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Enlargement of the adenoid, especially in children, causes an atypical appearance of the face, often referred to as adenoid face.
Features of adenoid faces include mouth breathing, an elongated face, prominent incisors, hypoplastic maxilla, short upper lip, elevated nostrils, and a high arched palate.
George Catlin, in his humorous and instructive book Breath of Life, published in 1861, illustrates adenoid faces in many engravings and advocates nose-breathing.