Neiva Patricia Dayrell, Franco Letícia Paiva, Kirkwood Renata Noce, Becker Helena Gonçalves
Universidade Federal de Minas Gerais, Department of Otohinolaryngologic Outpatient Clinic for Mouth-Breathers, Belo Horizonte, Brazil; Department Physiotherapy, Catholic University of Minas Gerais (PUC Minas), Belo Horizonte 30535610, Brazil.
Universidade Federal de Minas Gerais, Department of Otohinolaryngologic Outpatient Clinic for Mouth-Breathers, Belo Horizonte, Brazil.
Int J Pediatr Otorhinolaryngol. 2018 Apr;107:101-106. doi: 10.1016/j.ijporl.2018.01.033. Epub 2018 Jan 31.
The clinical decision for surgical treatment of children diagnosed with mouth breathing depends on the percentage of mechanical obstruction correlated with exacerbation of upper respiratory tract infections and systemic changes. The benefits of adenotonsillectomy include changes in the nasopharyngeal space, the mandibular plane and myofunctional alterations. Post-adenotonsilectomy postural benefits have not yet been described.
To investigate the kinematics of the shoulder girdle, cervical and thoracic spine in children with mouth breathing before and after adenotonsillectomy.
Forty-nine mouth breathing children (6.3 ± 1.8 years) of both sexes participated in the study. The measures of thoracic kyphosis, forward head position, shoulders protrusion and abduction, elevation, anterior tilt and internal rotation of the scapula were evaluated before and after surgery. The kinematic data were obtained using the system Qualysis ProReflex.
There was a significant decrease in forward head position, shoulders protrusion, elevation and anterior tilt of the scapula after surgery compared to the pre-operative.
One of adenotonsillectomy results is the improvement of the posture of the head and the shoulder girdle of mouth breathing children. Clinically these findings are important and will contribute to improving the quality of life of mouth breathing children.
对于诊断为口呼吸的儿童，手术治疗的临床决策取决于与上呼吸道感染加重和全身变化相关的机械性梗阻百分比。腺样体扁桃体切除术的益处包括鼻咽空间、下颌平面的改变以及肌功能改变。腺样体扁桃体切除术后的姿势改善尚未见报道。
研究腺样体扁桃体切除术前后口呼吸儿童肩带、颈椎和胸椎的运动学情况。
49名口呼吸儿童（6.3±1.8岁），男女均有，参与了本研究。在手术前后评估胸椎后凸、头前伸位置、肩部前突和外展、肩胛骨抬高、前倾和内旋情况。运动学数据通过Qualysis ProReflex系统获得。
与术前相比，术后头前伸位置、肩部前突、肩胛骨抬高和前倾均有显著降低。
腺样体扁桃体切除术的结果之一是改善口呼吸儿童的头部和肩带姿势。临床上这些发现很重要，将有助于提高口呼吸儿童的生活质量。
