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OTORINOLARINGOLOGIA

A Journal on Otorhinolaryngology, Head and Neck Surgery,
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Otorinolaringologia 2002 December;52(4)147-54

language: Italian

Otolaryngologic and orthognatodontics evalutations of nasal respiratory obstruction in patients with craniofacial anomalies

Lucariello G., Iorio N., Diomajuta A.

Divisione di Otorinolaringoiatria Ospedale Civile «San G. Moscati» di Aversa, Aversa


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The lit­er­a­ture is ­rich in experi­mental and clin­ical obser­va­tions con­cerning ­Nasal Res­pir­a­tory Obstruc­tion (ORN) and ­cranio-­facial dys­mor­phisms; ­many inves­ti­ga­tion tech­niques ­have ­been sug­gested to ­study ­such rela­tion­ships. Our objec­tive is to ­detect ­easily appli­cable inves­ti­ga­tion param­e­ters ­useful for clin­ical pur­poses in ­order to ­grant ­their rou­tine use and estab­lish ENT char­ac­ter­is­tics on otorh­i­nol­a­ryn­gology and to ­define max­illo-­facial struc­tural char­ac­ter­is­tics ­over ­whom ORN ­acts. Con­se­quently the col­lab­o­ra­tion ­between otorh­i­nol­a­ryn­gol­o­gist and orthog­nath­o­don­tist is rel­e­vant, ­both in the diag­nosis and ­therapy ­phase. The oto­rhin­o­lar­yn­goiatric inves­ti­ga­tions con­sid­ered are: the objec­tive exam­ina­tion, the ante­rior ­active rhin­o­ma­nom­etry, the impe­den­tio­metric exam­ina­tion. In the orthog­nath­o­dontic ­method, ­latero-lat­eral and pos­tero-ante­rior pro­jec­tion ­skull tele­ra­diog­raphy is ­used for diag­nosis set­ting the ­head ­according to the Frank­furt ­plan. Cephal­o­met­rics are ­obtained ­using ­such radio­grams ­through the detec­tion of the struc­tures. By ­such cephal­o­met­rics it is pos­sible to eval­uate the ­size of the var­ious struc­tures: rhi­noph­a­rynx ­space, lin­gual posi­tion, ­skull man­dib­ular dif­fer­ence and the ­goniac ­angle. Eval­u­a­tion sched­ules — ­planned on the oto­rhin­o­lar­yn­goiatric and ortho­dontic eval­u­a­tion param­e­ters — to use as a ­case his­tory or to add to a ­more ­ample one are sug­gested.

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