儿童口呼吸诊断及对牙颌面发育的影响

doi:10.19438/j.cjoms.2024.01.016

中国口腔颌面外科杂志 ›› 2024, Vol. 22 ›› Issue (1): 92-101.doi: 10.19438/j.cjoms.2024.01.016

儿童口呼吸诊断及对牙颌面发育的影响

郑阳山^1,2, 袁学顺³, 姜晶⁴, 邱书奇^1,5,*, 石照辉^5,6,*

1.遵义医科大学珠海校区,广东珠海 519041;
2.深圳市龙岗中心医院耳鼻咽喉科,广东深圳 518172;
3.深圳市龙岗区耳鼻咽喉医院口腔正畸科,广东深圳 518172;
4.儿童口腔科,广东深圳 518172;
5.耳鼻咽喉科,深圳市耳鼻咽喉研究所,广东深圳 518172;
6.中山大学附属第三医院耳鼻咽喉头颈外科,广东广州 510630

收稿日期:2023-03-21 修回日期:2023-05-06 出版日期:2024-01-20 发布日期:2024-02-05
通讯作者: 邱书奇,E-mail: qiuqi66858@163.com;石照辉,E-mail: zhaohuishi@139.com。^*共同通信作者
基金资助:
2021年龙岗区医疗卫生科技计划项目（扶持类）（LGKCYLWS2021000029）

Recent advances in mouth breathing diagnosis and effects on dento-maxillofacial development in children

ZHENG Yang-shan^1,2, YUAN Xue-shun³, JIANG Jing⁴, QIU Shu-qi^1,5, SHI Zhao-hui^5,6

1. Zhuhai Campus of Zunyi Medical University. Zhuhai 519041;
2. Department of Otolaryngology, Shenzhen Longgang District Central Hospital. Shenzhen 518172;
3. Department of Orthodontics, Shenzhen Longgang District Central Hospital. Shenzhen 518172;
4. Department of Pediatric Dentistry, Shenzhen Longgang District Central Hospital. Shenzhen 518172;
5. Department of Otolaryngology, Longgang E. N. T Hospital; Shenzhen Institute of E. N. T. Shenzhen 518172;
6. Department of Otorhinolaryngology-Head and Neck Surgery, The Third Affiliated Hospital of Sun Yat-sen University. Guangzhou 510630, Guangdong Province, China

Received:2023-03-21 Revised:2023-05-06 Online:2024-01-20 Published:2024-02-05

摘要/Abstract

摘要： 上气道阻塞可导致口呼吸,其在儿童中发病率较高。儿童早期是牙颌面的快速发育期,长期口呼吸会造成儿童牙颌面畸形及睡眠呼吸障碍,严重危害儿童健康。口呼吸需要耳鼻咽喉科、口腔科、睡眠专科等共同进行预防和管理。近年来,越来越多的研究关注儿童口呼吸的诊断及对牙颌面发育的影响以及可能的机制,但引起口呼吸的病因、准确的临床诊断和评价、对牙颌面发育的影响机制和结局、与睡眠呼吸障碍的关系以及对手术治疗方式的选择和术后治疗仍然存在争议。本文针对以上问题,对近年的研究进展进行综述,旨在进一步推进此领域的相关研究。

关键词: 儿童口呼吸, 牙颌面畸形, 腺样体面容, 睡眠呼吸障碍, 腺样体扁桃体肥大

Abstract: Upper airway obstruction can lead to mouth breathing, which is much prevalent in children. Studies have indicated that in early childhood, prolonged mouth breathing leads to muscular and postural alterations which, in turn, result in dentoskeletal changes, or even worse, dentofacial deformities and sleep-related breathing disorders. A multidisciplinary team, involving otolaryngologists, dental providers, and somnologists, should work to provide early diagnosis and appropriate treatment, preventing the consequent disorders of mouth breathing. More and more studies in recent years have focused on mouth breathing diagnosis and its effects on dento-maxillofacial development as well as its possible mechanisms in children. Nevertheless, the etiology, diagnosis, treatment options, postoperative care, mechanism of mouth breathing impact on dento-maxillofacial development, and its relationship with sleep-disordered breathing remain controversial. This review summarized the latest advances in mouth breathing, demonstrating the current status and advances of research on mouth breathing diagnosis, dento-maxillofacial development, and multidisciplinary collaboration.

