{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T00:41:10Z","timestamp":1792456870841,"version":"4.5.0"},"reference-count":24,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T00:00:00Z","timestamp":1787961600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T00:00:00Z","timestamp":1787961600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"name":"the Natural Science Foundation of Hunan Province","award":["No. 2022JJ70153"],"award-info":[{"award-number":["No. 2022JJ70153"]}]},{"name":"the Natural Science Foundation of Changsha","award":["No. kq2202429"],"award-info":[{"award-number":["No. kq2202429"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sleep Breath"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1007\/s11325-026-03756-2","type":"journal-article","created":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T10:11:40Z","timestamp":1787998300000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A hidden risk factor for residual mouth breathing in children after adenotonsillectomy: airborne allergen sensitization"],"prefix":"10.1007","volume":"30","author":[{"given":"Zhilong","family":"Zeng","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ru","family":"Gao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shasha","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zikang","family":"Xiao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clifford","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fang","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiansheng","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,29]]},"reference":[{"issue":"3","key":"3756_CR1","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1080\/02770903.2023.2255277","volume":"61","author":"R Livingston","year":"2024","unstructured":"Livingston R, Bellas H, Sahota J et al (2024) Breathing pattern disorder in chronic rhinosinusitis with severe asthma: nasal obstruction and polyps do not increase prevalence. J Asthma 61(3):177\u2013183. https:\/\/doi.org\/10.1080\/02770903.2023.2255277","journal-title":"J Asthma"},{"issue":"5","key":"3756_CR2","doi-asserted-by":"publisher","first-page":"467","DOI":"10.2223\/jped.1806","volume":"84","author":"RR Abreu","year":"2008","unstructured":"Abreu RR, Rocha RL, Lamounier JA, Marques Guerra AF (2008) Prevalence of mouth breathing among children. Jornal De Pediatria 84(5):467\u2013470. https:\/\/doi.org\/10.2223\/jped.1806","journal-title":"Jornal De Pediatria"},{"issue":"6","key":"3756_CR3","doi-asserted-by":"publisher","first-page":"529","DOI":"10.2223\/jped.1844","volume":"84","author":"RR Abreu","year":"2008","unstructured":"Abreu RR, Rocha RL, Lamounier JA, Guerra AF (2008) Etiology, clinical manifestations and concurrent findings in mouth-breathing children. J Pediatr (Rio J) 84(6):529\u2013535. https:\/\/doi.org\/10.2223\/jped.1844","journal-title":"J Pediatr (Rio J)"},{"issue":"10","key":"3756_CR4","doi-asserted-by":"publisher","first-page":"e47435","DOI":"10.7759\/cureus.47435","volume":"15","author":"S Jaiswal","year":"2023","unstructured":"Jaiswal S, Sayed F, Kulkarni VV, Kulkarni P, Tekale P, Fafat K (2023) Comparative evaluation of the relationship between airway inadequacy, head posture, and craniofacial morphology in mouth-breathing and nasal-breathing patients: A cephalometric observational study. Cureus 15(10):e47435. https:\/\/doi.org\/10.7759\/cureus.47435","journal-title":"Cureus"},{"key":"3756_CR5","unstructured":"Chen J, Liu H (2021) The effect of adenoid hypertrophy with mouth breathing on dentofacial and craniofacial development. [master\u2019s thesis]. Dalian Medical University; https:\/\/link.cnki.net\/doi\/10.26994\/d.cnki.gdlyu.2021.000699"},{"issue":"5","key":"3756_CR6","doi-asserted-by":"publisher","first-page":"436","DOI":"10.14639\/0392-100x-n1225","volume":"41","author":"P Festa","year":"2021","unstructured":"Festa P, Mansi N, Varricchio AM et al (2021) Association between upper airway obstruction and malocclusion in mouth-breathing children. Acta Otorhinolaryngol Ital 41(5):436\u2013442. https:\/\/doi.org\/10.14639\/0392-100x-n1225","journal-title":"Acta Otorhinolaryngol Ital"},{"issue":"4","key":"3756_CR7","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1016\/j.jped.2012.12.007","volume":"89","author":"SF Hitos","year":"2013","unstructured":"Hitos SF, Arakaki R, Sol\u00e9 D, Weckx LL (2013) Oral breathing and speech disorders in children. J Pediatr (Rio J) 