caa a22 4500 606187510 CHVBK 20210128100841.0 cr unu---uuuuu 210128e20151101xx s 000 0 eng 10.1007/s00405-014-3407-6 doi (NATIONALLICENCE)springer-10.1007/s00405-014-3407-6 Adenotonsillar hypertrophy as a risk factor of dentofacial abnormality in Korean children [Elektronische Daten] [Dong-Kyu Kim, Chae Rhee, Pil-Young Yun, Jeong-Whun Kim] No studies for the role of adenotonsillar hypertrophy in development of dentofacial abnormalities have been performed in Asian pediatric population. Thus, we aimed to investigate the relationship between adenotonsillar hypertrophy and dentofacial abnormalities in Korean children. The present study included consecutive children who visited a pediatric clinic for sleep-disordered breathing due to habitual mouth breathing, snoring or sleep apnea. Their palatine tonsils and adenoids were graded by oropharyngeal endoscopy and lateral cephalometry. Anterior open bite, posterior crossbite, and Angle's class malocclusions were evaluated for dentofacial abnormality. The receiver-operating characteristic curve analysis was used to identify age cutoffs to predict dentofacial abnormality. A total of 1,083 children were included. The presence of adenotonsillar hypertrophy was significantly correlated with the prevalence of dentofacial abnormality [adjusted odds ratio=4.587, 95% CI (2.747-7.658)] after adjusting age, sex, body mass index, allergy, and Korean version of obstructive sleep apnea-18 score. The cutoff age associated with dentofacial abnormality was 5.5years (sensitivity=75.5%, specificity=67%) in the children with adenotonsillar hypertrophy and 6.5years (sensitivity=70.6%, specificity=57%) in those without adenotonsillar hypertrophy. In conclusion, adenotonsillar hypertrophy may be a risk factor for dentofacial abnormalities in Korean children and early surgical intervention could be considered with regards to dentofacial abnormality. Springer-Verlag Berlin Heidelberg, 2014 Adenotonsillar hypertrophy nationallicence Dentofacial abnormalities nationallicence Malocclusion nationallicence Anterior open bite nationallicence Posterior crossbite nationallicence Kim Dong-Kyu Department of Otorhinolaryngology-Head and Neck Surgery, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, South Korea aut Rhee Chae Departments of Otorhinolaryngology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 173 Goomi-ro, Bundang-gu, 463-707, Seongnam, South Korea aut Yun Pil-Young Oral and Maxillofacial Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea aut Kim Jeong-Whun Departments of Otorhinolaryngology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 173 Goomi-ro, Bundang-gu, 463-707, Seongnam, South Korea aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/11(2015-11-01), 3311-3316 0937-4477 272:11<3311 2015 272 405 https://doi.org/10.1007/s00405-014-3407-6 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-3407-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kim Dong-Kyu Department of Otorhinolaryngology-Head and Neck Surgery, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, South Korea aut NATIONALLICENCE 700 1- Rhee Chae Departments of Otorhinolaryngology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 173 Goomi-ro, Bundang-gu, 463-707, Seongnam, South Korea aut NATIONALLICENCE 700 1- Yun Pil-Young Oral and Maxillofacial Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea aut NATIONALLICENCE 700 1- Kim Jeong-Whun Departments of Otorhinolaryngology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 173 Goomi-ro, Bundang-gu, 463-707, Seongnam, South Korea aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/11(2015-11-01), 3311-3316 0937-4477 272:11<3311 2015 272 405