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A Journal on Otorhinolaryngology, Head and Neck Surgery,
Plastic Reconstructive Surgery, Otoneurosurgery
Indexed/Abstracted in: EMBASE, Scopus
Otorinolaringologia 2002 December;52(4)147-54
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
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.