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  Vol. 131 No. 10, October 2005 TABLE OF CONTENTS
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  Clinical Challenges in Otolaryngology
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 •Airway Obstruction
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Preventing Dentofacial Abnormalities With the Proper Correction of Pediatric Upper Airway Obstruction

William D. Clark, MD, DDS

Arch Otolaryngol Head Neck Surg. 2005;131(10):916-918.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Hypothesis: The proper correction of pediatric upper airway obstruction may prevent dentofacial abnormalities.

BACKGROUND

The concept that obstruction from tonsillar and/or adenoidal hypertrophy adversely effects dentofacial development was put forth as early as the 1840s. More than 150 years have passed, and the issue continues to be controversial. A review of the current literature reveals both passionate support of and opposition to the hypothesis.

The dentofacial abnormalities that have been associated with chronic nasorespiratory obstruction are many.1 Those most commonly cited are an elongated face, open-mouth posture, protrusive maxillary incisors, narrow maxillary arch, high-arched palate, and angle class II malocclusion. The term adenoid face encompasses most of these features. One way to restate the hypothesis would be that the term adenoid face describes an abnormality that is accurately named and appropriately correctable.


 
Figure appears in full text version.
William D. Clark, MD, DDS


Contention of any proposed individual step in the sequence . . . [Full Text of this Article]

PRO

CON

BOTTOM LINE

AUTHOR INFORMATION

Author Affiliations: Wuesthoff Medical Center and Holmes Regional Medical Center, Melbourne, Fla; and Palm Bay Community Hospital, Palm Bay, Fla.



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