Key words: Mouth breathing in children, Dentofacial deformity, Adenoid facies, Sleep-disordered breathing, Adenotonsillar hypertrophy

中图分类号:

R782.2

郑阳山, 袁学顺, 姜晶, 邱书奇, 石照辉. 儿童口呼吸诊断及对牙颌面发育的影响[J]. 中国口腔颌面外科杂志, 2024, 22(1): 92-101.

ZHENG Yang-shan, YUAN Xue-shun, JIANG Jing, QIU Shu-qi, SHI Zhao-hui. Recent advances in mouth breathing diagnosis and effects on dento-maxillofacial development in children[J]. China J Oral Maxillofac Surg, 2024, 22(1): 92-101.

参考文献

[1] Lyu L, Zhao Z, Tang Q, et al.Skeletal classⅡmalocclusion caused by mouth breathing in a pediatric patient undergoing treatment by interceptive guidance of occlusion[J]. J Int Med Res, 2021, 49(6): 3000605211021037.
[2] Pacheco MCT, Casagrande CF, Teixeira LP, et al.Guidelines proposal for clinical recognition of mouth breathing children[J]. Dental Press J Orthod, 2015, 20(4): 39-44.
[3] Garde JB, Suryavanshi RK, Jawale BA, et al.An epidemiological study to know the prevalence of deleterious oral habits among 6 to 12 year old children[J]. J Int Oral Health, 2014, 6(1): 39-43.
[4] Dhull KS, Verma T, Dutta B, et al.Prevalence of deleterious oral habits among 3- to 5-year- old preschool children in Bhubaneswar, Odisha, India[J]. Int J Clin Pediatr Dent, 2018, 11(3): 210-213.
[5] Bonuck KA, Chervin RD, Cole TJ, et al.Prevalence and persistence of sleep disordered breathing symptoms in young children: a 6-year population-based cohort study[J]. Sleep, 2011, 34(7): 875-884.
[6] Luo R, Schaughency E, Gill AI, et al.Natural history of snoring and other sleep-disordered breathing (SDB) symptoms in 7-year-old New Zealand children: a follow-up from age 3[J]. Sleep Breath, 2015, 19(3): 977-985.
[7] Yamaguchi H, Tada S, Nakanishi Y, et al.Association between mouth breathing and atopic dermatitis in japanese children 2-6 years old: a population-based cross-sectional study[J]. PLoS One, 2015, 10(4): e0125916.
[8] 雷晓静, 任卫萍, 郭昱, 等.儿童张口呼吸及相关危险因素的调查研究[J]. 中国科技论文在线精品论文, 2018, 11(5): 450-456.
Lei XJ, Ren WP, Guo Y, et al.Investigation on the situation of mouth breathing and its related dangerous factors in children[J]. Highlights of Sciencepaper Online, 2018, 11(5):450-456.
[9] 曾祥龙, 高雪梅.儿童口呼吸的诊断与处理[J]. 中华口腔医学杂志, 2020, 55(1):3-8.
Zeng XL, Gao XM.Diagnosis and treatment of mouth breathing in children[J]. Chinese Journal of Stomatology, 2020, 55(1):3-8.
[10] Ballikaya E, Guciz Dogan B, Onay O, et al.Oral health status of children with mouth breathing due to adenotonsillar hypertrophy[J]. Int J Pediatr Otorhinolaryngol, 2018, 113(1): 11-15.
[11] Pereira TC, Furlan RMMM, Motta AR.Relationship between mouth breathing etiology and maximum tongue pressure[J]. Codas, 2019, 31(2): e20180099.
[12] 中国医师协会儿科医师分会儿童耳鼻咽喉专业委员会. 儿童过敏性鼻炎诊疗—临床实践指南[J]. 中国实用儿科杂志, 2019, 34(3): 169-175.
