Physiological posture in nasal breathing; The mouth is closed, the chin is down, the head is in an upright position.
In cases of nasal congestion, mouth breathing is inevitable. It is difficult to do mouth breathing in normal physiological posture. In order for the body to overcome this difficulty and perform better mouth breathing, the mouth-airway must be on the same line as the trachea. To achieve this posture, the mouth should be open and the chin should be in the "head extension position".This position allows effective use of the mouth-airway in cases of nasal airway obstruction. For this reason, children with blocked airways prefer to sleep in the head extension position.
Head extension position is only used actively during sleep and is not suitable for daily living conditions because it limits vision. During the day, a modification that is more convenient for vision is required. For this reason, the head is modified into a slightly extended and forward position that allows vision, called "head forward posture".
The head forward posture allows the patient both effective mouth breathing and better vision at the same time. Provides field of view. However, head forward posture has a domino effect; Spasm and stress in the neck and back muscles, neck spine deformities, neck nerve compression, and then changes in the whole body posture lead to lower back pain. As a result, nasal airway obstruction causes the classic "adenoid eye appearance" and postural disorders.
In children, OSA (Obstructive Sleep Apnea) and SDB (Sleep Disordered Breathing) are usually unnoticed. For this reason, parents' and teachers' knowledge on this subject provides early diagnosis and treatment and prevents the first domino from falling.
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