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Middle ear effusion: An orthodontic perspective

Published online by Cambridge University Press:  29 June 2007

John R. C. Mew  and
George W. Meredith
John R. C. Mew*
Affiliation:
Tunbridge Wells
George W. Meredith
Affiliation:
Tunbridge Wells
*
Mr John Mew, The London School of Facial Orthotropics, 21 Foxley Lane, Purley CR2 3EH, Fax 0435 862045.
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Abstract

Deviations in facial form are discussed. On the basis of previously published hypotheses, it is suggested that oropharyngeal development may be influenced by the posture, and function of the tongue, lips, and jaws. Attention is drawn to the relationship between a firm tongue to palate swallow, and the pump action of the palatine aponeurosis, which it is suggested is necessary for the aeration of the Eustachian tube. The pump action appears to be reduced in long faced adenoidal children, but clinical evidence suggests that it can be regenerated by early Orthotropics (growth guidance) aimed at directing facial growth forward, instead of downward. Any reduction in the height of the face, facilitates an improved lip seal, without which the downward pattern of facial growth is likely to continue. On occasions when these objectives are achieved it would seem that sufficient room is created to align all 32 teeth, with excellent facial form, and little otolaryngological pathology.

Keywords

Otitis media with effusionEustachian tube functionOrthodontics
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 1 , January 1992 , pp. 7 - 13
Copyright
Copyright © JLO (1984) Limited 1992

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References

Bresolin, D., Shapiro, G. C., Shapiro, P. A., Dassel, S. W., Furukawa, C. T., Pierson, W. E., Chapko, W. E., Bierman, C. W. (1984) Facial characteristics of children who breathe through the mouth. Pediatrics, 73: 622–625.CrossRefGoogle ScholarPubMed
Corruccini, R. S., Kaul, S. S., Chropra, (1983) ‘Epidemiological Survey of Occlusion in North India’. British Journal of Orthodontics, 10: 44–47.CrossRefGoogle ScholarPubMed
Dickson, G. C. (1970) The natural history of malocclusion. Dental Practice, 20: 216.Google ScholarPubMed
Hannuksela, A. (1981) The effect of moderate and severe atopy on the facial skeleton. European Journal of Orthodontics. 3: 187–193.CrossRefGoogle ScholarPubMed
Harvold, E. P., Vargervik, K. (1987) Experiments on the interaction between orofacial function and morphology. Ear, Nose, Throat Journal, May, 66(5): 26–39.Google Scholar
Horowitz, E. P., Oxbourne, R. H., De George, F. C. (1960) Cephalometric study of craniofacial variations in adult twins. Angle Orthodontist, 30: 1–5.Google Scholar
Linder-Aronson, S., Woodside, D. G., Lundstrom, A. (1986) Mandibular growth direction following adenoidectomy. American Journal of Orthodontics, 89: 273–283.CrossRefGoogle ScholarPubMed
Liphook, T. (1981) Conductive hearing loss, and rapid maxillary expansion. American Journal of Orthodontics, 80: 325–331.Google Scholar
Lundstrom, A., Woodside, D. G., Popovich, F. (1987) Panel assessments of facial profile related to mandibular growth direction. European Journal of Orthodontics, 9: 271–278.CrossRefGoogle ScholarPubMed
Meredith, G. W. (1988 a) Surgical reduction of hypertrophied inferior turbinates. Plastic and Reconstructive Surgery, 81: 891–897.CrossRefGoogle ScholarPubMed
Meredith, G. W. (1988 b) Airway and dentofacial development. American Journal of Rhinology, 2: 33–41.CrossRefGoogle Scholar
Mew, J. R. C. (1977) Semi-rapid expansion. British Dental Journal, 143: 301–306.CrossRefGoogle ScholarPubMed
Mew, J. R. C. (1979) Biobloc therapy. American Journal of Orthodontics, 76: 29–50.CrossRefGoogle Scholar
Mew, J. R. C. (1981) The aetiology of malocclusion–can the tropic premise assist our understanding? British Dental Journal, 151: 296–302.CrossRefGoogle ScholarPubMed
Mew, J. R. C. (1987) Facial change induced by treatment. Functional Orthodontist, 4: 37–43.Google ScholarPubMed
Nove, A. A. (1952) The restoration of normal breathing in asthmatic children. Archives of Disease in Childhood, 27: 405–408.CrossRefGoogle ScholarPubMed
Rix, R. E. (1946) Deglutition and the teeth. Dental Record, 66: 103.Google ScholarPubMed
Shapiro, G. C., Shapiro, P. A. (1984) Nasal airway obstruction and facial development. Clinical Review of Allergy, 2: 235–25513.CrossRefGoogle ScholarPubMed
Skieller, V. (1964) Expansion of the midpalatal suture by removable plates analysed by the implant method. Transactions of the European Orthodontic Society, 143–158.Google Scholar
Thomas, E. H., Cole, P., Gullane, P. J., Kassell, R., Kamino, D. (1987) The nasal cycle after laryngectomy. Acta Otolaryngologica, 103: 111–116.Google Scholar
Timms, D. J. (1974) Some medical aspects of RME. British Journal of Orthodontics, 1: 127–132.CrossRefGoogle Scholar
Timms, D. (1986) The effect of rapid maxillary expansion on nasal resistance. British Journal of Orthodontics, 13: 221–228.CrossRefGoogle Scholar
Vig, P. S., Sarver, D. M., Hall, D. J., Warren, D. W. (1981) Quantitative evaluation of nasal airflow in relation to facial morphology. American Journal of Orthodontics, 79: 263–272.CrossRefGoogle ScholarPubMed