Brazilian Journal of Otorhinolaryngology
Print version ISSN 1808-8694
Braz. j. otorhinolaryngol. vol.79 no.6 São Paulo Nov./Dec. 2013
http://dx.doi.org/10.5935/1808-8694.20130123
ORIGINAL ARTICLES
Emanuel Capistrano Costa Junior1, Henrique Augusto Cantareira Sabino1, Carolina Sponchiado Miura1, Carolina Brotto de Azevedo1, Ullissis Pádua de Menezes1, Fabiana Cardoso Pereira Valera2, Wilma Terezinha Anselmo-Lima3
1MD; Resident Physician, University Hospital, School of Medicine of Ribeirão Preto, University of São Paulo
2PhD; Professor, School of Medicine of Ribeirão Preto, University of São Paulo
3Senior Associate Professor; Associate Professor, School of Medicine of Ribeirão Preto, University of São Paulo
Mouth breathers use the oral cavity as their principal breathing route. The main causes include: adenotonsillar hypertrophy and inflammatory diseases such as allergic rhinitis.
OBJECTIVE:
To look for atopy, the main allergens involved and to check for atopy as a comorbidity with the degree of hypertrophy of the tonsils and adenoids in mouth breathers.
METHOD:
A historical cohort study with cross-sectional review of 308 medical charts of patients treated at a mouth breather care center of a tertiary hospital in the period of 2008-2010. We collected data on the mouth breather's clinical history and we ran otolaryngological exams, flexible nasal endoscopy and skin prick test to aeroallergens.
RESULTS:
Of 308 patients, 36% were positive on allergy testing, with 95 % of atopic patients being positive for mites. Among all patients, 46% had adenoid hypertrophy; of these, 37% were atopic and 47% had tonsillar hypertrophy, and among these, 33% were atopic.
CONCLUSION:
We found no direct correlation between atopy and the degree of tonsils and adenoid hypertrophy observed among the mouth-breathing patients assessed. si.
No comments:
Post a Comment