Facial Characteristics of Children Who Breathe Through the Mouth

PEDIATRICS ◽  
1984 ◽  
Vol 73 (5) ◽  
pp. 622-625
Author(s):  
Dante Bresolin ◽  
Gail G. Shapiro ◽  
Peter A. Shapiro ◽  
Steven W. Dassel ◽  
Clifton T. Furukawa ◽  
...  
Keyword(s):  
Physical Examination ◽  
Nasal Obstruction ◽  
Clinical Examination ◽  
Breathing Patterns ◽  
Facial Growth ◽  
Cephalometric Radiograph ◽  
Abnormal Breathing ◽  
Mucosal Edema

There are many claims that abnormal breathing patterns alter facial growth; however, there are limited controlled data to confirm these claims. Thirty children with allergy, aged 6 to 12 years, who had moderate-to-severe nasal mucosal edema on physical examination and who appeared to breathe predominantly through the mouth and 15 children without allergy who had normal findings from nasal examination and who appeared to breathe predominantly through the nose were evaluated. All subjects received an intraoral clinical examination and cephalometric radiograph analysis. In comparison with children who breathed through the nose, children who breathed through the mouth had longer faces with narrower maxillae and retruded jaws. This supports the hypothesis that children with nasal obstruction and who appear to breathe through the mouth have distinctive facial characteristics.

Relationship between Responses to Bronchodilation Testing and to Nasal Decongestion Testing in Patients with Allergic Rhinitis Alone

2009 ◽  
Vol 7 (3) ◽  
pp. 153-160 ◽  
Author(s):  
G. Ciprandi ◽  
A. Pistorio ◽  
M.A. Tosca ◽  
I. Cirillo ◽  
G.L. Marseglia
Keyword(s):  
Allergic Rhinitis ◽  
Skin Prick Test ◽  
Nasal Obstruction ◽  
Clinical Examination ◽  
Positive Response ◽  
Bronchial Obstruction ◽  
Prick Test ◽  
Large Group ◽  
Lower Airways

A remarkable relationship exists between upper and lower airways. Bronchial obstruction is a paramount feature of asthma as well as nasal obstruction of allergic rhinitis (AR). This study aims to evaluate the response to both bronchodilation and decongestion testing and their relationships in a large group of patients with moderate-severe persistent AR alone. Two hundred eleven patients with moderate-severe persistent AR were prospectively and consecutively evaluated. Clinical examination, skin prick test, spirometry, bronchodilation test, rhinomanometry, and decongestion test were performed on all patients. Seventeen subjects (8%) did not respond to any of the tests, 55 subjects (26.1%) were responders only to the decongestion test, 31 (14.7%) only to the bronchodilation test, and 108 subjects (51.2%) responded to both these tests. Longer AR duration was significantly associated with positive response to both tests (p<0.01). In conclusion, this study provides the first evidence that patients with moderate-severe persistent AR may frequently show reversibility to both bronchodilation and decongestion tests.

scholarly journals Interest of Ultrasound in the Exploration of Rotator Cuff Lesions - Confrontation of Clinical Examination and Ultrasound Finding

2018 ◽  
Vol 5 ◽  
Author(s):  
Nessrine Akasbi ◽  
Asmae El Aissaoui ◽  
Ikrame Yazghich ◽  
Samira El Fakir ◽  
Taoufik Harzy
Keyword(s):  
Rotator Cuff ◽  
Physical Examination ◽  
Clinical Examination ◽  
High Sensitivity ◽  
Diagnostic Value ◽  
Ultrasound Finding ◽  
X Ray ◽  
Rotator Cuff Lesion ◽  
Rotator Cuff Lesions ◽  
A Prospective Study

