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Mouth breathing in children with learning disorders
Giovana Serrão Fensterseifer1, Oswaldo Carpes, Luc Louis Maurice Weckx
1Faculdade de Medicina, PUCRS ATM.
Insights
Children with enlarged pharyngeal and palatine tonsils (adenotonsillar hypertrophy) show a higher prevalence of learning disabilities. Nasal cavity volume was not significantly associated with learning difficulties in this case-control study.
Area of Science:
- Pediatrics
- Otolaryngology
- Developmental Psychology
Background:
- Learning disorders affect a significant number of children, impacting their academic and personal development.
- Understanding the underlying causes of learning disabilities is crucial for effective intervention strategies.
Purpose of the Study:
- To investigate the association between nasal cavity volume, pharyngeal tonsil hypertrophy, and palatine tonsil hypertrophy in children with and without learning disabilities.
- To determine if anatomical differences in the upper airway contribute to learning difficulties.
Main Methods:
- A case-control study involving 48 children (24 with learning disabilities, 24 controls).
- Participants underwent ENT examinations, including history, physical examination, acoustic rhinometry, and cavum radiography.
- Learning disabilities were identified based on school failure for at least two consecutive years.
Main Results:
- A significantly higher prevalence of pharyngeal tonsil hypertrophy (p < 0.001) and palatine tonsil hypertrophy (p < 0.001) was observed in children with learning disabilities.
- No statistically significant association was found between average nasal cavity volume and learning difficulties (p = 0.75).
Conclusions:
- Adenotonsillar hypertrophy is associated with an increased likelihood of learning difficulties in children.
- These findings suggest that enlarged tonsils may play a role in the development or exacerbation of learning disorders.
Unlabelled:
Given the importance of studying the causes of learning disorders, we designed this case-control study to assess the nasal cavity volume, pharyngeal and palatine tonsils in children with and without learning disabilities.
Method:
A total of forty-eight children were enrolled in the study: twenty-four coming from the Center for Evaluation and Early Stimulation (CADEP), in which the criterion is the school failure of at least two consecutive years; and twenty-four students with normal learning - which made up the control group. The children were submitted to ENT examination (history, physical examination) and specific tests (acoustic rhinometry, cavum radiography).
Results:
The results showed that students with learning disabilities have a higher prevalence of pharyngeal tonsil hypertrophy: p < 0.001, and palatine tonsil hypertrophy: p < 0.001. The average volume of the nasal cavities showed no statistically significant association with learning difficulties (p = 0.75).
Conclusion:
Based on this study, we concluded that children with adenotonsillar hypertrophy have more learning difficulties when compared to children without such hypertrophy.
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