Are pediatricians and otolaryngologists well prepared to identify early signs of vertical facial growth?
Adolescent
Cephalometry
/ methods
Child
Child, Preschool
Clinical Competence
/ statistics & numerical data
Dentofacial Deformities
/ diagnosis
Facial Bones
/ abnormalities
Female
Humans
Male
Open Bite
/ diagnosis
Otolaryngologists
/ statistics & numerical data
Pediatricians
/ statistics & numerical data
Reproducibility of Results
Sensitivity and Specificity
Breathing
Face development
Impaired nasal
Long face syndrome
Mouth breathing
Vertical facial growth
Journal
International journal of pediatric otorhinolaryngology
ISSN: 1872-8464
Titre abrégé: Int J Pediatr Otorhinolaryngol
Pays: Ireland
ID NLM: 8003603
Informations de publication
Date de publication:
Apr 2019
Apr 2019
Historique:
received:
28
10
2018
revised:
11
01
2019
accepted:
23
01
2019
pubmed:
4
2
2019
medline:
13
4
2019
entrez:
4
2
2019
Statut:
ppublish
Résumé
The prevalence of vertical facial growth is very high in the developed world. Most authors agree that mouth breathing is its main cause. Even though care is mainly conducted by odontologists, the professionals who first see these patients are pediatricians and otolaryngologists. The objective of this study is to analyze the ability of pediatricians and otolaryngologists to identify early signs of vertical facial growth among children. 60 participant aged 4.1-13.7 years were analyzed subjectively by 9 otolaryngologists, 9 pediatricians and two specialists in dentofacial orthopedics. They were also assessed objectively with cephalometric analysis. Otolaryngologists showed 34.78% sensitivity, 92.86% specificity and 48.33% efficiency. Pediatricians showed 13.04% sensitivity, 100% specificity and 33.33% efficiency. Using a linear regression model compared against the objective measurements we found a weak positive correlation both for otolaryngologists and pediatricians. The sensitivity was very low for both groups. We believe it is of paramount importance to increase the awareness and the ability of otolaryngologists and pediatricians to recognize signs of disrupt facial growth.
Sections du résumé
BACKGROUND
BACKGROUND
The prevalence of vertical facial growth is very high in the developed world. Most authors agree that mouth breathing is its main cause. Even though care is mainly conducted by odontologists, the professionals who first see these patients are pediatricians and otolaryngologists. The objective of this study is to analyze the ability of pediatricians and otolaryngologists to identify early signs of vertical facial growth among children.
METHODS
METHODS
60 participant aged 4.1-13.7 years were analyzed subjectively by 9 otolaryngologists, 9 pediatricians and two specialists in dentofacial orthopedics. They were also assessed objectively with cephalometric analysis.
RESULTS
RESULTS
Otolaryngologists showed 34.78% sensitivity, 92.86% specificity and 48.33% efficiency. Pediatricians showed 13.04% sensitivity, 100% specificity and 33.33% efficiency. Using a linear regression model compared against the objective measurements we found a weak positive correlation both for otolaryngologists and pediatricians.
CONCLUSION
CONCLUSIONS
The sensitivity was very low for both groups. We believe it is of paramount importance to increase the awareness and the ability of otolaryngologists and pediatricians to recognize signs of disrupt facial growth.
Identifiants
pubmed: 30711837
pii: S0165-5876(19)30046-1
doi: 10.1016/j.ijporl.2019.01.035
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
161-165Informations de copyright
Copyright © 2019 Elsevier B.V. All rights reserved.