Introduction: The aim of our study was to evaluate the interest of ultrasound in the exploration of painful shoulders evoking rotator cuff lesions and to determine the diagnostic value of the different tendon tests through a confrontation physical examination versus shoulder ultrasound. Materials and methods: A prospective study was conducted including patients consulting for shoulder pain that suggests a rotator cuff lesion. All patients underwent a clinical examination, an x ray and shoulder ultrasound.Results: The confrontation physical examination versus shoulder ultrasound showed that Jobe's test is very sensitive (100%) but less specific (27%), the Patte test, has a high sensitivity (100%) but an average specificity (51%), the Palm-Up test was fairly sensitive (91%) but not very specific (43%) and the Gerber test was more specific (95.7%) and less sensitive (38%). The comparison between x ray and ultrasound showed that ultrasound of shoulder is more efficient in the detection of calcifications and erosions of humeral head.Conclusion: Ultrasound of shoulder is more performant than physical examination and x ray in exploring the rotator cuff lesions.

scholarly journals Isolated Sphenoid Sinus Mucocele: A Rare Case and Review of Literature

2015 ◽  
Vol 49 (2) ◽  
pp. 91-93
Author(s):  
Karan Gupta ◽  
Satheesh Kumar Sunku
Keyword(s):  
Nasal Obstruction ◽  
Clinical Examination ◽  
Endoscopic Sinus Surgery ◽  
Sphenoid Sinus ◽  
Rare Case ◽  
Sinus Surgery ◽  
Review Of Literature ◽  
Postnasal Drip

ABSTRACT Isolated sphenoid sinus mucoceles are uncommon and difficult to diagnose clinically owing to the inaccessibility of the sphenoid sinus to clinical examination. A case of infected sphenoid sinus mucocele in which the patient complained of progressive nasal obstruction and postnasal drip without any other classical features of sphenoid sinus mucocele is discussed here. The pathology of mucocele and endoscopic sinus surgery as the treatment has been discussed in this article. How to cite this article Gupta K, Virk RS, Sunku SK. Isolated Sphenoid Sinus Mucocele: A Rare Case and Review of Literature. J Postgrad Med Edu Res 2015;49(2):91-93.

Abnormal movements and diaphragmatic flutter in a case of suspected induced illness

2021 ◽  
Vol 14 (4) ◽  
pp. e236962
Author(s):  
Rebecca Arvier ◽  
Thomas Clayton ◽  
Monique Dade ◽  
Rahul S Joshi
Keyword(s):  
Breathing Pattern ◽  
Tertiary Hospital ◽  
Drug Screen ◽  
Urine Drug Screen ◽  
Breathing Patterns ◽  
Abnormal Movements ◽  
Urine Drug ◽  
Conscious Level ◽  
Abnormal Breathing ◽  
Initial Results

A 6-month-old girl presented to hospital via ambulance with a decreased conscious level (initial Glasgow Coma Scale of 3) and an abnormal breathing pattern described as diaphragmatic flutter. She then developed abnormal movements and continued to have episodes of fluctuating conscious levels so was transferred to a tertiary hospital paediatric intensive care unit for further investigation. During her 16-day stay in hospital, she continued to experience discrete episodes of drowsiness, bradycardia, unusual breathing patterns and abnormal movements which were associated with agitation, tachycardia, hypertension and insomnia. The patient underwent extensive investigation for her symptoms and, after some delay in waiting for initial results before considering a urine drug screen, she was ultimately found to have lisdexamfetamine and clonidine in her urine drug screen. Her symptoms subsequently resolved after her mother’s visits were restricted.

scholarly journals Biomechanical changes of the oral and craniofacial regions as a result of altered breathing patterns

2001 ◽  
Vol 57 (1) ◽  
pp. 26-31
Author(s):  
R. Jordaan ◽  
M. Papadopoulos
Keyword(s):  
Air Pollution ◽  
Nasal Obstruction ◽  
Muscle Activity ◽  
Breathing Pattern ◽  
Mouth Breathing ◽  
Allergic Reactions ◽  
Breathing Patterns ◽  
Negative Effects ◽  
Biomechanical Changes ◽  
Cervical Musculature

