Table 1.

Patient history and physical examination protocol for screening of mouth breathing children

	Patient history	Physical examination
Major signs	Complains of blocked nose very frequently, snores, sleeps with mouth open, drools on the pillow	Adenoid facies, high-arched palate, open bite, hypertrophy of nasal conchae, deviated nasal septum, adenoid hypertrophy
Minor signs	Itchy nose, disturbed sleep at night, feeling sleepy or irritable during the day, difficulty in swallowing,	Nasal voice, abnormal chest and posture, hyperemia, perforation/thickening of the tympanic membrane, and speech disorders