89(4):361\u2013365. https:\/\/doi.org\/10.1016\/j.jped.2012.12.007","journal-title":"J Pediatr (Rio J)"},{"issue":"3","key":"3756_CR8","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1017\/s0022215100129688","volume":"109","author":"JJ Haapaniemi","year":"1995","unstructured":"Haapaniemi JJ (1995) Adenoids in school-aged children. J Laryngol Otol 109(3):196\u2013202. https:\/\/doi.org\/10.1017\/s0022215100129688","journal-title":"J Laryngol Otol"},{"key":"3756_CR9","doi-asserted-by":"publisher","first-page":"145","DOI":"10.1016\/j.ijporl.2017.11.012","volume":"104","author":"MS Ferreira","year":"2018","unstructured":"Ferreira MS, Mangussi-Gomes J, Ximendes R et al (2018) Comparison of three different adenoidectomy techniques in children - has the conventional technique been surpassed? Int J Pediatr Otorhinolaryngol 104:145\u2013149. https:\/\/doi.org\/10.1016\/j.ijporl.2017.11.012","journal-title":"Int J Pediatr Otorhinolaryngol"},{"issue":"2","key":"3756_CR10","doi-asserted-by":"publisher","first-page":"156","DOI":"10.1007\/s00405-005-0962-x","volume":"263","author":"O Bahadir","year":"2006","unstructured":"Bahadir O, Caylan R, Bektas D, Bahadir A (2006) Effects of adenoidectomy in children with symptoms of adenoidal hypertrophy. Eur Arch Otorhinolaryngol 263(2):156\u2013159. https:\/\/doi.org\/10.1007\/s00405-005-0962-x","journal-title":"Eur Arch Otorhinolaryngol"},{"issue":"10","key":"3756_CR11","doi-asserted-by":"publisher","first-page":"2913","DOI":"10.1007\/s00405-020-06122-4","volume":"277","author":"J Bae","year":"2020","unstructured":"Bae J, Kim DK (2020) Risk factors for residual mouth breathing in children who had completely resolved obstructive sleep apnea after adenotonsillectomy. Eur Arch Otorhinolaryngol 277(10):2913\u20132919. https:\/\/doi.org\/10.1007\/s00405-020-06122-4","journal-title":"Eur Arch Otorhinolaryngol"},{"issue":"4","key":"3756_CR12","doi-asserted-by":"publisher","first-page":"354","DOI":"10.1016\/0889-5406(91)70018-R","volume":"99","author":"PS Vig","year":"1991","unstructured":"Vig PS, Spalding PM, Lints RR (1991) Sensitivity and specificity of diagnostic tests for impaired nasal respiration. Am J Orthod Dentofac Orthop 99(4):354\u2013360. https:\/\/doi.org\/10.1016\/0889-5406(91)70018-R","journal-title":"Am J Orthod Dentofac Orthop"},{"issue":"6","key":"3756_CR13","first-page":"616","volume":"31","author":"H Li","year":"2010","unstructured":"Li H, Zong N, Ji C, Mi J (2010) Body mass index cut-offs for overweight and obesity in Chinese children and adolescents aged 2\u201318 years. Chin J Epidemiol 31(6):616\u2013620","journal-title":"Chin J Epidemiol"},{"issue":"11","key":"3756_CR14","doi-asserted-by":"publisher","first-page":"1516","DOI":"10.1016\/j.ijporl.2009.06.018","volume":"73","author":"OA Afolabi","year":"2009","unstructured":"Afolabi OA, Alabi BS, Ologe FE, Dunmade AD, Segun-Busari S (2009) Parental satisfaction with post-adenotonsillectomy in the developing world. Int J Pediatr Otorhinolaryngol 73(11):1516\u20131519. https:\/\/doi.org\/10.1016\/j.ijporl.2009.06.018","journal-title":"Int J Pediatr Otorhinolaryngol"},{"issue":"1","key":"3756_CR15","doi-asserted-by":"publisher","first-page":"42","DOI":"10.13201\/j.issn.2096-7993.2021.01.010","volume":"35","author":"N Yang","year":"2021","unstructured":"Yang N, Liu Y (2021) Clinical analysis of adenoid surgery in infancy. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 35(1):42\u201343. https:\/\/doi.org\/10.13201\/j.issn.2096-7993.2021.01.010","journal-title":"Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi"},{"issue":"3","key":"3756_CR16","doi-asserted-by":"publisher","first-page":"167","DOI":"10.1055\/a-0816-5807","volume":"98","author":"F Stupp","year":"2019","unstructured":"Stupp F, Hoffmann TK, Grossi AS, Sommer F, Lindemann J (2019) Symptoms and parental expectation in adenoidectomy and adenotonsillotomy in preschool children. Laryngorhinootologie 98(3):167\u2013174. https:\/\/doi.org\/10.1055\/a-0816-5807","journal-title":"Laryngorhinootologie"},{"issue":"2","key":"3756_CR17","doi-asserted-by":"publisher","first-page":"e70993","DOI":"10.1002\/ppul.70993","volume":"60","author":"M Ye","year":"2025","unstructured":"Ye M, Huang S, Wang T, Wang F, Li W, Tan G (2025) The therapeutic role of orofacial myofunctional therapy in childhood residual obstructive sleep apnea. Pediatr Pulmonol 60(2):e70993. https:\/\/doi.org\/10.1002\/ppul.70993","journal-title":"Pediatr