Otolaryngology Professional Committee, Pediatrician Branch,Chinese Medical Doctor Association. Clinical practice guideline: diagnosis and treatment in children with allergic rhinitis[J]. Chinese Journal of Practical Pediatrics, 2019, 34(3): 169-175.
[13] Farronato M, Lanteri V, Fama A, et al.Correlation between malocclusion and allergic rhinitis in pediatric patients: a systematic review[J]. Children (Basel), 2020, 7(12): 260-270.
[14] Sadeghi-Shabestari M, Jabbari Moghaddam Y, Ghaharri H.Is there any correlation between allergy and adenotonsillar tissue hypertrophy?[J]. Int J Pediatr Otorhinolaryngol, 2011, 75(4): 589-591.
[15] Lee DJ, Chung YJ, Yang YJ, et al.The impact of allergic rhinitis on symptom improvement in pediatric patients after adenotonsillectomy[J]. Clin Exp Otorhinolaryngol, 2018, 11(1): 52-57.
[16] 郭靖晗, 於丽明, 李远远, 等. 上颌扩弓联合双垫矫治器治疗对牙颌畸形口呼吸儿童上气道的影响[J]. 上海口腔医学, 2021, 30(6):634-638.
Guo JH, Yu LM, Li YY, et al.Effect of maxillary expansion combined with Twin-block on upper airway of children with mouth breathing and dentomaxillofacial malformation[J]. Shanghai Journal of Stomatology, 2021, 30(6):634-638.
[17] Qin YN, Sun YL, Wang L, et al.Distribution of allergens and associated risk factors of patients with allergic rhinitis in Qingdao area[J]. J Clin Otorhinolaryngol, 2020, 34(1): 36-40.
[18] Vig PS, Spalding PM, Lints RR.Sensitivity and specificity of diagnostic tests for impaired nasal respiration[J]. Am J Orthod Dentofacial Orthop, 1991, 99(4): 354-360.
[19] Chambi-Rocha A, Cabrera-Domínguez ME, Domínguez-Reyes A.Breathing mode influence on craniofacial development and head posture[J]. J Pediatr (Rio J), 2018, 94(2): 123-130.
[20] 杨凯, 曾祥龙, 俞梦孙. 儿童呼吸方式与颅面, 气道, 牙形态的相关性研究[J]. 中华口腔医学杂志, 2005, 40(6):468-470.
Yang K, Zeng XL, Yu MS, et al.Correlation between oral airflow ratio and craniofacial, airway and dental morphology[J]. Chinese Journal of Stomatology, 2005, 40(6):468-470.
[21] 华幸, 徐辉, 王秋锐, 等. 快速测定口呼吸气流量的方法[J]. 国际口腔医学杂志, 2019, 46(2):213-217.
Hua X, Xu H, Wang QR, et al.Method for the rapid measurement of airflow volume in mouth-breathing patients[J]. International Journal of Stomatology, 2019, 46(2):213-217.
[22] Huang Z, Wang W, Haan GD.Nose breathing or mouth breathing: a thermography-based new measurement for sleep monitoring[C]. Computer Vision and Pattern Recognition, IEEE, 2021.
[23] 赵国强, 李彦如, 王小轶, 等. 儿童OSAHS不同诊断标准的差异研究[J]. 临床耳鼻咽喉头颈外科杂志, 2018, 32(1): 12-17, 22.
Zhao GQ, Li YR, Wang XY, et al.Differential evaluation of diagnostic criteria for pediatric obstructive sleep apnea hypopnea syndrome[J]. Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 2018, 32(1): 12-17, 22.
[24] Festa P, Mansi N, Varricchio AM, et al.Association between upper airway obstruction and malocclusion in mouth-breathing children[J]. Acta Otorhinolaryngol Ital, 2021, 41(5): 436-442.
[25] Zhao Z, Zheng L, Huang X, et al.Effects of mouth breathing on facial skeletal development in children: a systematic review and meta-analysis[J]. BMC Oral Health, 2021, 21(1): 108-121.
