3D view of obstructed posterior nasal airway causing mouthbreathing and prognathism

Young patient with nicely formed nose, but chronic sinusitis and obligate mouth breathing. iCAT and Osirix software reveals completely obstructed posterior nasal airway and long soft palate. With the lips and tongue recruited to form the equivalent of nostrils and turbinates, the maxilla is bot restricted by the labial pressure and understimulated because the tongue cannot assume its proper position in the maxilla due to risk of suffocation. The mucus formed in the sinuses accumulates and thickens, becoming adhesive to the soft palate. First line treatment is daily Nordic Snorts (sucking normal saline or lactated ringer's solution through each nostril until it comes into the mouth and is expectorated). I recommend adding xylitol to the solution to reduce the bacteria and biofilm.

Category:

Science & Technology

Tags:

• iCAT
• Osirix
• mouthbreathing
• prognathic
• underbite
• nasal
• obstruction

[MrSymposier]

This animation is very impressive, I find really interesting that nowadays science provides ways to help physicians determine the best option to cure a patient, I mean, they can datermine wether a patient is candidate for non invasive surgery or not. There is more information on Sinus Conditions at Symposier site for physicians interested in this and other topics.

[alfdoc1]

Thank you. I did visit the Symposier site, thank you. In reviewing loads of iCAT or similar CBVT scans, I find that we can be far more accurate in treatment, and as you say, that is ultimately the least invasive. I wish I had this technology years ago.

[MrSymposier]

Thank you for visiting Symposier, in fact it would be great that you also share your knowledge and videos with other physicians, best regards!