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Updated: Aug 14, 2026

Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
[Could mouth breathing lead to obstructive sleep apnea syndromes. A preliminary study]
S Raskin1, M Limme, R Poirrier
1Service d'O.D.F. et Orthodontie, C.H.U. de Liège, Ulg, Belgique.
Insights
Buccal (mouth) breathing in children may lead to obstructive sleep apnea later in life. A simple clinical exam can identify mouth breathers, who show sleep disturbances and skeletal issues.
Area of Science:
- Pediatric Pulmonology
- Sleep Medicine
- Orthodontics
Context:
- Diagnosing pediatric breathing patterns is crucial for identifying potential health risks.
- Obstructive sleep apnea (OSA) is a growing concern in children.
- Differentiating between nasal and buccal (mouth) breathing is often challenging.
Purpose:
- To develop an easy diagnostic method for identifying buccal and nasal breather children.
- To investigate the potential link between childhood buccal breathing and obstructive sleep apnea syndrome.
- To compare clinical, functional, and polysomnographical findings between the two groups.
Summary:
- A preliminary study involving 22 children utilized clinical, orthophonic, orthodontic, postural, and polysomnographical assessments.
- A proposed clinical exam effectively distinguished between buccal and nasal breathers.
- Buccal breathers exhibited velar issues, mandibular discrepancies, and poorer sleep quality with higher apnea/hypopnea indices.
Impact:
- This research suggests buccal breathing in children may be an etiological factor for obstructive sleep apnea in adulthood.
- The findings highlight the importance of early diagnosis and intervention for pediatric breathing disorders.
- The study provides a foundation for further research into the long-term consequences of mouth breathing.
Abstract:
The aim of this preliminary work is to determine an easy method to diagnose "buccal breather" children and "nasal breather" children. Then, to establish a possible connection with the syndrome of obstructive sleep apnea. 22 children agreed to participate. Clinical, orthophonic, orthodontic, postural and polysomnographical exams have been carried out. The proposed clinical exam turns out to be a good means of diagnosing between buccal breathers and nasal breathers. The aerophonoscope reveals velar inadequacies in buccal breathers. The latter also present osseous discrepancies mainly in the mandible. The polysomnography reveals a higher apnea/hypopnea index and more agitated sleep in buccal breathers. Mandibular lowering movements are more frequent and similar to those of adults suffering from apnea. These elements similar to those encountered in adults suffering from apnea make us think that buccal breathing could be the origin of obstructive sleep apnea, several decades later.
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