[26] Al-Moraissi EA, Perez D, Ellis E 3rd. Do patients with malocclusion have a higher prevalence of temporomandibular disorders than controls both before and after orthognathic surgery? a systematic review and meta-analysis[J]. J Craniomaxillofac Surg, 2017, 10(45): 1716-1723.
[27] McNamara JA. Influence of respiratory pattern on craniofacial growth[J]. Angle Orthod, 1981, 51(4): 269-300.
[28] 唐聆珈, 郭竹玲. 口呼吸对口颌系统外形及功能影响的研究进展[J]. 全科口腔医学电子杂志, 2018, 5(24): 11-12.
Tang LJ, Guo ZL.Research progress on the effects of breathing on the shape and function of the oral and maxillofacial system[J]. General Journal of Stomatology, 2018, 5(24): 11-12.
[29] Raffat A, Hamid WU.Cephalometric assessment of patients with adenoidal faces[J]. J Pak Med Assoc, 2009, 59(11): 747-752.
[30] Lysy J, Karkazi F, Stanko P, et al.The influence of mouth breathing on skeletal and dental features of splanchnocranium[J]. Bratisl Lek Listy, 2021, 122(3): 196-199.
[31] Zheng W, Zhang X, Dong J, et al.Facial morphological characteristics of mouth breathers vs. nasal breathers: a systematic review and meta-analysis of lateral cephalometric data[J]. Exp Ther Med, 2020, 19(6): 3738-3750.
[32] Franco LP, Souki BQ, Cheib PL, et al.Are distinct etiologies of upper airway obstruction in mouth-breathing children associated with different cephalometric patterns?[J]. Int J Pediatr Otorhinolaryngol, 2015, 79(2): 223-228.
[33] Nunes WR, Francesco R.Variation of patterns of malocclusion by site of pharyngeal obstruction in children[J]. Arch Otolaryngol Head Neck Surg, 2010, 136(11): 1116-1120.
[34] Iwasaki T, Sato H, Suga H, et al.Relationships among nasal resistance, adenoids, tonsils, and tongue posture and maxillofacial form in ClassⅡand ClassⅢchildren[J]. Am J Orthod Dentofacial Orthop, 2017, 151(5):929-940.
[35] Baroni M, Ballanti F, Franchi L, et al.Craniofacial features of subjects with adenoid, tonsillar, or adenotonsillar hypertrophy[J]. Prog Orthod, 2011, 12(1): 38-44.
[36] 金霄雪, 韩莹莹, 郭瑞祥, 等. 替牙期扁桃体伴腺样体肥大儿童过敏因素与颌面畸形的相关性[J]. 山东大学耳鼻喉眼学报, 2022, 36(2): 45-50.
Jin XX, Han YY, Guo RX, et al.Correlation between allergy factors and maxillofacial malformation in children with tonsil and adenoid hypertrophy in denture replacement period[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(2): 45-50.
[37] 唐欢, 刘桥,林居红,等. 替牙列期口呼吸儿童腭部形态的三维分析[J]. 华西口腔医学杂志, 2019, 37(4): 389-393.
Tang H, Liu Q, Lin JH, et al.Three-dimensional morphological analysis of the palate of mouth-breathing children in mixed dentition[J]. West China Journal of Stomatology, 2019, 37(4): 389-393.
[38] 陈威, 徐啟.青少年口呼吸伴腺样体面容者硬腭形态的研究[J]. 浙江实用医学, 2019, 24(4):250-253.
Chen W, Xu Q.Study of hard palate morphology in adolescents with oral breathing with adenoid facial features[J]. Zhejiang Practical Medicine, 2019, 24(4):250-253.
