Study of oral physical findings in patients with chronic nasal obstruction

Abstract

Chronic nasal obstruction, although it causes mouth breathing, causes lower and anterior placement of the tongue, semi-open lips, lower mandibular placement, and decreased urophasic muscle tone to compensate for reduced airflow from the nose and facilitate breathing. As a result, there is a mismatch between the growth and evolution of urofacial structures, including maxillary elongation, insufficient mandibular development, changes in head position in contact with the neck, protrusion of the upper incisors, and the position of the end of the mandible associated with the maxilla. It seems that in the long run, the immune system to treat nasal congestion leads to hypertrophy of the tonsils and anterior and posterior pylars and soft redundancy of the palate, as well as loosening of the soft tissues of the urethra and epiglottis, so we decided to Careful examination of patients with chronic nasal obstruction, find physical findings related to the oral cavity. Materials and Methods: All patients referred to the office, clinic, and ward of Imam Reza Hospital during 2019-2020, who suffered from chronic nasal obstruction, were examined and the findings of the examination included Tonsil size, tongue size, mallampati, tonsillar pillars size, palate height, palate thickness, oula length, occlusal condition including normal, retrognaty, progeny, hypertrophy of nasal turbines, mucosal edema, mucosal pallor, septal deviation, long face, neck, neck Short was evaluated as a census. Finally, the prevalence of large palate, esophagus, tonsillar and pillary hypertrophy, large tongue, high malpractice, retrogenesis, long face, high arch palate were compared.

Results: In this study, the average age of people with nasal obstruction was 42.89±14.30 which was higher than the control group. Also, the male sex in these people is 52.85%. More men than the control group refer to the ENT clinic with a complaint of nasal obstruction. There was no significant difference between the mean BMI in the control and case group. In physical examinations of the mouth, the size of the tonsils and the size of the neck did not differ significantly between the two groups, but other positive examinations were significantly higher in patients with chronic nasal obstruction. In this study, there was no significant difference in blood pressure, diabetes, hypercholesterolemia, IHD, fatty liver in the control group. Only patients with nasal obstruction complained significantly more than the control group of hearing loss.