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Lingual and Maxillary Labial Frenuloplasty with Myofunctional Therapy as a Treatment for Mouth Breathing and Snoring.
Case Rep Otolaryngol 2019; 2019:3408053CR

Abstract

Chronic mouth breathing may adversely affect craniofacial development in children and may result in anatomical changes that directly impact the stability and collapsibility of the upper airway during sleep. Mouth breathing is a multifactorial problem that can be attributed to structural, functional, and neurological etiologies, which are not all mutually exclusive. While therapeutic interventions (myofunctional, speech and swallowing, occupational, and craniosacral therapy) may address the functional and behavioral factors that contribute to mouth breathing, progress may sometimes be limited by restrictive lingual and labial frenum that interfere with tongue and lip mobility. This case report explores the case of a three-year-old girl with mouth breathing, snoring, noisy breathing, and oral phase dysphagia that was successfully treated with lingual and labial frenuloplasty as an adjunct to myofunctional therapy. Within four days of the procedure, the patient had stopped snoring and demonstrated complete resolution of open mouth breathing. The patient was also observed to have increased compliance with myofunctional therapy exercises. This report highlights the effectiveness of surgical interventions to improve the efficacy of myofunctional therapy in addressing open mouth posture and low tongue resting position.

Authors+Show Affiliations

The Breathe Institute, Los Angeles, CA, USA.South County Pediatric Speech, Mission Viejo, CA, USA.The Breathe Institute, Los Angeles, CA, USA.The Breathe Institute, Los Angeles, CA, USA.The Breathe Institute, Los Angeles, CA, USA. UCLA Health, Santa Monica, CA, USA.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

31001444

Citation

Govardhan, Chirag, et al. "Lingual and Maxillary Labial Frenuloplasty With Myofunctional Therapy as a Treatment for Mouth Breathing and Snoring." Case Reports in Otolaryngology, vol. 2019, 2019, p. 3408053.
Govardhan C, Murdock J, Norouz-Knutsen L, et al. Lingual and Maxillary Labial Frenuloplasty with Myofunctional Therapy as a Treatment for Mouth Breathing and Snoring. Case Rep Otolaryngol. 2019;2019:3408053.
Govardhan, C., Murdock, J., Norouz-Knutsen, L., Valcu-Pinkerton, S., & Zaghi, S. (2019). Lingual and Maxillary Labial Frenuloplasty with Myofunctional Therapy as a Treatment for Mouth Breathing and Snoring. Case Reports in Otolaryngology, 2019, p. 3408053. doi:10.1155/2019/3408053.
Govardhan C, et al. Lingual and Maxillary Labial Frenuloplasty With Myofunctional Therapy as a Treatment for Mouth Breathing and Snoring. Case Rep Otolaryngol. 2019;2019:3408053. PubMed PMID: 31001444.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lingual and Maxillary Labial Frenuloplasty with Myofunctional Therapy as a Treatment for Mouth Breathing and Snoring. AU - Govardhan,Chirag, AU - Murdock,Janine, AU - Norouz-Knutsen,Leyli, AU - Valcu-Pinkerton,Sanda, AU - Zaghi,Soroush, Y1 - 2019/03/10/ PY - 2018/11/08/received PY - 2019/02/04/revised PY - 2019/02/07/accepted PY - 2019/4/20/entrez PY - 2019/4/20/pubmed PY - 2019/4/20/medline SP - 3408053 EP - 3408053 JF - Case reports in otolaryngology JO - Case Rep Otolaryngol VL - 2019 N2 - Chronic mouth breathing may adversely affect craniofacial development in children and may result in anatomical changes that directly impact the stability and collapsibility of the upper airway during sleep. Mouth breathing is a multifactorial problem that can be attributed to structural, functional, and neurological etiologies, which are not all mutually exclusive. While therapeutic interventions (myofunctional, speech and swallowing, occupational, and craniosacral therapy) may address the functional and behavioral factors that contribute to mouth breathing, progress may sometimes be limited by restrictive lingual and labial frenum that interfere with tongue and lip mobility. This case report explores the case of a three-year-old girl with mouth breathing, snoring, noisy breathing, and oral phase dysphagia that was successfully treated with lingual and labial frenuloplasty as an adjunct to myofunctional therapy. Within four days of the procedure, the patient had stopped snoring and demonstrated complete resolution of open mouth breathing. The patient was also observed to have increased compliance with myofunctional therapy exercises. This report highlights the effectiveness of surgical interventions to improve the efficacy of myofunctional therapy in addressing open mouth posture and low tongue resting position. SN - 2090-6765 UR - https://www.unboundmedicine.com/medline/citation/31001444/Lingual_and_Maxillary_Labial_Frenuloplasty_with_Myofunctional_Therapy_as_a_Treatment_for_Mouth_Breathing_and_Snoring L2 - https://dx.doi.org/10.1155/2019/3408053 DB - PRIME DP - Unbound Medicine ER -