Nasal breathing in children
Is It the Adenoids, Rhinitis or Both?
Recognize the difference between anatomical enlargement and functional airflow restriction.
How to identify the relative contribution of adenoid enlargement, rhinitis and swelling of the nasal lining to restricted nasal airflow.
A child may have moderately enlarged adenoids yet still have sufficient space for comfortable nasal breathing. What matters is how much the adenoids restrict airflow, not size alone.
Observe nasal breathing for three minutes at rest and during walking with lips gently closed. Look for effortless, silent, regular, diaphragm-driven breathing versus increased effort, audible breathing, irregularity and upper-chest movement.
The role of Buteyko breathing retraining in restoring habitual nasal breathing once significant anatomical obstruction has been assessed and managed.

