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Seo Young Lee - One of the best experts on this subject based on the ideXlab platform.
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Mouth Breathing nasal disuse and pediatric sleep disordered Breathing
Sleep and Breathing, 2015Co-Authors: Seo Young Lee, Christian Guilleminault, Hsiaoyean Chiu, Shannon S SullivanAbstract:Adenotonsillectomy (T&A) may not completely eliminate sleep-disordered Breathing (SDB), and residual SDB can result in progressive worsening of abnormal Breathing during sleep. Persistence of Mouth Breathing post-T&As plays a role in progressive worsening through an increase of upper airway resistance during sleep with secondary impact on orofacial growth. Retrospective study on non-overweight and non-syndromic prepubertal children with SDB treated by T&A with pre- and post-surgery clinical and polysomnographic (PSG) evaluations including systematic monitoring of Mouth Breathing (initial cohort). All children with Mouth Breathing were then referred for myofunctional treatment (MFT), with clinical follow-up 6 months later and PSG 1 year post-surgery. Only a limited subgroup followed the recommendations to undergo MFT with subsequent PSG (follow-up subgroup). Sixty-four prepubertal children meeting inclusion criteria for the initial cohort were investigated. There was significant symptomatic improvement in all children post-T&A, but 26 children had residual SDB with an AHI > 1.5 events/hour and 35 children (including the previous 26) had evidence of “Mouth Breathing” during sleep as defined [minimum of 44 % and a maximum of 100 % of total sleep time, mean 69 ± 11 % “Mouth breather” subgroup and mean 4 ± 3.9 %, range 0 and 10.3 % “non-Mouth breathers”]. Eighteen children (follow-up cohort), all in the “Mouth Breathing” group, were investigated at 1 year follow-up with only nine having undergone 6 months of MFT. The non- MFT subjects were significantly worse than the MFT-treated cohort. MFT led to normalization of clinical and PSG findings. Assessment of Mouth Breathing during sleep should be systematically performed post-T&A and the persistence of Mouth Breathing should be treated with MFT.
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Mouth Breathing nasal disuse and pediatric sleep disordered Breathing
Sleep and Breathing, 2015Co-Authors: Seo Young Lee, Christian Guilleminault, Hsiaoyean Chiu, Shannon S SullivanAbstract:Background Adenotonsillectomy (T&A) may not completely eliminate sleep-disordered Breathing (SDB), and residual SDB can result in progressive worsening of abnormal Breathing during sleep. Persistence of Mouth Breathing post-T&As plays a role in progressive worsening through an increase of upper airway resistance during sleep with secondary impact on orofacial growth.
Shannon S Sullivan - One of the best experts on this subject based on the ideXlab platform.
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Mouth Breathing nasal disuse and pediatric sleep disordered Breathing
Sleep and Breathing, 2015Co-Authors: Seo Young Lee, Christian Guilleminault, Hsiaoyean Chiu, Shannon S SullivanAbstract:Adenotonsillectomy (T&A) may not completely eliminate sleep-disordered Breathing (SDB), and residual SDB can result in progressive worsening of abnormal Breathing during sleep. Persistence of Mouth Breathing post-T&As plays a role in progressive worsening through an increase of upper airway resistance during sleep with secondary impact on orofacial growth. Retrospective study on non-overweight and non-syndromic prepubertal children with SDB treated by T&A with pre- and post-surgery clinical and polysomnographic (PSG) evaluations including systematic monitoring of Mouth Breathing (initial cohort). All children with Mouth Breathing were then referred for myofunctional treatment (MFT), with clinical follow-up 6 months later and PSG 1 year post-surgery. Only a limited subgroup followed the recommendations to undergo MFT with subsequent PSG (follow-up subgroup). Sixty-four prepubertal children meeting inclusion criteria for the initial cohort were investigated. There was significant symptomatic improvement in all children post-T&A, but 26 children had residual SDB with an AHI > 1.5 events/hour and 35 children (including the previous 26) had evidence of “Mouth Breathing” during sleep as defined [minimum of 44 % and a maximum of 100 % of total sleep time, mean 69 ± 11 % “Mouth breather” subgroup and mean 4 ± 3.9 %, range 0 and 10.3 % “non-Mouth breathers”]. Eighteen children (follow-up cohort), all in the “Mouth Breathing” group, were investigated at 1 year follow-up with only nine having undergone 6 months of MFT. The non- MFT subjects were significantly worse than the MFT-treated cohort. MFT led to normalization of clinical and PSG findings. Assessment of Mouth Breathing during sleep should be systematically performed post-T&A and the persistence of Mouth Breathing should be treated with MFT.