The purpose of this report is to discuss the biomechanical changes in the oral and craniofacial regions as a result of altered breathing patterns. The increase in air pollution and allergens, resulting in allergic reactions, is often the cause of chronic nasal obstruction. The biomechanics of the oral, cranial and facial areas are intimately linked, and will be adversely affected by any change in the breathing pattern. As a result of nasal obstruction, the biomechanics of respiration changes to facilitate mouth breathing, and the resting position of the tongue and mandible is disrupted. The lips are parted, the freeway space and craniocervical angulation increase. The muscle activity of the posterior cervical musculature, anterior temporalis and suprahyoid muscles will be increased. The equilibrium of forces in the oral and craniofacial region is disturbed, and these abnormal forces could lead to the development of “adenoid facies”, malocclusions and dysfunction over a period of time. It is important to diagnose chronic nasal obstruction and mouth breathing early and start treatment before the negative effects of the musculoskeletal system occur. A sound understanding of the biomechanical changes will enable the physiotherapist to carry out a skilful examination and plan a treatment program, based on informed decisions.

scholarly journals Complete nasal obstruction secondary to pacemaker insertion

2018 ◽  
Vol 100 (5) ◽  
pp. e112-e113
Author(s):  
T Lloyd Jones ◽  
VB Wreesmann ◽  
E Nilssen ◽  
J Hilton ◽  
SM Hayes
Keyword(s):  
Computed Tomography ◽  
Nasal Obstruction ◽  
Clinical Examination ◽  
Brachiocephalic Vein ◽  
Vein Thrombosis ◽  
Pacemaker Insertion ◽  
Nose And Throat

We present the case of a 71-year-old man who presented to the ear, nose and throat department with complete nasal obstruction and facial plethora on bending forward. Clinical examination was positive for Pemberton’s sign. Computed tomography and ultrasonography demonstrated bilateral brachiocephalic vein thrombosis secondary to pacemaker insertion. This case highlights a novel complication of pacemaker insertion.

Abnormal breathing patterns during sleep in diabetes

1985 ◽  
Vol 17 (4) ◽  
pp. 391-395 ◽  
Author(s):  
Susanna Mondini ◽  
Christian Guilleminault
Keyword(s):  
Breathing Patterns ◽  
Abnormal Breathing

scholarly journals STUDI KASUS : PROFIL SEL DARAH MERAH ANJING YANG TERINFEKSI BABESIA SP.

2018 ◽  
Vol 6 (1) ◽  
pp. 12-16
Author(s):  
Yanse Yane Rumlaklak ◽  
Jois Moriani Jacob ◽  
Aven B Oematan
Keyword(s):  
Physical Examination ◽  
Red Blood Cells ◽  
Clinical Examination ◽  
Blood Cells ◽  
Clinical Symptoms ◽  
Hemoglobin Concentration ◽  
Blood Parasites ◽  
Blood Collection ◽  
Laboratory Examination ◽  
Blood Tests

Babesia sp. is a protozoa that infects dogs through tick bite and can cause babesiosis. The purpose of blood tests in case dogs is to find out the profile of the dog's red blood cells with babesiosis. On clinical examination found many ticks on the dog's body. Dogs show clinical symptoms of dehydration and paleness in the mucosa. Blood collection is done through the anterior antibrachii cephalica vein. Blood is taken and collected in EDTA tubes. Then the examination is done by examining blood parasites, examining erythrocyte values, examining hemoglobin concentration and hematocrit values. Examination of blood parasites was done by making reticulocyte preparations, while examining erythrocyte values, hemoglobin concentration and hematocrit values were performed using a Vet Scan® HM 5TM machine. The results of examination of reticulocyte preparations showed the existence of Babesia sp infestations with a presentation of 0.68%. Erythrocyte values, hemoglobin concentration and hematocrit values were 3.52x106 // µL, 6.90 g / dL and 23.81%. Based on history, physical examination, clinical and laboratory examination, it can be concluded that the Beagle dog named Loh has microcytic hypochromatic anemia.

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