**9. Discussion**

RME can be used to treat problems associated with the growth of the middle face and can produce positive side effects on the patient's overall health. The RME and ETA procedures allow an increase of the whole nasal pyramid, causing benefits for the oral and general health of disabled children, seen in clinical evaluation and related by caregivers. Overall, esthetics and function improve significantly (**Table 1**).

The upper airway problem may be congenital, hereditary, or acquired, interfering in the size and position of the maxilla and in the greater or lesser tonus and synchrony

#### **Effects**

