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Evolutionary Evidence for an Airway Benchmark
- 4. What is the problem? Faces are not developing properly Does our evolutionary history provide evidence for an airway benchmark? How are physiologic systems adapting to underdeveloped airways? What are the physiologic affects of a changing modern environment?
Editor's Notes
- historyAt this point in time, significant knowledge voids and bias’ exist within each healthcare discipline as it pertains to airway related healthcare issues due to the nature of the current disease mediated model of care in contrast to the health or wellness management model.
- Of course, this will involve an evidence-based approach that integrates whatever happens to be the “Best”, current evidence with clinical expertise and the patient’s values and preferences. We contrast this mind-set versus an anecdotal approach or a purely academic approach.The collaborative efforts of this group are primarily focused on providing a non-competitive, multi-disciplinary perspective on airway related health sequelae. This is especially important due to the multi-facetted nature of this health condition. Mention: The American Association of Physiological Medicine & Dentistry.The North American Association of Facial Orthotropics NAAFOThe American Academy of GnathologicOrthotropics AAOGOThe Academy of OrofacialMyofunctional Therapy
- 1 Develop a comprehensive approach that integrates all relevant health fields.2 Foster effective multi-disciplinary collaboration3 Develop a more accurate diagnostic and treatment algorithm that will continue to evolve with the advent of novel, high caliber evidence and ultimately best serve the publicThis last goal will eventually lead up to a discussion on intervention. We will purposely avoid direct discussion of intervention during the first series discussions. The discussion on intervention merits its own series of discussions after a collaborative foundation and comprehensive understanding and has been established. This ultimately keeps the focus on the patient.
- The infant child is born as an obligate nasal breather which allows for proper craniofacial development via natural feeding and breathing patterns. As stated by Enlow, the airway is the keystone to facial development. The most important and immediate physiologic function at birth is the maintenance of breathing which is driven at the level of the brain stem. This necessary function trumps all other non-autonomic physiologic function as it is the CNS’ (central nervous system) drive to keep the individual alive from one minute to the next with less concern for all other physiologic functions from one moment to the next.
- We would like to hear of any others that are relevant to foster future education and collaboration. At this point both Barry & Kevin will also introduce another relevant organization. We look forward to hearing more about any other relevant organizations willing to collaborate and benefit our patients.