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Mouth Breathing nasal disuse and pediatric sleep disordered Breathing
Sleep and Breathing, 2015Co-Authors: Seo Young Lee, Christian Guilleminault, Hsiaoyean Chiu, Shannon S SullivanAbstract:Background Adenotonsillectomy (T&A) may not completely eliminate sleep-disordered Breathing (SDB), and residual SDB can result in progressive worsening of abnormal Breathing during sleep. Persistence of Mouth Breathing post-T&As plays a role in progressive worsening through an increase of upper airway resistance during sleep with secondary impact on orofacial growth.
Hsiaoyean Chiu - One of the best experts on this subject based on the ideXlab platform.
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Mouth Breathing nasal disuse and pediatric sleep disordered Breathing
Sleep and Breathing, 2015Co-Authors: Seo Young Lee, Christian Guilleminault, Hsiaoyean Chiu, Shannon S SullivanAbstract:Adenotonsillectomy (T&A) may not completely eliminate sleep-disordered Breathing (SDB), and residual SDB can result in progressive worsening of abnormal Breathing during sleep. Persistence of Mouth Breathing post-T&As plays a role in progressive worsening through an increase of upper airway resistance during sleep with secondary impact on orofacial growth. Retrospective study on non-overweight and non-syndromic prepubertal children with SDB treated by T&A with pre- and post-surgery clinical and polysomnographic (PSG) evaluations including systematic monitoring of Mouth Breathing (initial cohort). All children with Mouth Breathing were then referred for myofunctional treatment (MFT), with clinical follow-up 6 months later and PSG 1 year post-surgery. Only a limited subgroup followed the recommendations to undergo MFT with subsequent PSG (follow-up subgroup). Sixty-four prepubertal children meeting inclusion criteria for the initial cohort were investigated. There was significant symptomatic improvement in all children post-T&A, but 26 children had residual SDB with an AHI > 1.5 events/hour and 35 children (including the previous 26) had evidence of “Mouth Breathing” during sleep as defined [minimum of 44 % and a maximum of 100 % of total sleep time, mean 69 ± 11 % “Mouth breather” subgroup and mean 4 ± 3.9 %, range 0 and 10.3 % “non-Mouth breathers”]. Eighteen children (follow-up cohort), all in the “Mouth Breathing” group, were investigated at 1 year follow-up with only nine having undergone 6 months of MFT. The non- MFT subjects were significantly worse than the MFT-treated cohort. MFT led to normalization of clinical and PSG findings. Assessment of Mouth Breathing during sleep should be systematically performed post-T&A and the persistence of Mouth Breathing should be treated with MFT.
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Mouth Breathing nasal disuse and pediatric sleep disordered Breathing
Sleep and Breathing, 2015Co-Authors: Seo Young Lee, Christian Guilleminault, Hsiaoyean Chiu, Shannon S SullivanAbstract:Background Adenotonsillectomy (T&A) may not completely eliminate sleep-disordered Breathing (SDB), and residual SDB can result in progressive worsening of abnormal Breathing during sleep. Persistence of Mouth Breathing post-T&As plays a role in progressive worsening through an increase of upper airway resistance during sleep with secondary impact on orofacial growth.
Christian Guilleminault - One of the best experts on this subject based on the ideXlab platform.