[39] 严冬, 车晓霞.口呼吸对颅面生长发育影响的研究进展[J]. 北京口腔医学, 2016, 24(2): 113-115.
Yan D, Che XX.Research progress on the effect of mouth breathing on craniofacial growth and development[J]. Beijing Journal of Stomatology, 2016, 24(2): 113-115.
[40] Becking BE, Verweij JP, Kalf-Scholte SM, et al.Impact of adenotonsillectomy on the dentofacial development of obstructed children: a systematic review and meta-analysis[J]. Eur J Orthod, 2017, 39(5): 509-518.
[41] Chung LM, Behri OP.Comparison of cephalometric patterns in mouth breathing and nose breathing children[J]. Int J Pediatr Otorhinolaryn, 2014, 78(7): 1167-1172.
[42] Pirilä-Parkkinen K, Pirttiniemi P, Nieminen P, et al.Dental arch morphology in children with sleep-disordered breathing[J]. Eur JOrthod, 2009, 31(2): 160-167.
[43] Lin L, Zhao T, He H, et al.The impact of mouth breathing on dentofacial development: a concise review[J]. Front Public Health, 2022, 10: 929165.
[44] Chambi-Rocha A, Cabrera-Domínguez ME, Domínguez-Reyes A.Breathing mode influence on craniofacial development and head posture[J]. J Pediatr (Rio J), 2018, 94(2): 123-130.
[45] Castilho RL, Matsumoto LH, Castilho GL, et al.The interface between dentistry and respiratory sleep disorders in children[J]. Sleep Sci, 2020, 13(4): 220-223.
[46] Duman S, Vural H.Evaluation of the relationship between malocclusions and sleep-disordered breathing in children[J]. Cranio, 2022, 40(4): 295-302.
[47] Esteller E, Villatoro JC, Agüero A, et al.Obstructive sleep apnea syndrome and growth failure[J]. Int J Pediatr Otorhinolaryngol, 2018, 108: 214-218.
[48] Yu PK, Radcliffe J, Gerry Taylor H, et al. Neurobehavioral morbidity of pediatric mild sleep-disordered breathing and obstructive sleep apnea[J]. Sleep, 2022, 45(5): zsac035.
[49] Bokov P, Dahan J, Boujemla I, et al.Prevalence of mouth breathing, with or without nasal obstruction, in children with moderate to severe obstructive sleep apnea[J]. Sleep Med, 2022, (98): 98-105.
[50] Hu B, Yin G, Fu S, et al.The influence of mouth opening on pharyngeal pressure loss and its underlying mechanism: a computational fluid dynamic analysis[J]. Front Bioeng Biotechnol, 2023, 10: 1081465.
[51] 朱敏, 薛晓晨, 朱妍菲, 等. 腺样体和/或扁桃体病理性肥大对前牙反儿童颌骨发育的影响[C]// 2016中国国际正畸大会暨第十五次全国口腔正畸学术会议. 西安: 中华口腔医学会口腔正畸专业委员会, 2016.
Zhu M, Xue XC, Zhu YF, et al.The influence of adenoid and/or tonsil hypertrophy on the maxillofacial development of crossbite children[C]//China International Orthodontic Conference and the 15th Annual Session of Chinese Orthodontic Society 2016. Xi’an: Orthodontic Committee of the Chinese Oral medicine Association, 2016.
[52] 杨嵘, 宗涛, 付珍霞, 等. 腺样体肥大对不同年龄段儿童牙颌面部发育的影响[J]. 山东大学耳鼻喉眼学报, 2013, 27(5):52-54.
Yang R, Zong T, Fu ZX, et al.Effect of enlarged adenoid on tooth maxillofacial development in children[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2013, 27(5): 52-54.
