Are pediatricians and otolaryngologists well prepared to identify early signs of vertical facial growth?
| Autor: | Ana Faraldo-García, Christian Calvo-Henriquez, Miguel Mayo-Yáñez, Alberto Ruano-Ravina, Sofía Rocha, Silvia Martins-Neves, Gabriel Martínez-Capoccioni |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Cephalometric analysis
Male Pediatrics medicine.medical_specialty Adolescent Early signs Cephalometry Mouth breathing Positive correlation Sensitivity and Specificity Facial Bones 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Otolaryngologists medicine Humans Pediatricians 030223 otorhinolaryngology Child Long face syndrome Dentofacial Deformities business.industry Open Bite Reproducibility of Results General Medicine Otorhinolaryngology Child Preschool Pediatrics Perinatology and Child Health Breathing Female Clinical Competence medicine.symptom business |
| Zdroj: | International journal of pediatric otorhinolaryngology. 119 |
| ISSN: | 1872-8464 |
| Popis: | Background The prevalence of vertical facial growth is very high in the developed world. Most authors agree that mouth breathing is its main cause. Even though care is mainly conducted by odontologists, the professionals who first see these patients are pediatricians and otolaryngologists. The objective of this study is to analyze the ability of pediatricians and otolaryngologists to identify early signs of vertical facial growth among children. Methods 60 participant aged 4.1–13.7 years were analyzed subjectively by 9 otolaryngologists, 9 pediatricians and two specialists in dentofacial orthopedics. They were also assessed objectively with cephalometric analysis. Results Otolaryngologists showed 34.78% sensitivity, 92.86% specificity and 48.33% efficiency. Pediatricians showed 13.04% sensitivity, 100% specificity and 33.33% efficiency. Using a linear regression model compared against the objective measurements we found a weak positive correlation both for otolaryngologists and pediatricians. Conclusion The sensitivity was very low for both groups. We believe it is of paramount importance to increase the awareness and the ability of otolaryngologists and pediatricians to recognize signs of disrupt facial growth. |
| Databáze: | OpenAIRE |
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