Int Arch Otorhinolaryngol 2014; 18 - a2430
DOI: 10.1055/s-0034-1388701

Assessment of Nasal Obstruction in Different Facial Profiles

Marcos Marques Rodrigues 1, Mario Francisco Real Gabrielli 1, Valfrido Antonio Pereira Filho 1
  • 1ENT Department, Centro Universitário de Araraquara (Uniara)
  • 2Surgery Department, Universidade Estadual Paulista (Unesp)

Introduction: Nasal obstruction is a common symptom and affects 25% of the population. In profile I, there is alignment between the mandible and maxilla. In profile II, there is a retrognathia in relation to the mandible and a prognathia III profile. The Nasal Obstruction Symptom Evaluation (NOSE) scale has become the reference for studies that analyze the influence of nasal obstruction on the quality of life.

Objective: The assessment of nasal function in patients with different facial morphologies.

Methodology: Prospective observational study. Patients underwent questionnaire assessing anthropometry, previous surgery, classification of facial profile, and assessment of nasal function through the NOSE scale.

Results: A total of 88 patients were divided into three groups according to the classification of the facial profile evaluated. When comparing the means with t-test between II and III profile with the control, there was significant (p < 0.05) discussion. The craniofacial development is a complex process that develops from early childhood. The nasal septum is important to support the nasal cavity. The growth of the mandible relative to the cranial base defines the facial profile of the patient. The function and nasal obstruction are closely linked to facial profile. The limited development without proper facial growth vectors promote different consequences and contribute to the decline of nasal breathing.

Conclusion: Nasal obstruction is related to facial development. Retrognathic and prognathic patients exhibit more nasal obstruction, reduced efficacy of the airway, and a decrease in quality of life.