ENT care of children and adolescents in the Brazilian public healthy system in three different municipalities

Abstract

The most common diagnosis was mouth breathing. The most common surgery was adenotonsillectomy. The most frequently requested exam was a lateral cranial radiograph. The number of unemployed parents, their poor salaries, and the number of siblings make it difficult for these patients to be treated in any facility other than the public heath system.

Lateral X-ray view of the skull for the diagnosis of adenoid hypertrophy: A systematic review

“…When associated with upper respiratory tract obstruction, adenoid hypertrophy constitutes an important indication for adenoidectomy [9], currently one of the most commonly performed ear, nose and throat surgical procedures [10]. Surgical removal of enlarged adenoid often results in relief of the respiratory symptoms [11,12], and normalization of the craniofacial development [13][14][15][16].…”

“…According to Brazilian data, cavum X-ray is the most requested complementary otolaryngologycal exam in public health centers [10]. Besides, orthodontic cephalometric telerradiography is constantly part of mouth breather's routine orthodontic records; and these patients generally require that sort of dental treatment [40][41][42].…”

Changes in vertical dentofacial morphology after adeno-/tonsillectomy during deciduous and mixed dentitions mouth breathing children—1 year follow-up study

“…Mouth breathing is a leading reason for otorhinolaryngological (ENT) consultation [9]. Consequently, tonsillectomy and/or adenoidectomy (T&A) are among the most common surgical procedures in children [10].…”

Dosimetric evaluation of X-ray examinations of paranasal sinuses in pediatric patients

“…Clinical requests for X-ray examinations of the sinuses are quite common in children ( 2 , 3 ) , in order to investigate diseases of the upper respiratory tract, such as hypertrophy of the adenoids, inflammatory diseases of the sinus cavities, sinus infections, tumors, and facial fractures ( 4 . 5 ) .…”