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prevalence of upper respiratory tract infections in habitually snoring and Mouth Breathing children
International Journal of Pediatric Otorhinolaryngology, 2018Co-Authors: Wojciech Kukwa, Christian Guilleminault, Magdalena Tomaszewska, Andrzej Kukwa, Antoni Krzeski, Ewa MigaczAbstract:Abstract Objectives The aim of the study was to investigate the prevalence of upper respiratory tract infections (URI) – as indicated by rhinosinusitis (RS), ear infections (EI), and antibiotic consumption – in a general pediatric population and evaluate the relationship between these conditions and habitual snoring and Mouth Breathing during sleep. Methods A population-based cross-sectional study was performed in three medium-sized Polish cities from 2011 to 2015. Results 4837/6963 questionnaires (69.5%) were completed, returned and analyzed. Mean age of studied group was 7.07 ± 0.72 and 7.14 ± 0.73 in girls and boys, respectively. Habitual Mouth Breathing during sleep (MB) was reported in 907 (18.7%) children and habitual snoring (HS) in 290 (6.0%). 230/290 (79.3%) of children with HS were also MB. Both HS and MB were more prevalent in boys than in girls (p = 0.027 and p Habitual snoring and habitual Mouth Breathing were highly associated with more frequent bouts of rhinosinusitis, ear infections, and antibiotic use (p Conclusions Higher rates of rhinosinusitis, ear infections, and antibiotic consumption were similarly associated with HS and MB. MB is over three times more prevalent in the pediatric population relative to HS, therefore it might be considered as a risk factor for URI and may be included in history of URI.
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Mouth Breathing nasal disuse and pediatric sleep disordered Breathing
Sleep and Breathing, 2015Co-Authors: Seo Young Lee, Christian Guilleminault, Hsiaoyean Chiu, Shannon S SullivanAbstract:Adenotonsillectomy (T&A) may not completely eliminate sleep-disordered Breathing (SDB), and residual SDB can result in progressive worsening of abnormal Breathing during sleep. Persistence of Mouth Breathing post-T&As plays a role in progressive worsening through an increase of upper airway resistance during sleep with secondary impact on orofacial growth. Retrospective study on non-overweight and non-syndromic prepubertal children with SDB treated by T&A with pre- and post-surgery clinical and polysomnographic (PSG) evaluations including systematic monitoring of Mouth Breathing (initial cohort). All children with Mouth Breathing were then referred for myofunctional treatment (MFT), with clinical follow-up 6 months later and PSG 1 year post-surgery. Only a limited subgroup followed the recommendations to undergo MFT with subsequent PSG (follow-up subgroup). Sixty-four prepubertal children meeting inclusion criteria for the initial cohort were investigated. There was significant symptomatic improvement in all children post-T&A, but 26 children had residual SDB with an AHI > 1.5 events/hour and 35 children (including the previous 26) had evidence of “Mouth Breathing” during sleep as defined [minimum of 44 % and a maximum of 100 % of total sleep time, mean 69 ± 11 % “Mouth breather” subgroup and mean 4 ± 3.9 %, range 0 and 10.3 % “non-Mouth breathers”]. Eighteen children (follow-up cohort), all in the “Mouth Breathing” group, were investigated at 1 year follow-up with only nine having undergone 6 months of MFT. The non- MFT subjects were significantly worse than the MFT-treated cohort. MFT led to normalization of clinical and PSG findings. Assessment of Mouth Breathing during sleep should be systematically performed post-T&A and the persistence of Mouth Breathing should be treated with MFT.
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Mouth Breathing nasal disuse and pediatric sleep disordered Breathing
Sleep and Breathing, 2015Co-Authors: Seo Young Lee, Christian Guilleminault, Hsiaoyean Chiu, Shannon S SullivanAbstract:Background Adenotonsillectomy (T&A) may not completely eliminate sleep-disordered Breathing (SDB), and residual SDB can result in progressive worsening of abnormal Breathing during sleep. Persistence of Mouth Breathing post-T&As plays a role in progressive worsening through an increase of upper airway resistance during sleep with secondary impact on orofacial growth.
Eliane Castilhos Rodrigues Corrêa - One of the best experts on this subject based on the ideXlab platform.
