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Oral breathing in children

Lola Madrid, Aina Casellas, Charfudin Sacoor, Llorenç Quintó, Antonio Sitoe, Rosauro Varo, Sozinho Acácio, Tacilta Nhampossa, Sergio Massora, Betuel Sigaúque, Inacio Mandomando, Simon Cousens, Clara Menéndez, Pedro Alonso, Eusebio Macete, Quique Bassat
BACKGROUND: Although the burden of postdischarge mortality (PDM) in low-income settings appears to be significant, no clear recommendations have been proposed in relation to follow-up care after hospitalization. We aimed to determine the burden of pediatric PDM and develop predictive models to identify children who are at risk for dying after discharge. METHODS: Deaths after hospital discharge among children aged <15 years in the last 17 years were reviewed in an area under demographic and morbidity surveillance in Southern Mozambique...
December 14, 2018: Pediatrics
Bing Li, Junqing Zheng, Xia Zhang, Shan Hong
The aim of the present study was to investigate the efficacy of oral administration of probiotic Lactobacillus casei Shirota and amoxicillin-sulbactam in treating childhood fast breathing pneumonia. 518 children diagnosed of fast breathing pneumonia were enrolled and randomly assigned to be administered either amoxicillin-sulbactam +  Lactobacillus casei Shirota or amoxicillin-sulbactam + placebo. Primary outcome was defined as treatment failure before day 3, and secondary outcome was defined as treatment failure during follow-ups on day 6 and 12...
November 2018: Journal of Clinical Biochemistry and Nutrition
Britt F Pados
Children with CHD often experience difficulty with oral feeding, which contributes to growth faltering in this population. Few studies have explored symptoms of problematic feeding in children with CHD using valid and reliable measures of oral feeding. The purpose of this study was to describe symptoms of problematic feeding in children with CHD compared to healthy children without medical conditions, taking into account variables that may contribute to symptoms of problematic feeding. Oral feeding was measured by the Pediatric Eating Assessment Tool, a parent report assessment of feeding with evidence of validity and reliability...
November 20, 2018: Cardiology in the Young
G Ottaviano, P Maculan, G Borghetto, V Favero, B Galletti, E Savietto, B Scarpa, A Martini, E Stellini, C De Filippis, L Favero
OBJECTIVES: Children can well detect and respond to odours in order to have information about food and environment. Rapid Maxillary Expansion seems to improve dental and skeletal crossbite and increase nasal patency correcting oral respiration in children. A previous pilot study suggested that Rapid Maxillary Expansion may lead to improved N-Butanol olfactory thresholds, and peak nasal inspiratory flow values (PNIF). The aim of the present study was to prospectively evaluate olfactory threshold, nasal flows and nasal resistances in children aged from 6 to 11 years before and after Rapid Maxillary Expansion, comparing treated children with a control group of similar age, growth stage (prepubertal) and transversal skeletal deficiency...
December 2018: International Journal of Pediatric Otorhinolaryngology
Ons Alouini, Daniel Rollet
INTRODUCTION: The aim of this article was to assess the impact of a flexible functional education splint for interceptive treatment of Class II division 1 dysmorphoses. MATERIALS AND METHODS: An observational, prospective, multi-center non-comparative EGIDYS study was conducted in 81 children with a Class II division 1 malocclusion presenting one or several functional disorders. Patients wore a flexible splint in the EF Line® range for a minimum of two hours per day and all night over 12 months in combination with educational exercises depending on the case...
September 2018: L' Orthodontie Française
Amy Sarah Ginsburg, Susanne J May, Evangelyn Nkwopara, Gwen Ambler, Eric D McCollum, Tisungane Mvalo, Ajib Phiri, Norman Lufesi, Salim Sadruddin
BACKGROUND: Pneumonia is the leading infectious cause of death in children under 5 years of age around the globe. In addition to preventing pneumonia, there is a critical need to provide greater access to appropriate and effective treatment. Studies in Asia have evaluated the effectiveness of 3 days of oral amoxicillin for the treatment of fast-breathing pneumonia; however, further evidence is needed to determine if 3 days of oral amoxicillin is also effective for the treatment of chest indrawing pneumonia...
September 21, 2018: BMC Infectious Diseases
P A Calderón-Ávila, J A Garrocho-Rangel, J A Cepeda-Bravo, M S Ruiz-Rodríguez, M Pierdant-Pérez, A Pozos-Guillén
BACKGROUND: Eisenmenger syndrome (ES) is a heart cyanotic condition characterised by elevated pulmonary vascular resistance and an intra-cardiac right-to-left shunting of blood through a systemic-to-pulmonary circulation connection. Affected children usually exhibit severe hypoxia, clubbing of fingers/toes, haemoptysis, anaemia, and organ damage. CASE REPORT: During autumn 2015, the patient and her parents arrived at the paediatric dentistry clinic. The patient presented with the main complaint of generalised inflamed gingival tissues, severely protruded upper incisors, and evident abnormal mouth breathing...
