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Association between nasal patency and orofacial myofunctional changes in patients with asthma and rhinitis

  • Rhinology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

To verify the association between orofacial myofunctional changes and nasal patency.

Method

Observational study of 43 children and adolescents with asthma and/or rhinitis, aged between 5 and 14 years, from May 2017 to September 2019. Patients underwent peak nasal inspiratory flow (PNIF) for nasal patency assessment and orofacial myofunctional assessment. Clinical data were obtained from an interview on the day of the patients’ medical evaluation. The relationship between orofacial myofunctional changes and PNIF was analyzed using a logistic regression model. Estimates were reported as odds ratio (OR) and 95% confidence interval (95%CI). We evaluated multicollinearity using the variance inflation factor and analyzed the adjusted fit with the Akaike information criterion and McFadden’s R2 metric; p value < 0.05 was considered statistically significant.

Results

Inadequate positioning of the mandible (OR = 11.22; 95%CI 1.83–69; p = 0.009) and the presence of tension in the facial muscles during the swallowing of liquid (OR = 4.61; 95%CI 1.31–16.20; p = 0.017) were associated with altered PNIF in children and adolescents with asthma and rhinitis.

Conclusion

Children and adolescents with asthma and rhinitis along with reduced nasal patency presented orofacial myofunctional changes, such as inadequate positioning of the jaw and the presence of tension in the facial muscles during swallowing of liquid.

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Acknowledgements

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Chamada Universal 01/2016, Processo 431154/2016-3.

Funding

This study was funded by Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Chamada Universal 01/2016, Processo 431154/2016-3.

Author information

Authors and Affiliations

  1. Department of Speech Therapy, Federal University of Sergipe, Aracaju, Brazil

    Brenda Carla Lima Araújo & Gerlane Karla Bezerra Oliveira Nascimento

  2. Professional Postgraduate Program in Health Technological Management and Innovation, Federal University of Sergipe, Aracaju, Brazil

    Thales Rafael Correia de Melo Lima

  3. Department of Medicine, Federal University of Sergipe, Aracaju, Brazil

    Silvia de Magalhães Simões

  4. Postgraduate Program in Health Sciences, Federal University of Sergipe, Rua Cláudio Batista, s/n. Bairro Sanatório, Aracaju, Sergipe, 49060-100, Brazil

    Brenda Carla Lima Araújo, Vanessa Tavares de Gois-Santos, Paulo Ricardo Martins-Filho & Silvia de Magalhães Simões

  5. Investigative Pathology Laboratory, Federal University of Sergipe, Aracaju, Brazil

    Brenda Carla Lima Araújo, Vanessa Tavares de Gois-Santos & Paulo Ricardo Martins-Filho

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Contributions

All authors were involved in drafting the article or revising it critically for important intellectual content, and all authors approved the final version to be submitted for publication as stated by the International Committee of Medical Journal Editors (ICMJE): BCLA had full access to all the data and the accuracy of the data analysis. BCLA participated in the idealization of the study, data collection, analysis and interpretation and article writing; TRCdML, VTdG and GKBON participated in data collection; SdMS and PRM participated, in the condition of guiding, the idealization of the study, analysis, interpretation of data and writing of the article.

Corresponding author

Correspondence to Brenda Carla Lima Araújo.

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Araújo, B.C.L., Lima, T.R.C.M., de Gois-Santos, V.T. et al. Association between nasal patency and orofacial myofunctional changes in patients with asthma and rhinitis. Eur Arch Otorhinolaryngol 278, 2371–2377 (2021). https://doi.org/10.1007/s00405-020-06518-2

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  • DOI: https://doi.org/10.1007/s00405-020-06518-2

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