HOW DO WE EVALUATE A PATIENT FOR COMPROMISED AIRWAY ISSUES?
CASE STUDY #2
In January, we looked at the “LONG-FACE” patient. We will now discuss the “SHORT-FACE” patient.
This patient presented with symptoms of severe post nasal drip and accumulation of mucous in his throat, to the point of gagging.
The slope of the eyes tells us that this patient has an underdeveloped maxilla. The lower left eye, longer nasolabial depression and lower left corner of the mouth tell us he is left-side underdeveloped.
A transverse section confirming the patient’s left side is less developed than the right side.
The distance between the upper first molars is only 28mms. The distance should be at least 38mms, confirming the underdeveloped maxilla. *Note: Because there is no room, the tongue sits low and away from the palate.
The patient’s Cranial Base Length is 108.2 mm. He is skeletally Class l. His “A” point and “B” point approximate the length of the cranial base.
His cervical spine lordosis and head position are good.
The distance from Nasion to the “B” point is only 94.2mm. Compared with the 108mm Cranial Base Length, this is a “short face” patient.
The short face combined with the low tongue position indicates possible apnea.
A 9mm anterior-posterior airway is compromised; it should be 16 mm. The tongue position is low in the mouth, further compromising the airway.
Further evaluation indicates this patient shows an elongated styloid processes, left and right side, and he has Eagle Syndrome.
Diagnosis: It is suggested that the patient’s post nasal drip could be due to compromised breathing and improper sinus drainage due to an underdeveloped maxilla, and the gagging sensation after the accumulation of mucous is due to the presence of Eagle Syndrome.
Treatment Plan: A plan for this patient would consist of 12 months of Homeoblock™ treatment to improve sinus drainage and surgery to remove the elongated styloid processes.
Theodore R. Belfor DDS to present the
HOMEOBLOCK™ PROTOCOL FOR
ADULT FACIAL ENHANCEMENT
5th IAO Poland Section Meeting
Warsaw, POLAND
May 28-30, 2010
Incorporate the Homeoblock™ treatment protocol into YOUR practice:
Become a Homeoblock™ CERTIFIED dental professional:
HOMEOBLOCK™APPLIANCE TRAINING AND CERTIFICATON COURSE
AVAILABLE ON DVD
Contact Pamela: OrthoSmile, Inc
pbelfor@mhcable.com
+1 518-943-7703
Or Register at: www.FacialDevelopment.com
In January, we looked at the “LONG-FACE” patient. We will now discuss the “SHORT-FACE” patient.
This patient presented with symptoms of severe post nasal drip and accumulation of mucous in his throat, to the point of gagging.
The slope of the eyes tells us that this patient has an underdeveloped maxilla. The lower left eye, longer nasolabial depression and lower left corner of the mouth tell us he is left-side underdeveloped.
A transverse section confirming the patient’s left side is less developed than the right side.
The distance between the upper first molars is only 28mms. The distance should be at least 38mms, confirming the underdeveloped maxilla. *Note: Because there is no room, the tongue sits low and away from the palate.
The patient’s Cranial Base Length is 108.2 mm. He is skeletally Class l. His “A” point and “B” point approximate the length of the cranial base.
His cervical spine lordosis and head position are good.
The distance from Nasion to the “B” point is only 94.2mm. Compared with the 108mm Cranial Base Length, this is a “short face” patient. The short face combined with the low tongue position indicates possible apnea.
A 9mm anterior-posterior airway is compromised; it should be 16 mm. The tongue position is low in the mouth, further compromising the airway.
Further evaluation indicates this patient shows an elongated styloid processes, left and right side, and he has Eagle Syndrome.
Diagnosis: It is suggested that the patient’s post nasal drip could be due to compromised breathing and improper sinus drainage due to an underdeveloped maxilla, and the gagging sensation after the accumulation of mucous is due to the presence of Eagle Syndrome.
Treatment Plan: A plan for this patient would consist of 12 months of Homeoblock™ treatment to improve sinus drainage and surgery to remove the elongated styloid processes.
Theodore R. Belfor DDS to present the
HOMEOBLOCK™ PROTOCOL FOR
ADULT FACIAL ENHANCEMENT
5th IAO Poland Section Meeting
Warsaw, POLAND
May 28-30, 2010
Incorporate the Homeoblock™ treatment protocol into YOUR practice:
Become a Homeoblock™ CERTIFIED dental professional:
HOMEOBLOCK™APPLIANCE TRAINING AND CERTIFICATON COURSE
AVAILABLE ON DVD
Contact Pamela: OrthoSmile, Inc
pbelfor@mhcable.com
+1 518-943-7703
Or Register at: www.FacialDevelopment.com
posted by Theodore R. Belfor, DDS at
2:13 PM
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