Author:
Tzironi Georgia,Zubizarreta-Macho Álvaro,Brunsó-Casellas Joan,Cabriada-Nuño Valentín,Lobo Galindo Ana Belén,Albaladejo Martínez Alberto,De Carlos-Villafranca Félix
Abstract
AbstractThe 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.
Publisher
Springer Science and Business Media LLC
Reference28 articles.
1. Epstein LJ, Kristo D, Strollo PJ Jr, Friedman N, Malhotra A, Patil SP, Ramar K, Rogers R, Schwab RJ, Weaver EM, Weinstein MD, Adult Obstructive Sleep Apnea Task Force of the American Academy of Sleep Medicine. Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. J Clin Sleep Med. 2009;5(3):263–76.
2. Kapur VK. Obstructive sleep apnea: diagnosis, epidemiology, and economics. Respir Care. 2010;55(9):1155–67.
3. Arnold J, Sunilkumar M, Krishna V, Yoganand SP, Kumar MS, Shanmugapriyan D. Obstructive sleep apnea. J Pharm Bioallied Sci. 2017;9(Suppl 1):S26–8. https://doi.org/10.4103/jpbs.JPBS_155_17.
4. American Academy of Sleep Medicine. International classification of sleep disorders. Diagnostic and coding manual, 2nd. 2005. Westchester.
5. Goodday RH. Nasal respiration, nasal airway resistance, and obstructive sleep apnea syndrome. Oral Maxillofac Surg Clin North Am. 1997;9:167–77. https://doi.org/10.1016/S1042-3699(20)30989-4.