[53] 杜常欣, 朱敏, 于倩, 等. 儿童阻塞性口呼吸的诊断[J]. 中国临床新医学, 2018, 11(11): 1065-1071 .
Du CX, Zhu M, Yu Q, et al.Diagnosis of obstructive mouth breathing in children[J]. Chinese Journal of New Clinical Medicine, 2018, 11(11): 1065-1071.
[54] 蒋昕怡, 高轶昳, 陈建军, 等. 口腔矫治器治疗儿童口呼吸的临床研究进展[J]. 解放军医学院学报, 2019, 40(8): 802-805.
Jiang XY, Gao YY, Chen JJ, et al.Advances in clinical application of oral appliance in treatment of children mouth breathing[J]. Academic Journal of Chinese PLA Medical School, 2019, 40(8): 802-805.
[55] 中国医师协会耳鼻咽喉头颈外科医师分会.儿童扁桃体腺样体低温等离子射频消融术规范化治疗临床实践指南[J]. 临床耳鼻咽喉头颈外科杂志, 2021, 35(3): 193-199.
Medical Doctor Association Of Otorhinolaryngology Head And Neck Surgery Chinese. Clinical practice guidelines for standardized low-temperature plasma radiofrequency ablation tonsillectomy and adenoidectomy in children[J]. Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 2021, 35(3): 193-199.
[56] 赵婷婷, 贺红. 儿童口呼吸与错畸形[J]. 中华口腔正畸学杂志, 2019, 26(4):195-198.
Zhao TT, He H.Pediatric mouth breathing and malocclusion[J]. Chinese Journal of Orthodontics, 2019, 26(4):195-198.
[57] 魏肖林, 张孝文. 莫米松鼻腔喷雾剂治疗儿童扁桃体和(或)腺样体肥大33例[J]. 新医学, 2007, 38(1):38-39.
Wei XL, Zhang XW.Mometasone nasal spray for the treatment of tonsillar and (or) adenoid hypertrophy in children in 33 cases[J]. New Medicine, 2007, 38(1): 38-39.
[58] 赵佳奇, 单丽华. 儿童腺样体和扁桃体肥大治疗理念新进展[J]. 口腔医学研究, 2021, 37(8):693-695.
Zhao JQ, Shan LH.New Progress in the treatment of adenoid and tonsil hypertrophy in children[J]. Journal of Oral Science Research, 2021, 37(8): 693-695.
[59] Marcus CL, Moore RH, Rosen CL, et al.A randomized trial of adenotonsillectomy for childhood sleep apnea[J]. N Engl J Med, 2013, 368(25): 2366-2376.
[60] 仇书要, 刘大波, 钟建文. 2018 法国耳鼻咽喉头颈外科学会指南解读:不同治疗方案在儿童 OSAHS 治疗中的地位[J]. 临床耳鼻咽喉头颈外科杂志, 2020, 34(2):97-100.
Qiu SY, Liu DB, Zhong JW.Interpretation of French Society of ENT guidelines on the roles of the various treatment options in childhood obstructive sleep apnea-hypopnea syndrome[J]. Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 2020, 34(2): 97-100.
[61] 王军旗, 马明瑛, 芦二永.等离子扁桃体切除术治疗儿童鼾症的疗效观察[J]. 中国中西医结合儿科学, 2021, 13(1): 39-42.
Wang JQ, Ma MY, Lu EY.Clinical effect of coblation tonsillectomy on children with obstructive sleep apnea syndrome versus conventional dissection tonsillectomy[J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(1): 39-42.
[62] Lee S, Kang TW, Cha DI, et al.Radiofrequency ablation vs. surgery for perivascular hepatocellular carcinoma: propensity score analyses of long-term outcomes[J]. J Hepatol, 2018, 69(1): 70-78.
[63] 侯安存, 杨爱君, 董宝成. 儿童过敏性鼻炎的诊治进展[J]. 临床和实验医学杂志, 2019, 18(6): 670-673.
Hou AC, Yang AJ, Dong BC.Progress in the diagnosis and treatment of allergic rhinitis in children[J]. Journal of Clinical and Experimental Medicine, 2019, 18(6): 670-673.
[64] 顾瑜蓉, 李华斌. 《中国变应性鼻炎诊断和治疗指南(2022年,修订版)》解读[J]. 中国眼耳鼻喉科杂志, 2022, 22(2): 209-211.
