Canseco LJ, González RE, De la Torre GC, Canseco JJF, Cuairán RV

Language: Spanish
References: 26
Page: 196-204
PDF size: 201.24 Kb.

ABSTRACT

Introduction: The objective of this study was to determine the frequency of intranasal and nasopharyngeal disorders in patients with maxillary constriction and vertical facial growth. Study design: Twenty nine patients were selected of the accepted patients for orthodontic treatment at the Hospital Infantil de México; the age was from 8 to 16 years old (mean age 12.03). The maxillary constriction was measured with Pont-Korkhaus analysis, comparing ideal measurements with real measurements of the study models. At least three of four cefalometric values (SN-Occlusal plane, SN-Mandibular plane, Frankfort plane-Mandibular plane, Lower facial height) were evaluated to determine the facial vertical growth. A nasoendoscopy was carried out in the selected patients, being this procedure the gold standard of the diagnosis for intranasal and nasopharyngeal alterations. Results: The proportion of alterations in the patients was 24.01% with no alterations, 10.3% septal deviation, 10.3% adenoidal hypertrophy and mucosal hypertrophy, 20.7% septal deviation and nasal mucosal hypertrophy, 24.1% nasal mucosal hypertrophy only, 6.9% adenoid hypertrophy and 3.4% with the three alterations. There was no association between gender and the presence of these alterations. Conclusions: When vertical facial growth associated with maxillary constriction is presented, it is necessary to refer the patient with the medical specialist. The most frequent alteration was nasal mucosal hypertrophy and the less was adenoid hypertrophy. Combined alterations were present in 34.4% of the group.

REFERENCES

1. Diccionario Mosby. Medicina, enfermería y ciencias de la salud (Programa computarizado). 5ª ed. Philadelphia USA: Harcourt; 2000.

2. Belenky WM, Magdy DN. Nasal obstruction and rhinorrhea. In: Bluestone C, Stool S, Kenna M et al. Pediatric otolaryngology. 3a. ed. Philadelphia: WB Saunders, Co.; 1996: 765-76.

3. Santos JF. Estudio comparativo de la oclusión, entre un grupo de niños respiradores bucales y un grupo control. Tesis, Universidad Nacional Mayor de San Marcos, Lima; 2002.

4. Hilger P. Enfermedades de la nariz. En: Adams G, Boies L, Hilger P y cols. Enfermedades del oído, vías nasales y laringe. 6ª ed. México: McGraw-Hill; 1993: 218-49.

5. Linder-Aronson S, Woodside D. Excess face height malocclusion. Illinois: Quintessence; 2000: 67-71.

6. Nuss R. Methods of examination. In: Bluestone C, Stool S, Kenna M et al. Pediatric otolaryngology. 3a. ed. Philadelphia: WB Saunders, Co.; 1996: 744-55.

7. Warren DW. Orthodontic problems in children. In: Bluestone C, Stool S, Kenna M et al. Pediatric otolaryngology. 3a. ed. Philadelphia: WB Saunders, Co.; 1996: 1035-7.

8. Fornadley J. Congestión nasal y rinitis. Otorrinolaringología pediátrica. Clin Med Norteam 2000: 1-12.

9. Filho DI, Raveli DB, De Castro L, Gandin LG. A comparison of nasopharyngeal endoscopy and lateral cephalometric radiography in the diagnosis of nasopharyngeal airway obstruction. Am J Orthod Dentofacial Orthop 2001; 120: 348-52.

10. Principato JJ. Upper airway obstruction and craniofacial morphology. Otolaryngol Head Neck Surg 1991; 104: 881-90.

11. Parker LP, Crysdale WS, Cole P, Woodside DG. Rhinomanometry in children. Int J Pediatric Otorhinolaryngol 1989; 17: 127-37.

12. Woodside DG, Linder-Aronson S, Lündstrom A, Mc William J. Mandibular and maxillary growth after changed mode of breathing. Am J Orthod Dentofacial Orthop 1991; 100: 1-18.

13. Howell S. Assessment of palatal height in children. Community Dent Oral Epidemiol 1981; 9: 44-7.

14. Branislav V. Variations in height of the palatum osseum as a function of other vertical dimensions and angles of the skull. J Dent Res 1971; 50: 14-6.

15. Trask G, Shapiro G, Shapiro P. The effects of perennial allergic rhinitis on dental and skeletal development: a comparison of sibling pairs. Am J Orthod Dentofacial Orthop 1987; 92: 286-93.

16. Linder-Aronson S. Effects of adenoidectomy on the dentition and facial skeleton over a period of five years. In: Cook JT et al. Transactions of the Third International Orthodontic Congress. London: Lockwood Staples; 1975: 85-100.

17. Schendel SA, Eisenfeld J, Bell WH, Epker BN, Mishelevich DJ. The long-face syndrome: vertical maxillary excess. Am J Orthod Dentofacial Orthop 1974; 70: 398-408.

18. Fernández J, Martín A, Pernia I. Estudio de la correlación entre la permeabilidad de las vías aéreas superiores y la morfología facial mandibular. Ortodoncia Española 2003; 43: 171-9.

19. Dunn GF, Green LJ, Cunat JJ. Relationships between variation of mandibular morphology and variation of nasopharyngeal airway size in monozygotic twins. Angle Orthod 1973; 43: 129-35.

20. Rakosi T. Ortopedia maxilar: diagnóstico. Barcelona: Masson–Salvat; 1992: 207-18.

21. Woodside DG, Linder-Aronson S. The chanelization of upper and lower anterior face heights compared to population standard in males between ages 6 to 20 years. Eur J Orthod 1979; 1: 25-40.

22. Vig KW. Nasal obstruction and facial growth: the strength of evidence for clinical assumptions. Am J Orthod Dentofacial Orthop 1998; 113: 603-11.

23. Lündstrom A, Woodside DG. Individual variation in growth directions expressed at the chin and the midface. Eur J Orthod 1980; 2: 65-79.

24. Linder-Aronson S, Woodside DG, Lúndstrom A. Mandibular growth direction following adenoidectomy. Am J Orthod 1986; 89: 273-84.

25. Linder-Aronson S, Woodside DG, Hellsing E, Emerson W. Normalization of incisor position after adenoidectomy. Am J Orthod Dentofacial Orthop 1993; 103: 412-7.

26. Woodside DG, Linder-Aronson S, Stubbs DO. Relationship between mandibular incisor crowding and nasal mucosal swelling. Proc Finn Frn Soc 1991; 87: 127-38.