Atopy and adenotonsillar hypertrophy in mouth breathers from a reference center

Revista Brasileira de Otorrinolaringologia

Costa Junior, Emanuel Capistrano¹ 

[1] Universidade de São Paulo

关键词: adenoids;    allergy and immunology;    mouth breathing;    tonsillar hypertrophy.;   

DOI  :  10.5935/1808-8694.20130123

学科分类：医学（综合）

来源: Associacao Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial

【 摘 要 】

Mouth breathers use the oral cavity as their principal breathing route. The main causes include: adenotonsillar hypertrophy and inflammatory diseases such as allergic rhinitis.OBJECTIVE:To look for atopy, the main allergens involved and to check for atopy as a comorbidity with the degree of hypertrophy of the tonsils and adenoids in mouth breathers.METHOD:A historical cohort study with cross-sectional review of 308 medical charts of patients treated at a mouth breather care center of a tertiary hospital in the period of 2008-2010. We collected data on the mouth breather's clinical history and we ran otolaryngological exams, flexible nasal endoscopy and skin prick test to aeroallergens.RESULTS:Of 308 patients, 36% were positive on allergy testing, with 95 % of atopic patients being positive for mites. Among all patients, 46% had adenoid hypertrophy; of these, 37% were atopic and 47% had tonsillar hypertrophy, and among these, 33% were atopic.CONCLUSION:We found no direct correlation between atopy and the degree of tonsils and adenoid hypertrophy observed among the mouth-breathing patients assessed. si.

【 授权许可】

CC BY