Can Palatal Expanders Help Alleviate Nasal and Eye Allergy Symptoms? - Internal Medicine

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Can the installation of a maxillary expander improve symptoms of nasal and ocular allergies?


Hello, Doctor.
I am a 20-year-old male junior.
I was diagnosed with ankylosing spondylitis at the age of 17.
Since childhood, I have experienced allergic rhinitis with symptoms such as a runny nose in response to changes in temperature and humidity, as well as itchy and red eyes due to allergies.
Three months ago (at the end of October 2023), I had an upper jaw expander placed to correct my bite, and my upper dental arch has expanded significantly since then.
This three-month period coincided with winter, during which there have been considerable changes in temperature and humidity, yet I have not experienced any allergy symptoms.
I would like to ask if the use of the upper jaw expander could have improved my nasal and eye allergy symptoms.
Thank you for your assistance!

Da San Nan, 20~29 year old female. Ask Date: 2024/02/05

Dr. Gao Jiankai reply Internal Medicine


Hello, thank you for your question.
It is possible that the maxillary expander may also slightly alter the nasal cavity structure, thereby improving symptoms of nasal mucosal swelling and obstruction, but the improvement in eye symptoms is more difficult to explain.
There is no clear evidence for this aspect, but I am glad to hear that your symptoms have improved.
The Allergy, Immunology, and Rheumatology Department of Changhua Hospital, Ministry of Health and Welfare, is concerned about you.

Reply Date: 2024/02/05

More Info


Palatal expanders are orthodontic devices used primarily to widen the upper jaw (maxilla) to improve dental alignment and create more space for teeth. However, there is emerging interest in their potential effects on nasal and allergy symptoms, particularly in individuals with a history of nasal congestion and allergies.

The connection between palatal expansion and alleviation of nasal and eye allergy symptoms can be understood through several mechanisms. First, the upper jaw is anatomically linked to the nasal cavity. When a palatal expander is used, it increases the width of the maxilla, which can lead to an increase in the volume of the nasal cavity. This enlargement may help improve airflow through the nasal passages, potentially reducing nasal congestion and the frequency of allergic reactions. Improved airflow can also facilitate better drainage of the sinuses, which may further alleviate symptoms associated with sinus pressure and congestion.

Moreover, the nasal cavity is lined with mucous membranes that can become inflamed due to allergies. By expanding the maxilla, there may be a reduction in the pressure on these membranes, which could lead to decreased inflammation and, consequently, fewer allergy symptoms. This is particularly relevant for individuals like yourself, who have experienced allergic reactions to environmental changes, such as temperature and humidity fluctuations.

In your case, it is noteworthy that since the installation of the palatal expander, you have not experienced your typical allergic reactions during a season known for such symptoms. This could suggest that the expansion has positively impacted your nasal airflow and overall nasal health, leading to a reduction in your allergy symptoms. While this is an anecdotal observation, it aligns with some clinical findings that suggest a correlation between palatal expansion and improved nasal function.

Additionally, the relationship between nasal health and eye allergies is significant. Nasal congestion can lead to post-nasal drip, which may irritate the eyes and contribute to allergic conjunctivitis. By alleviating nasal congestion, palatal expanders may indirectly help reduce eye allergy symptoms, such as redness and itching.

However, it is essential to note that while there is some evidence supporting the benefits of palatal expanders for nasal and allergy symptoms, more extensive research is needed to establish a definitive causal relationship. Individual responses can vary widely, and what works for one person may not necessarily work for another.
If you continue to experience relief from your allergy symptoms, it may be beneficial to discuss this with your orthodontist and possibly an allergist. They can provide further insights into your specific situation and help monitor any changes in your symptoms as your treatment progresses. Additionally, if you have any concerns about your allergies or if symptoms return, seeking advice from a healthcare professional specializing in allergies or respiratory health would be prudent.

In conclusion, while palatal expanders may offer some benefits in alleviating nasal and eye allergy symptoms, it is essential to approach this topic with a comprehensive understanding of your individual health needs and to consult with healthcare professionals for tailored advice.

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