Navegando por Palavras-chave "Malocclusion Of Angle Class III"

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    Avaliação das vias aéreas e tipo facial, por meio da cefalometria e nasofibroscopia, em pacientes com classe III e/ou subdivisão de Angle
    (Universidade Federal de São Paulo (UNIFESP), 2020-08-27) Florez, Bruna Maluza [UNIFESP]; Morea, Gladys Cristina Dominguez [UNIFESP]; Universidade Federal de São Paulo
    Objective: To evaluate the correlation between cephalometric measurements of the nasopharynx and oropharynx with clinical and nasofibroscopy findings of adenoids and tonsils hypertrophy, as well as the correlation of airways and breathing patterns with facial patterns in children and adolescents with Angle class III or class III subdivision malocclusion. Methods: This study included 85 white and brown children and adolescents (51 girls) aged 7 to 14 years (mean age: 9.5 years; SD: 1.74 years). Lateral radiographs were used to collect cephalometric data about the nasopharynx, oropharynx and facial patterns. An otolaryngologist determined breathing patterns using patient history, clinical examination and nasofibroscopy. Analysis of variance (ANOVA), the Tukey, Kruskal-Wallis, Pearson and Fisher's exact tests were used for statistical analyses. The level of significance was set at p<0.05. Results: Tonsil obstruction revealed by nasofibroscopy was compatible with cephalometric measurements of the nasopharynx. However, it was not compatible with tonsil hypertrophy. Facial patterns were not correlated with breathing, septal deviation or adenoids, but facial patterns and inferior turbinate were correlated with tonsil hypertrophy. Conclusions: Lateral radiography was an efficient tool for the diagnosis of adenoid hypertrophy, but not of tonsil hypertrophy. There was no association between facial patterns and otolaryngologic findings of airways and breathing, and the variable results are evidence of the fundamental role of an interdisciplinary approach to establish a diagnosis.