Abstract:
Purpose of the work – on the basis of a review of the available literature and Internet
resources, to analyze and summarize rhinological changes caused by orthodontic
treatments, of particular interest to otorhinolaryngologists. Information on the problem
under consideration published in recent years in the scientific literature indicates the
presence of positive objective and subjective rhinological effects – an increase in all sizes of
the nasal cavity, including its volume after orthodontic treatment measures. In our opinion,
this can be explained by the generality of the process of embryogenetic development,
the close anatomical, topographic, constructive and functional interdependence of the
nasomaxillary complex. Unfavorable conditions inevitably contribute to the mutual
involvement in the pathological process not only of the nasal cavity, but also of other
morphological structures adjacent to it. Therefore, integration tactics of related and
specialized specialists (otolaryngologists, dentists, pediatricians, neuropsychiatrists,
orthopedists, physiotherapists) are required in solving the problems of diagnostics
and treatment of developmental anomalies of bone and cartilaginous structures of the
midface zone. Positive rhinological changes in orthodontic expansion of the upper jaw /
palate predetermine the need for close contact with otolaryngologists, orthodontists
and a number of other specialists, which stimulates the search for new joint research in
the diagnosis and effective treatment of deformities of the nasomaxillary complex. As a
conclusion, 10 otorhinolaryngological questions awaiting their decision on this problem
have been formulated. At the same time, it should be emphasized that the principles of
integration tactics of otorhinolaryngologists and orthodontists have not been developed
in the diagnosis and treatment of the nasal septum deformation in children accompanied
by abnormal posterior positioning of the maxilla (retrognathia, retroposition).
