SciELO - Scientific Electronic Library Online

 
vol.84 issue6Ascorbic acid supplementation has a cytoprotective effect on secondary biliary cirrhosis: experimental study in young ratsAccuracy of white blood cell count, C-reactive protein, interleukin-6 and tumor necrosis factor alpha for diagnosing late neonatal sepsis author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

Share


Jornal de Pediatria

Print version ISSN 0021-7557On-line version ISSN 1678-4782

Abstract

ABREU, Rubens Rafael; ROCHA, Regina Lunardi; LAMOUNIER, Joel Alves  and  GUERRA, Ângela Francisca Marques. Etiology, clinical manifestations and concurrent findings in mouth-breathing children. J. Pediatr. (Rio J.) [online]. 2008, vol.84, n.6, pp.529-535. ISSN 0021-7557.  http://dx.doi.org/10.1590/S0021-75572008000700010.

OBJECTIVE: To investigate the etiology, main clinical manifestations and other concurrent findings in mouth-breathing children aged 3 to 9 years and resident in the urban area of Abaeté (MG), Brazil. METHODS: This study was based on a representative random sample of the town population, of 23,596 inhabitants. Clinical diagnosis of mouth-breathing was defined as a combination of snoring, sleeping with mouth open, drooling on the pillow and frequent or intermittent nasal obstruction. Children with a clinical diagnosis of mouth breathing underwent nasal endoscopy, allergy skin tests and X ray of the rhinopharynx, full blood tests, eosinophil counts, total IgE assay and fecal parasitology. Data were analyzed using SPSS® version 10.5. RESULTS: The main causes of mouth breathing were: allergic rhinitis (81.4%), enlarged adenoids (79.2%), enlarged tonsils (12.6%), and obstructive deviation of the nasal septum (1.0%). The main clinical manifestations of mouth breathers were: sleeping with mouth open (86%), snoring (79%), itchy nose (77%), drooling on the pillow (62%), nocturnal sleep problems or agitated sleep (62%), nasal obstruction (49%), and irritability during the day (43%). CONCLUSION: Certain clinical manifestations are very common among mouth-breathing children. These manifestations must be recognized and considered in the clinical diagnosis of mouth breathing.

Keywords : Prevalence; mouth breathing; allergic rhinitis; hypertrophic adenoids; hypertrophic tonsils; deviated nasal septum.

        · abstract in Portuguese     · text in English | Portuguese     · English ( pdf epdf ) | Portuguese ( pdf epdf )

 

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License