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Published in: Sleep and Breathing 2/2022

13-07-2021 | Sleep Apnea | ENT • Original Article

Effect of sinus opacification on the severity of obstructive sleep apnea

Authors: Jun Yeon Won, Eui-Cheol Nam, Taehun Lim, Joon Bum Joo, Seung-No Hong, Woo Hyun Lee

Published in: Sleep and Breathing | Issue 2/2022

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Abstract

Purpose

The association between rhinosinusitis and obstructive sleep apnea (OSA) remains unclear. Here, we aimed to elucidate the association between sinus opacification and OSA severity.

Methods

Patients with snoring problems who visited our clinic from April 2018 to December 2020 were retrospectively enrolled. Among these patients, we included those who underwent a physical examination, overnight polysomnography, and osteomeatal-unit computed tomography. We evaluated the association between apnea–hypopnea index (AHI) and Lund-Mackay score (LMS). LMS ≥ 5 was considered indicative of sinus opacification.

Results

Among the 122 patients included in the study, LMS exhibited an increasing trend based on OSA severity. The LMS in the moderate OSA group was significantly higher than that in the no OSA group (P = 0.002), and the LMS in the severe OSA group was significantly higher than that in the no OSA (P < 0.001) and mild OSA (P = 0.006) groups. A correlation analysis revealed that AHI was significantly associated with body mass index (BMI) (r = 0.367, P < 0.001) and LMS (r = 0.255, P = 0.005). A multivariate analysis revealed that sinus opacification was associated with moderate and severe OSA [Adjusted odds ratio = 11.986 (P = 0.005) and 3.756 (P = 0.044), respectively] after adjusting for age, sex, BMI, smoking, hypertension, atopy, tonsil size, and palatal position. The effect of sinus opacification on OSA severity was comparable to that of overweight.

Conclusion

Sinus opacification may increase OSA severity since moderate and severe OSA is independently associated with it.
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Metadata
Title
Effect of sinus opacification on the severity of obstructive sleep apnea
Authors
Jun Yeon Won
Eui-Cheol Nam
Taehun Lim
Joon Bum Joo
Seung-No Hong
Woo Hyun Lee
Publication date
13-07-2021
Publisher
Springer International Publishing
Published in
Sleep and Breathing / Issue 2/2022
Print ISSN: 1520-9512
Electronic ISSN: 1522-1709
DOI
https://doi.org/10.1007/s11325-021-02431-y

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