Association between nasal patency and orofacial myofunctional changes in patients with asthma and rhinitis.

Autor: Araújo BCL; Department of Speech Therapy, Federal University of Sergipe, Aracaju, Brazil. brendaaraujo@yahoo.com.br.; Postgraduate Program in Health Sciences, Federal University of Sergipe, Rua Cláudio Batista, s/n. Bairro Sanatório, Aracaju, Sergipe, 49060-100, Brazil. brendaaraujo@yahoo.com.br.; Investigative Pathology Laboratory, Federal University of Sergipe, Aracaju, Brazil. brendaaraujo@yahoo.com.br., Lima TRCM; Professional Postgraduate Program in Health Technological Management and Innovation, Federal University of Sergipe, Aracaju, Brazil., de Gois-Santos VT; Postgraduate Program in Health Sciences, Federal University of Sergipe, Rua Cláudio Batista, s/n. Bairro Sanatório, Aracaju, Sergipe, 49060-100, Brazil.; Investigative Pathology Laboratory, Federal University of Sergipe, Aracaju, Brazil., Nascimento GKBO; Department of Speech Therapy, Federal University of Sergipe, Aracaju, Brazil., Martins-Filho PR; Postgraduate Program in Health Sciences, Federal University of Sergipe, Rua Cláudio Batista, s/n. Bairro Sanatório, Aracaju, Sergipe, 49060-100, Brazil.; Investigative Pathology Laboratory, Federal University of Sergipe, Aracaju, Brazil., Simões SM; Department of Medicine, Federal University of Sergipe, Aracaju, Brazil.; Postgraduate Program in Health Sciences, Federal University of Sergipe, Rua Cláudio Batista, s/n. Bairro Sanatório, Aracaju, Sergipe, 49060-100, Brazil.
Jazyk: angličtina
Zdroj: European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery [Eur Arch Otorhinolaryngol] 2021 Jul; Vol. 278 (7), pp. 2371-2377. Date of Electronic Publication: 2021 Jan 02.
DOI: 10.1007/s00405-020-06518-2
Abstrakt: Purpose: To verify the association between orofacial myofunctional changes and nasal patency.
Method: Observational study of 43 children and adolescents with asthma and/or rhinitis, aged between 5 and 14 years, from May 2017 to September 2019. Patients underwent peak nasal inspiratory flow (PNIF) for nasal patency assessment and orofacial myofunctional assessment. Clinical data were obtained from an interview on the day of the patients' medical evaluation. The relationship between orofacial myofunctional changes and PNIF was analyzed using a logistic regression model. Estimates were reported as odds ratio (OR) and 95% confidence interval (95%CI). We evaluated multicollinearity using the variance inflation factor and analyzed the adjusted fit with the Akaike information criterion and McFadden's R 2 metric; p value < 0.05 was considered statistically significant.
Results: Inadequate positioning of the mandible (OR = 11.22; 95%CI 1.83-69; p = 0.009) and the presence of tension in the facial muscles during the swallowing of liquid (OR = 4.61; 95%CI 1.31-16.20; p = 0.017) were associated with altered PNIF in children and adolescents with asthma and rhinitis.
Conclusion: Children and adolescents with asthma and rhinitis along with reduced nasal patency presented orofacial myofunctional changes, such as inadequate positioning of the jaw and the presence of tension in the facial muscles during swallowing of liquid.
Databáze: MEDLINE
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