Gu YR, Li HB.Interpretation of Chinese guideline for diagnosis and treatment of allergic rhinitis (2022, revision)[J]. Chinese Journal of Ophthalmology and Otorhinolaryngology, 2022, 22(2): 209-211.
[65] Seidman MD, Gurgel RK, Lin SY, et al.Clinical practice guideline: allergic rhinitis[J]. Otolaryngol Head Neck Surg, 2015, 152(1 Suppl): S1-S43.
[66] 中国过敏性鼻炎研究协作组. 过敏性鼻炎皮下免疫治疗的临床操作规范[J]. 中国耳鼻咽喉头颈外科, 2018, 25(1):1-12.
China Allergic Rhinitis Research Cooperation Group. Clinical practice of subcutaneous immunotherapy for allergic rhinitis[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2018, 25(1): 1-12.
[67] 殷明德. 小儿扁桃体和腺样体切除术适应证的免疫学基础[J]. 临床耳鼻咽喉头颈外科杂志, 2010, 24(9):385, 391.
Yin MD. Immunological basis for indications for pediatric tonsillectomy[J]. Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 2010, 24(9): 385, 391.
[68] 董学武. 儿童扁桃体与腺样体切除术适应证与手术方法的选择[J]. 中国医刊, 2013, 48(9): 14-17.
Dong XW.Indications for tonsillectomy and adenoidectomy in children and choice of surgical method[J]. Chinese Journal of Medicine, 2013, 48(9): 14-17.
[69] Yan YY, Song YL, Liu YY, et al.Short- and long- term impacts of adenoidectomy with/without tonsillectomy on immune function of young children<3 years of age: a cohort study[J]. Medicine(Baltimore), 2019, 98(19): e15530.
[70] 张小金, 罗志强. 单侧扁桃体切除术后对患儿生活质量及体液免疫功能的影响[J]. 中国耳鼻咽喉颅底外科杂志, 2015, 21(2): 111-115.
Zhang XJ, Luo ZQ.Effect of unilateral tonsillectomy on quality of life and humoral immunity in children[J]. Chinese Journal of Otorhinolaryngology-Skull Base Surgery, 2015, 21(2):111-115.
[71] 曾宪平, 陈晓明, 张洪涛, 等. 扁桃体部分切除术对OSAHS患儿的临床效果观察[J].中国临床解剖学杂志, 2020, 38(6): 719-722.
Zeng XP, Chen XP, Zhang HT, et al.Clinical effect of tonsillotomy in children with obstructive sleep apnea-hypopnea syndrome[J]. Chinese Journal of Clinical Anatomy, 2020, 38(6): 719-722.
[72] Pateron B, Marianowski R, Monteyrol PJ, et al.French Society of ENT (SFORL) guidelines (short version) on the roles of the various treatment options in childhood obstructive sleep apnea-hypopnea syndrome[J]. Eur Ann Otorhinolaryngol Head Neck Dis, 2018, 135(4): 265-268.
[73] 师晓丽, 牟鸿. 多学科联合诊治重度儿童阻塞性睡眠呼吸暂停综合征并发肺动脉高压1例[J]. 山东大学耳鼻喉眼学报, 2022, 36(1): 116-119.
Shi XL, Mou H.Multidisciplinary diagnosis and treatment of a child with severe obstructive sleep apnea syndrome complicated by pulmonary hypertension[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(1): 116-119.
[74] Liu CN, Kang KT, Yao CJ, et al.Changes in cone-beam computed tomography pediatric airway measurements after adenotonsillectomy in patients with OSA[J]. JAMA Otolaryngol Head Neck Surg, 2022, 148(7): 621-629.
[75] Taniguchi K, Yoshitomi A, Kanemaru A, et al.Outcomes of adenoidectomy with and without tonsillectomy in patients younger than 2 years with moderate to severe upper airway obstruction[I]. Int J Pediatr Otorhinolaryngol, 2021, 149 :110841.
