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Open Access 01-12-2023 | Sleep Apnea | Research

Nasal and maxillary sinus volume change in patients with obstructive sleep apnea after bimaxillary advancement surgery

Authors: Georgia Tzironi, Álvaro Zubizarreta-Macho, Joan Brunsó-Casellas, Valentín Cabriada-Nuño, Ana Belén Lobo Galindo, Alberto Albaladejo Martínez, Félix De Carlos-Villafranca

Published in: BMC Oral Health | Issue 1/2023

Abstract

The airway complex is modified by bimaxillary advancement surgery performed in patients suffering from obstructive sleep apnea (OSA). The aim of the present study is to analyse the volume of nasal and maxillary sinus after bimaxillary advancement surgery in patients suffering from OSA. The maxillary sinus and nasal complex of eighteen patients with OSA was measured through cone-beam computed tomography (CBCT) before and after they were treated with bimaxillary advancement surgery. Digital planning software was used to effectively measure the upper volume changes, as well as, statistical analysis of the results was performed.

Methods Eighteen patients were diagnosed with OSA the severity of which was measured by the apnea hypopnea index and were selected and submitted to preoperative and postoperative CBCT scans. Afterwards, datasets were uploaded into therapeutic digital planning software (Dolphin Imaging) to measure the volume of the right and left maxillary sinus and nasal and maxillary sinus complex. Statistically analysis between preoperative and postoperative measures was performed by Student t-test statistical analysis.

Results The paired t-test showed statistically significant volumetric reductions in the left maxillary sinus (p = 0.0004), right maxillary sinus (p < 0.0001) and nasal and maxillary sinus complex (p = 0.0009) after bimaxillary advancement surgery performed in patients suffering from OSA.

Conclusion The results showed that bimaxillary advancement surgery reduces the maxillary sinus volume as well as, the fossa nasal and sinus complex volume.

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Title: Nasal and maxillary sinus volume change in patients with obstructive sleep apnea after bimaxillary advancement surgery
Authors: Georgia Tzironi
Álvaro Zubizarreta-Macho
Joan Brunsó-Casellas
Valentín Cabriada-Nuño
Ana Belén Lobo Galindo
Alberto Albaladejo Martínez
Félix De Carlos-Villafranca
Publication date: 01-12-2023
Publisher: BioMed Central
Keyword: Sleep Apnea
Published in: BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI: https://doi.org/10.1186/s12903-023-03657-w

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Nasal and maxillary sinus volume change in patients with obstructive sleep apnea after bimaxillary advancement surgery

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