Otorhinolaryngol. 2013;79(3):354-8.

26. Wandalsen GF, Mendes AL, Solé D. Correlation between nasal resistance and different acoustic rhinometry parameters in children and adolescents with and without allergic rhinitis. Braz J Otorhinolaryngol. 2012;78(6):81-6.

27. Gallego AJ, Cavallari FEM, Valera FCP, Demarco RC, Anselmo-Lima WT. Study of nasal cycles in children by acoustic rhinometry. Am J Rhinol. 2006;20(6):560-2. doi: 10.2500/ajr.2006.20.2951.

28. Numminen J, Ahtinen M, Huhtala H, Rautiainen MEP. Comparison of rhinometric measurements methods in intranasal pathology. Rhinology. 2003;41:65-8.

29. Salgueiro AGNS, Silva ASC, Araújo BMAM, Yamashita RP, Trindade IEK. Comparative analysis of velopharyngeal activity assessed by acoustic rhinometry and rhinomanometry CoDAS. 2015;27(5):464-71.

30. Malizia V, Fasola S, Ferrante G, Cilluffo G, Gagliardo R, Landi M et al. Effect of beclomethasone dipropionate and cetirizine on acoustic rhinometry parameters in children with perennial allergic rhinitis: a randomized controlled trial. J Investig Allergol Clin Immunol. 2018;28(6):392-400. doi: 10.18176/jiaci.0263


Submitted date:
16/12/2020

Accepted date:
04/05/2021

6a0a206da9539558697d44f9 cefac Articles
Links & Downloads

Revista CEFAC

Share this page
Page Sections