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Variables associated with Mouth Breathing diagnosis in children based on a multidisciplinary assessment.
CoDAS, 2018Co-Authors: Jovana De Moura Milanesi, Luana Cristina Berwig, Mariana Marquezan, Luiz Henrique Schuch, Anaelena Bragança De Moraes, Ana Maria Toniolo Da Silva, Eliane Castilhos Rodrigues CorrêaAbstract:Purpose : This study was conducted to identify variables associated with Mouth Breathing diagnosis in children, based on multidisciplinary domains. Methods 119 children, six to 12 years old, underwent anamnesis, speech therapy (orofacial structures and stomatognathic functions), otorhinolaryngologic (OTRL) with clinical and endoscopic examinations, dental (occlusion) and physiotherapy (body posture and nasal patency) assessments. Nasal patency was evaluated using Peak Nasal Inspiratory Flow (PNIF) and the Nasal Obstruction Symptom Evaluation (NOSE) scale. A multiple logistic regression was performed considering Breathing mode as the dependent variable and the co-variables from each multidisciplinary assessment as associated variables. Results Association with MB diagnosis was found in each professional domain with: nasal obstruction report (Odds ratio - OR=5.55), time of pacifier use (OR=1.25), convex facial type (OR=3.78), obtuse nasal angle (OR=4.30), half-open or open lip posture (OR=4.13), tongue position on the Mouth floor (OR=5.88), reduced hard palate width (OR=2.99), unexpected contraction during mastication (OR=2.97), obstructive pharyngeal tonsils (OR=8.37), Angle Class II malocclusion (OR=10.85) and regular gingival maintenance (OR=2.89). Conclusion We concluded that a multidisciplinary diagnosis is important, given that each evaluation domain, including OTRL, dental and speech therapy, presented variables associated with MB diagnosis. Body posture and nasal patency variables were not associated with MB.
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implications of Mouth Breathing on the pulmonary function and respiratory muscles
Revista Cefac, 2016Co-Authors: Helenize Lopes Veron, Jovana De Moura Milanesi, Ana Gabrieli Ferreira Antunes, Eliane Castilhos Rodrigues CorrêaAbstract:The Mouth Breathing syndrome is characterized by a set of signs and symptoms, which may be present in subjects who replace the adequate and efficient nasal Breathing mode by Mouth or mixed Breathing mode for more than six months. Mouth or mixed Breathing mode may be associated to changes in the ventilatory function and mechanics. This review aims to further investigate the consequences of Mouth Breathing on the pulmonary function and respiratory muscles, emphasizing the development of such changes from childhood to adulthood. Eighteen articles were selected through PubMed and Web of Science databases and they were grouped in the text, covering the following topics:1) Implications of Mouth Breathing on the pulmonary function and 2)Implications of Mouth Breathing on the respiratory muscles. Based on the information from the articles analyzed, it can be noticed that a few studies rejected or did not find any relationship between pulmonary changes and Mouth Breathing. It is suggested that the muscular imbalance produced by these changes may contribute for the mechanical disadvantage of the diaphragm muscle and the increase of accessory inspiratory muscles work. Nevertheless, studies with more judicious methods, including objective and reproducible evaluation of the respiratory muscles are still needed.
