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sults of the growth of adenoids is mouth breathing. When this condition develops, the air breathed in reaches the throat and lungs in an unpurified condition. Moreover, it is not sufficiently warmed or moistened. In a short time, therefore, such children begin to suffer from repeated colds, and show the signs of a beginning of nasal catarrh. Unless proper treatment is now undertaken the condition soon gets worse, and the child's nasal breathing becomes more and more obstructed. Children who suffer from adenoids are usually pale, often narrow-chested, and altogether are not as strong and robust as are normal children. But this is by no means all of the harm done by adenoids. They affect the voice, disfigure the facial expression, interfere with hearing, give rise to night terrors, open the way for serious invasions by disease germs, and, through the development of chronic nasal catarrh, may lead to loss of the sense of smell. The alteration of the facial expression is often so great that the child looks stupid and sometimes even half-imbecile. One of the chief disfigurements caused by adenoids is that of the jaws and teeth. This is well shown in the picture. [Illustration: Stupid Expression Associated with Adenoids] It will be noticed that the teeth of the upper jaw stick out and are not covered by the lip as they should be. In these cases the roof of the mouth, that is, the palate, is narrow and highly arched, and the two jaws do not come together as they do in normal persons. This condition is called "malocclusion." Usually, too, the teeth of the upper jaw are irregular and crowded. (See pictures, p. 6.) The malformation of the teeth thus produced by adenoids may lead in turn to other serious conditions, among them the chronic disease known as pyorrhea, various forms of root infection, and chronic indigestion. [Illustration] HOW TO RECOGNIZE THE CONDITION. The presence of adenoids should be suspected if the child habitually sleeps with open mouth, snores a great deal, or has frequent strangling coughing spells. Sleeping with open mouth is one of the first signs and should therefore lead at once to a careful examination by a physician. Sometimes difficulty in hearing is one of the early symptoms. Therefore, in all cases of ear trouble an examination should be made for adenoids. [Illustration] WHAT TO DO. Whenever adenoids are large enough to give rise to any of the symptoms already desc
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