[76] Altwairqi RG, Aljuaid SM, Alqahtani AS.Effect of tonsillectomy on humeral and cellular immunity: a systematic review of published studies from 2009 to2019[J]. Eur Arch Otorhinolaryngol, 2020, 277(1): 1-7.
[77] 张明君, 徐宏鸣, 浦诗磊, 等. 儿童腺样体肥大的评估与分级研究进展[J]. 中华耳鼻咽喉头颈外科杂志, 2023, 58(2): 188-192.
Zhang MJ, Xu HM, Pu SL, et al.Evaluation and grading progression of adenoid hypertrophy in children[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2023, 58(2): 188-192.
[78] Katz ES, D’Ambrosio CM. Pathophysiology of pediatric obstructive sleep apnea[J]. Proc Am Thorac Soc, 2008, 5(2): 253-262.
[79] Bae J, Kim DK.Risk factors for residual mouth breathing in children who had completely resolved obstructive sleep apnea after adenotonsillectomy[J]. Eur Arch Otorhinolaryngol, 2020, 277(10): 2913-2919.
[80] 卢晓峰, 朱敏. 腺样体和扁桃体肥大-张口呼吸-腺样体面容的序列治疗[J]. 临床耳鼻咽喉头颈外科杂志, 2016, 30(6): 451-454.
Lu XF, Zhu M.Sequent therapy for adenoidal and tonsillar hypertrophy patients with OSDB[J]. Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 2016, 30(6): 451-454.
[81] Boudewyns A, Abel F, Alexopoulos E, et al.Adenotonsillectomy to treat obstructive sleep apnea: is it enough?[J]. Pediatr Pulmonol, 2017, 52(5): 699-709.
[82] Kaplan BK, Kaplan F.One of the causes of adenoid hypertrophy in preschool children, allergic rhinitis[J]. Med Sci, 2022, 11(1): 407-409.
[83] 吴艳棋, 胡祥莹, 王雪纯, 等. 早期唇肌功能训练对口呼吸儿童牙颌面发育的影响[J]. 中华口腔正畸学杂志, 2022, 29(1): 13-17.
Wu YQ, Hu XY, Wang XC, et al.Effects of lip training on the dento-maxillofacial development in children with habitual mouth breathing[J]. Chinese Journal of Orthodontics, 2022, 29(1): 13-17.
[84] Villa MP, Brasili L, Ferretti A, et al.Oropharyngeal exercises to reduce symptoms of OSA after AT[J]. Sleep Breath, 2015, 19(1): 281-289.
[85] Tinano MM, Becker HMG, Franco LP, et al.Morphofunctional changes following adenotonsillectomy of obstructive sleep apnea children: a case series analysis[J]. Prog Orthod, 2022, 23(1): 29-38.
[86] 赵志河. 口腔正畸学 [M]. 北京: 人民卫生出版社, 2020: 146.
Zhao ZH.Orthodontics[M]. Beijing: People’s Medical Publishing House, 2020: 146.
[87] 陈楠, 熊斌, 章婷,等. 夜间打鼾青少年安氏Ⅱ类错患者应用SGTB功能矫治前,后上气道的变化[J]. 上海口腔医学, 2021, 30(3): 273-277.
Chen N, Xiong B, Zhang T, et al.Changes of the upper airway in children with Class Ⅱ mandibular retrusion and snoring during night before and after functional treatment by sagittal-guidance Twin-block appliance[J]. Shanghai Journal of Stomatology, 2021, 30(3): 273-277.
[88] Alyessary AS, Othman SA, Yap AUJ, et al.Effects of nonsurgical rapid maxillary expansion on nasal structures and breathing: a systematic review[J]. Int Orthod, 2019, 17(l): 12-19.

儿童口呼吸诊断及对牙颌面发育的影响

Recent advances in mouth breathing diagnosis and effects on dento-maxillofacial development in children

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