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Simonetta Monini, MD; Caterina Malagola, MD; Maria Pia Villa, MD; Caterina Tripodi, MD; Silvia Tarentini, PhD; Irene Malagnino, MD; Vania Marrone, PhD; Antonio Ivan Lazzarino, MD; Maurizio Barbara, MD, PhD

Arch Otolaryngol Head Neck Surg. 2009;135(1):22-27.

Objective  To assess short- and long-term effects of rapid maxillary expansion (RME) on nasal flow in young children. Since RME has been reported to positively influence nasal obstruction in subjects with respiratory problems by reducing nasal resistance, a similar efficacy of RME could be expected in children with deciduous and/or mixed dentition who are affected by maxillary constriction and nasal obstruction from a different cause.

Design  Prospective study of children younger than 12 years, with different grades of malocclusion and oral breathing. Data included active anterior rhinomanometry in both the supine and orthostatic positions, as well as radiographic cephalometric measurements.

Setting  Tertiary care university hospital. Data were prospectively collected from 2005 to 2007.

Patients  Nasal flow and resistance were measured in 65 children younger than 12 years, with mixed or deciduous dentition and different grades of malocclusion and oral breathing.

Main Outcome Measure  Efficacy of RME for resolution of maxillary constriction.

Results  After RME, an improvement of nasal flow and resistance has been recorded in patients, in the supine position, who presented both anterior and posterior obstruction. Less notable changes were shown in isolated forms of obstruction and in the orthostatic position.

Conclusion  In cases of maxillary constriction and nasal airway obstruction, RME has proved to be efficient for the improvement of nasal respiration in children via a widening effect on the nasopharyngeal cavity.

Author Affiliations: Otorhinolaryngology Unit (Drs Monini, Tripodi, Tarentini, Marrone, and Barbara) and Dentistry and Orthodontics Unit (Drs Malagola and Malagnino), Department of Sensory Organs, and Pediatric Unit (Dr Villa), University Sapienza II School of Medicine, and Department of Public Health "G. Sanarelli," University Sapienza (Dr Lazzarino), Rome, Italy.

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