Haumann T J, Kneepkens C M
Afd. Kindergeneeskunde, Academisch Ziekenhuis Vrije Universiteit, Amsterdam.
Ned Tijdschr Geneeskd. 2000 Jun 3;144(23):1129-30.
In two boys aged 4.5 and 1.5 years with halitosis a nasal foreign body was found. After removal the foetor disappeared. Little is known about the epidemiology of halitosis in children. Apart from specific odours with certain systemic disorders, local pathology such as chronic sinusitis, upper and lower respiratory tract infections and to a lesser degree gastrointestinal disorders may be the cause of the offensive smell. As in adults, bad breath in children is usually related to poor oral hygiene or disease of the oral cavity. The first-line treatment is proper oral hygiene and if necessary dental sanitization. In resistant cases further evaluation should be aimed at disclosing the causative pathology, in which case in children the possibility of a nasal foreign body should also be considered.
在两名分别为4.5岁和1.5岁有口臭的男孩中发现了鼻腔异物。取出异物后，口臭消失。关于儿童口臭的流行病学知之甚少。除了某些全身性疾病会产生特定气味外，局部病变如慢性鼻窦炎、上呼吸道和下呼吸道感染以及程度较轻的胃肠道疾病可能是口臭的原因。与成人一样，儿童口臭通常与口腔卫生不良或口腔疾病有关。一线治疗是保持适当的口腔卫生，必要时进行牙齿清洁。对于难治性病例，进一步评估应旨在揭示病因，在这种情况下，对于儿童也应考虑鼻腔异物的可能性。