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diaphragmatic amplitude and accessory inspiratory muscle activity in nasal and Mouth Breathing adults a cross sectional study
Journal of Electromyography and Kinesiology, 2015Co-Authors: Maria Elaine Trevisan, Jalusa Boufleur, J C Soares, Carlos Jesus Pereira Haygert, Lilian Gerdi Kittel Ries, Eliane Castilhos Rodrigues CorrêaAbstract:Abstract The purpose of this study was to evaluate the electromyographic activity of the accessory inspiratory muscles and the diaphragmatic amplitude (DA) in nasal and Mouth-Breathing adults. The study evaluated 38 Mouth-Breathing (MB group) and 38 nasal-Breathing (NB group) adults, from 18 to 30years old and both sexes. Surface electromyography (sEMG) was used to evaluate the amplitude and symmetry (POC%) of the sternocleidomastoid (SCM) and upper trapezius (UT) muscles at rest, during nasal slow inspiration at Lung Total Capacity (LTC) and, during rapid and abrupt inspiration: Sniff, Peak Nasal Inspiratory Flow (PNIF) and Maximum Inspiratory Pressure (MIP). M-mode ultrasonography assessed the right diaphragm muscle amplitude in three different nasal inspirations: at tidal volume (TV), Sniff and inspiration at LTC. The SCM activity was significantly lower in the MB group during Sniff, PNIF ( p p t -test). The groups did not differ during rest and inspiration at LTC, regarding sEMG amplitude and POC%. DA was significantly lower in the MB group at TV ( p p =0.03, t -test). Mouth Breathing reflected on lower recruitment of the accessory inspiratory muscles during fast inspiration and lower diaphragmatic amplitude, compared to nasal Breathing.
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childhood Mouth Breathing consequences at adult age ventilatory function and quality of life
Fisioterapia em Movimento, 2014Co-Authors: Jovana De Moura Milanesi, Luana Cristina Berwig, Ana Maria Toniolo Da Silva, Priscila Weber, Rodrigo Agne Ritzel, Eliane Castilhos Rodrigues CorrêaAbstract:Introduction Mouth Breathing can affect the functions of the respiratory systems and quality of life. For this reason, children who grow up with this stimulus may have implications on physical and psychological aspects at adult age.Objective To evaluate childhood Mouth-Breathing consequences for the ventilatory function and quality of life at adult age.Materials and methods Prospective, observational and cross-sectional study with 24 adults, between 18 and 30 years old, Mouth breathers during childhood, comprised the childhood Mouth-Breathing group (CMB). The childhood nasal-Breathing (CNB) group was composed of 20 adults of the same age, without history of respiratory disease during all their lives. Measurements of maximal respiratory pressures, peak expiratory flow and 6-minute walk test were assessed. In addition, all the volunteers answered the Short Form-36 questionnaire (SF-36).Results The maximal inspiratory (p = 0.001) and expiratory (p = 0.000) pressures as well as the distance in the walk test (p = 0.003) were lower in the COB. The COB also presented lower score in the General Health domain of the SF-36 Questionnaire (p = 0.002).Conclusion Childhood Mouth-Breathing yields consequences for the ventilatory function at adult age, with lower respiratory muscle strength and functional exercise capacity. Conversely, the quality of life was little affected by the Mouth Breathing in this study.
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facial type and head posture of nasal and Mouth Breathing children
Jornal da Sociedade Brasileira de Fonoaudiologia, 2011Co-Authors: Geovana De Paula Bolzan, Ana Maria Toniolo Da Silva, Juliana Alves Souza, Luane De Moraes Boton, Eliane Castilhos Rodrigues CorrêaAbstract:PURPOSE: To verify the facial type and the head posture of nasal and Mouth-Breathing children from habitual and obstructive etiologies, as well as to correlate the morphological facial index to the head angulation position in the sagittal plane. METHODS: Participants were59 children with ages between 8 years and 11 years and 10 months. All subjects were undergone to speech-language pathology screening, otorhynolaryngologic evaluation, and nasopharyngoscopy, allowing the constitution of three groups: nasal breathers - 15 children; Mouth breathers from obstructive etiology - 22 children; and habitual Mouth breathers - 22 children. In order to determine facial type and morphological facial index, the height and the width of the face were measured using a digital caliper. The head posture was assessed through physical examination and computerized photogrammetry. RESULTS: It was verified the predominance of short face in nasal breathers, and long face in Mouth breathers. There was an association among facial type and Breathing mode/Mouth Breathing etiology: the brachyfacial type was more frequent among nasal breathers, and less frequent in subjects with obstructive nasal Breathing. Head posture was similar in all three groups. No correlation was found between morphological facial index and head posture. CONCLUSION: The brachyfacial type favors the nasal-Breathing mode and the head posture is not influenced by Breathing mode and by the etiology of Mouth Breathing, as well as it is not related to facial type.