December 2018: European Archives of Paediatric Dentistry: Official Journal of the European Academy of Paediatric Dentistry
Elif Ballikaya, Bahar Guciz Dogan, Ovsen Onay, Meryem Uzamis Tekcicek
OBJECTIVES: Mouth breathing is an important health problem, commonly encountered in children. In children, adeno-tonsillar hypertrophy is the main reason causing partial or complete upper airway obstruction and reduction in airflow. This study aimed to determine the oral health status of children aged 3-15 years, with mouth breathing who were due to have surgery for adeno-tonsillar hypertrophy and referred to the Department of Otorhinolaryngology at Children's Hospital of a University in Ankara, Turkey between January-July 2015...
October 2018: International Journal of Pediatric Otorhinolaryngology
Despina Koletsi, Margarita Makou, Nikolaos Pandis
The aim of this review was to evaluate available evidence on the effect of early orthodontic management and myofunctional treatment in the developing dentition children, on anterior open bite correction, as well as on normalization of patterns of mouth breathing, swallowing and tongue resting position and pressure. Electronic searches in MEDLINE, Cochrane and LILACS, without language restrictions were conducted. Additionally, unpublished literature was identified. Randomized controlled trials, or controlled clinical trials, comparing interventions applied to manage anterior open bite and other muscle functions such as breathing/swallowing pattern and tongue resting position and pressure, were considered...
August 27, 2018: Orthodontics & Craniofacial Research
V Rollon-Ugalde, J-A Coello-Suanzes, A Castaño-Seiquer, E Lledo-Villar, I Espinoza-Visval, A-M Lopez-Jimenez, P Infante-Cossio, A Rollon-Mayordomo
BACKGROUND: The Franciscan Hospital for Children Oral Health-Related Quality of Life questionnaire (FHC-OHRQOL-Q) is an instrument designed specifically for parents and caregivers of patients with special needs that has not yet been applied in Spain. The aim of this study was to adapt it to Spanish and evaluate its reliability and validity in patients with intellectual disability (ID) treated under general anesthesia. MATERIAL AND METHODS: The study was conducted in two different stages: a) cross-cultural adaptation of the original questionnaire, and b) cross-sectional study on 100 parents and caregivers who completed the piloted FHC-OHRQOL-Q...
September 1, 2018: Medicina Oral, Patología Oral y Cirugía Bucal
Kanika S Dhull, Tulika Verma, Brahmananda Dutta
Aim: Oral habits during and beyond preschool age are one of the important etiological factors in developing malocclusion and other ill effects on orofacial structures. The objective of the present study was to know the prevalence of deleterious oral habits among 3- to 5-year-old preschool children in Bhubaneswar, Odisha, India. Materials and methods: This cross-sectional study was conducted among preschool children, in the age group of 3 to 5 years in the city of Bhubaneswar, Odisha, India...
May 2018: International Journal of Clinical Pediatric Dentistry
Wioletta Pawlukowska, Monika Rychert, Ewa Urbanowicz, Hanna Romanowska, Iwona Rotter, Maria Giżewska
RATIONALE: Existing research into the effects of teat application has mainly focused on its negative and positive influence on the development of the oral cavity. Our work demonstrates that apart from changing the setting of the articulatory organs, the teat can also affect the quality of breathing, eating and sleeping. PATIENTS CONCERNS: We described the cases of 2 children: a 19-month-old girl and a 2.5-month-old boy, who had breathing disorders due to withdrawal of the tongue and impaired food intake...
August 2018: Medicine (Baltimore)
Janet M Simsic, Christina Phelps, Kristin Kirchner, Kirby-Rose Carpenito, Robin Allen, Holly Miller-Tate, Karen Texter, Mark Galantowicz
OBJECTIVE: Interstage readmissions are common in infants with single ventricle congenital heart disease undergoing staged surgical palliation. We retrospectively examined readmissions during the interstage period. DESIGN: Retrospective analysis. SETTING: The Heart Center at Nationwide Children's Hospital, Columbus, Ohio. PATIENTS: Newborns undergoing hybrid stage 1 palliation from January 2012 to December 2016 who survived to hospital discharge and were followed at our institution...
July 18, 2018: Congenital Heart Disease
Dorota Olczak-Kowalczyk, Emil Korporowicz, Dariusz Gozdowski, Agnieszka Lecka-Ambroziak, Mieczysław Szalecki
OBJECTIVE: To assess the significance of changes in the saliva in the etiology of gingivitis and tooth wear in children and adolescents with Prader-Willi syndrome (PWS). MATERIALS AND METHODS: The study included 80 (2.8-18 years old; 39 girls and 41 boys): 40 in PWS group (mean age 8.0 ± 4.24 years) and 40 in control group (mean age 7.9 ± 4.12 years). General condition, oral para-functional habits, tooth wear (modified TWI), oral hygiene and gingival status (Plaque Index (PLI) and Gingival Index (GI)), localization of gingivitis, and salivary characteristics were assessed...