Pulmonol"},{"issue":"3","key":"3756_CR18","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1177\/1945892418765003","volume":"32","author":"KS Cho","year":"2018","unstructured":"Cho KS, Kim SH, Hong SL et al (2018) Local atopy in childhood adenotonsillar hypertrophy. Am J Rhinol Allergy 32(3):160\u2013166. https:\/\/doi.org\/10.1177\/1945892418765003","journal-title":"Am J Rhinol Allergy"},{"issue":"5","key":"3756_CR19","doi-asserted-by":"publisher","first-page":"694","DOI":"10.1016\/j.ijporl.2015.02.017","volume":"79","author":"MF Evcimik","year":"2015","unstructured":"Evcimik MF, Dogru M, Cirik AA, Nepesov MI (2015) Adenoid hypertrophy in children with allergic disease and influential factors. Int J Pediatr Otorhinolaryngol 79(5):694\u2013697. https:\/\/doi.org\/10.1016\/j.ijporl.2015.02.017","journal-title":"Int J Pediatr Otorhinolaryngol"},{"issue":"11\u201312","key":"3756_CR20","first-page":"507","volume":"60","author":"M Modrzy\u0144ski","year":"2007","unstructured":"Modrzy\u0144ski M, Zawisza E (2007) The analysis of occurrence of atopic allergy in children with adenoid hypertrophy. Wiad Lek 60(11\u201312):507\u2013512","journal-title":"Wiad Lek"},{"issue":"1","key":"3756_CR21","doi-asserted-by":"publisher","first-page":"178","DOI":"10.1016\/j.jds.2020.06.014","volume":"16","author":"DW Lee","year":"2021","unstructured":"Lee DW, Kim JG, Yang YM (2021) Influence of mouth breathing on atopic dermatitis risk and oral health in children: A population-based cross-sectional study. J Dent Sci 16(1):178\u2013185. https:\/\/doi.org\/10.1016\/j.jds.2020.06.014","journal-title":"J Dent Sci"},{"issue":"7","key":"3756_CR22","doi-asserted-by":"publisher","first-page":"1031","DOI":"10.1111\/all.12885","volume":"71","author":"Y Izuhara","year":"2016","unstructured":"Izuhara Y, Matsumoto H, Nagasaki T et al (2016) Mouth breathing, another risk factor for asthma: the Nagahama Study. Allergy 71(7):1031\u20131036. https:\/\/doi.org\/10.1111\/all.12885","journal-title":"Allergy"},{"issue":"1","key":"3756_CR23","doi-asserted-by":"publisher","first-page":"52","DOI":"10.21053\/ceo.2017.00500","volume":"11","author":"DJ Lee","year":"2018","unstructured":"Lee DJ, Chung YJ, Yang YJ, Mo JH (2018) The impact of allergic rhinitis on symptom improvement in pediatric patients after adenotonsillectomy. Clin Exp Otorhinolaryngol 11(1):52\u201357. https:\/\/doi.org\/10.21053\/ceo.2017.00500","journal-title":"Clin Exp Otorhinolaryngol"},{"issue":"2","key":"3756_CR24","doi-asserted-by":"publisher","first-page":"221","DOI":"10.1016\/j.ijporl.2005.06.005","volume":"70","author":"FC Valera","year":"2006","unstructured":"Valera FC, Trawitzki LV, Anselmo-Lima WT (2006) Myofunctional evaluation after surgery for tonsils hypertrophy and its correlation to breathing pattern: a 2-year-follow up. Int J Pediatr Otorhinolaryngol 70(2):221\u2013225. https:\/\/doi.org\/10.1016\/j.ijporl.2005.06.005","journal-title":"Int J Pediatr Otorhinolaryngol"}],"container-title":["Sleep and Breathing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11325-026-03756-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11325-026-03756-2","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11325-026-03756-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T00:03:38Z","timestamp":1792454618000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11325-026-03756-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,29]]},"references-count":24,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["3756"],"URL":"https:\/\/doi.org\/10.1007\/s11325-026-03756-2","relation":{},"ISSN":["1520-9512","1522-1709"],"issn-type":[{"value":"1520-9512","type":"print"},{"value":"1522-1709","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,29]]},"assertion":[{"value":"29 December 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 May 2026","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 June 2026","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 August 2026","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the Institutional Review Board of the Third Xiangya Hospital, Central South University and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study formal consent is not required.","order":1,"name":"Ethics","label":"Ethical approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","label":"Informed consent","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers\u2019 bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.","order":3,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"247"}}