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Related Experiment Videos

[Morphofunctional correlations in children with upper maxillary endognathia].

A Piccini1, C Biagini, I Sensini

  • 1University of Siena, Department of ORL, Italy.

Revue De Laryngologie - Otologie - Rhinologie
|January 1, 1992
PubMed
Summary

Rapid maxillary expansion (RME) improved nasal breathing in children with maxillary hypoplasia. Treatment reduced nasal resistance and adenoid hypertrophy, enhancing overall respiratory function.

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Area of Science:

  • Dentistry
  • Orthodontics
  • Pediatric Medicine

Background:

  • Oral breathing in children is often linked to maxillary hypoplasia.
  • Maxillary hypoplasia can cause skeletal discrepancies (Class II or III) and endognathia.
  • Associated issues include potential adenoid hypertrophy and impaired nasal respiration.

Purpose of the Study:

  • To investigate the effects of rapid maxillary expansion (RME) on nasal respiratory function in children with maxillary hypoplasia.
  • To correlate changes in nasal airflow with cephalometric measurements post-RME.
  • To assess the impact of RME on adenoid hypertrophy and overall nasal function.

Main Methods:

  • Active anterior rhinometry and rhinomanometry were used to assess nasal airflow.
  • Cephalometric analysis via teleradiography evaluated skeletal and dental changes.

Related Experiment Videos

  • 23 children with maxillary hypoplasia undergoing RME were studied before and after treatment.
  • Main Results:

    • RME significantly reduced nasal respiratory resistance in all patients.
    • A majority of patients converted from oral to nasal breathing post-treatment.
    • Increased maxillary dimensions correlated with improved nasal airflow and cross-bite resolution.
    • A notable regression of adenoid hypertrophy was observed without specific ENT intervention.

    Conclusions:

    • RME is effective in improving nasal respiratory function in children with maxillary hypoplasia.
    • The treatment enhances maxillary dimensions, benefiting nasal airflow and resolving cross-bite.
    • Improved nasal respiration may positively impact nasopharyngeal tissues and adenoid size.
    • Combined clinical, radiological, and rhinomanometric assessment is valuable for patient management.