July 14, 2018: Clinical Oral Investigations
Mark Daniel DeBoer, James A Platts-Mills, Rebecca J Scharf, Joann M McDermid, Anne W Wanjuhi, Jean Gratz, Erling Svensen, Jon R Swann, Jeffrey R Donowitz, Samwel Jatosh, Eric R Houpt, Estomih Mduma
INTRODUCTION: In many developing areas in the world, a high burden of enteric pathogens in early childhood are associated with growth deficits. The tryptophan-kynurenine-niacin pathway has been linked to enteric inflammatory responses to intestinal infections. However, it is not known in these settings whether scheduled antimicrobial intervention to reduce subclinical enteric pathogen carriage or repletion of the tryptophan-kynurenine-niacin pathway improves linear growth and development...
July 7, 2018: BMJ Open
Paolo Montuschi, Vincenzina Lucidi, Debora Paris, Enza Montemitro, Rugia Shohreh, Nadia Mores, Dominique Melck, Giuseppe Santini, Fabio Majo, Andrea Motta
15-F2t -Isoprostane, a reliable biomarker of oxidative stress, has been found elevated in exhaled breath condensate (EBC), a non-invasive technique for sampling of airway secretions, in patients with cystic fibrosis (CF). Azithromycin has antioxidant properties in experimental models of CF, but its effects on oxidative stress in CF patients are largely unknown. Primary objective of this pilot, proof-of-concept, prospective, parallel group, pharmacological study, was investigating the potential antioxidant effects of azithromycin in CF patients as reflected by EBC 15-F2t -isoprostane...
2018: Frontiers in Pharmacology
Rebecca Normansell, Ben Sayer, Samuel Waterson, Emma J Dennett, Manuela Del Forno, Anne Dunleavy
BACKGROUND: Asthma is a chronic respiratory condition that affects over 300 million adults and children worldwide. It is characterised by wheeze, cough, chest tightness, and shortness of breath. Symptoms typically are intermittent and may worsen over a short time, leading to an exacerbation. Asthma exacerbations can be serious, leading to hospitalisation or even death in rare cases. Exacerbations may be treated by increasing an individual's usual medication and providing additional medication, such as oral steroids...
June 25, 2018: Cochrane Database of Systematic Reviews
Luisa Maria Bellussi, Maria Pia Villa, Giulia Degiorgi, Francesco Maria Passali, Melania Evangelisti, Ilaria Innocenti Paganelli, Marilisa Montesano, Desiderio Passali
OBJECTIVES: The purpose of this prospective study was to assess the effectiveness and safety of Streptococcus salivarius 24SMBc administered as a nasal spray in children affected by recurring infections of the upper airways, adenotonsillar hypertrophy, and sleep disordered breathing (SDB). METHODS: Prospective study on 42 children with SDB. Anamnestic and general examination data were collected using the 'Sleep Clinical Record' (SCR) questionnaire during the first inspection and after three months of treatment with Streptococcus salivarius 24SMBc nasal spray...
July 2018: International Journal of Pediatric Otorhinolaryngology
N D Azevedo, J C Lima, R M M M Furlan, A R Motta
The tongue plays an important role in oral functions. Reduced tongue strength is often noted among children with mouth-breathing behaviour. The purposes of this study were to measure the tongue pressure in children with mouth-breathing behaviour, to compare these values to those of children with nasal-breathing behaviour and to analyse the relationship between age and tongue pressure in children with a mouth-breathing pattern and in children with a nasal-breathing pattern. In this cross-sectional analytical observational study, we enroled 40 children aged 5-12 years who either exhibited mouth-breathing behaviour (n = 20) or nasal-breathing behaviour (gender- and age-matched [±2 years] controls; n = 20)...
August 2018: Journal of Oral Rehabilitation
Bruno César Ladeira Vidigal, Carolina Morsani Mordente, Paula Loureiro Cheib, Flávio Ricardo Manzi, Letícia Paiva Franco, Helena Maria Gonçalves Becker, Bernardo Quiroga Souki
INTRODUCTION: Imaging studies have hystorically been used to support the clinical otorhinolaryngological evaluation of the upper respiratory tract for the diagnosis of obstructive causes of oral breathing. OBJECTIVE: The objective of this study was to compare 3D volumetric measurements of nasal cavity, nasopharynx and oropharynx of obstructed mouth-breathing children with measurements of non-obstructed mouth-breathing children. METHODS: This retrospective study included 25 mouth-breathing children aged 5-9 years evaluated by otorhinolaryngological clinical examination, flexible nasoendoscopy and full-head multi-slice computed tomography...
March 11, 2018: Brazilian Journal of Otorhinolaryngology
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