How obesity affects nasal function in obstructive sleep apnea: anatomic and volumetric parameters

Rodrigues, Marcos Marques; Carvalho, Pedro Henrique de Azambuja; Gabrielli, Mário Francisco Real; Lopes, Ricardo Nasser; Garcia, Otávio Alves; Filho, Valfrido Antônio Pereira; Pásseri, Luís Augusto

doi:10.1016/j.bjorl.2020.06.002

Cited by 5 publications

(2 citation statements)

References 32 publications

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“…The findings suggest that the soft palate length and vertical position of the hyoid bone were significant predictors of the apnoea‐hypopnea index (AHI) in adult patients with OSAS 28 . The nose contributes to approximately 70% of upper airway resistance in adult humans and offers the greatest upper respiratory tract resistance during wakefulness 29 . Patients with OSAS who present variations such as nasal septum deviation, concha hypertrophy, bullous concha and narrow nasal airways may have increased symptoms 30 .…”

Section: Discussionmentioning

confidence: 99%

“…28 The nose contributes to approximately 70% of upper airway resistance in adult humans and offers the greatest upper respiratory tract resistance during wakefulness. 29 Patients with OSAS who present variations such as nasal septum deviation, concha hypertrophy, bullous concha and narrow nasal airways may have increased symptoms. 30 The authors of the with the AHI rating.…”

Section: Ta B L E 1 Distribution By Gendermentioning

confidence: 99%

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Cone beam computed tomography analysis results in patients with obstructive sleep apnoea syndrome

2021

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Introduction The present study aimed to investigate the contribution of cone‐beam computed tomography (CBCT) to the diagnosis of obstructive sleep apnoea syndrome (OSAS). Methods The present study investigate the relationships among body mass index (BMI), upper airway, septum deviation, nasal cavity width, airway, and the hard and soft palate width using CBCT images of 64 patients obtained in Uşak University Faculty of Dentistry. The study included 31 (8 female and 23 male; mean age: 52.52 ± 10.01 years) and 33 patients (12 female and 21 male; mean age: 47.39 ± 10.27 years) with and without OSAS, respectively. Between‐group comparisons of non‐normally and normally distributed variables were performed using the Mann‐Whitney U test and Student's t‐test, respectively. Spearman's correlation analysis was used to determine the relationship between quantitative data. Statistical significance was evaluated at P < .01 and P < .05. Results There were significant differences between groups in the BMI, nasal septum position, hard and soft palate width, maxillary skeletal width, and palatal alveolar angle (P < .01). In addition it was also found that BMI was higher, the nasopharyngeal airway was longer, and the soft palate was longer and wider in males. (P = .001; P < .01). Conclusion This study concluded that patients with OSAS had marked narrowing of the upper airway, nasal cavity and maxillary width, shortening and enlargement of the soft palate, and marked increase in BMI. However, to gather sufficiently reliable data for routine use in orthodontic analyses, there is a need for greater number of samples to improve the database.

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Section: Discussionmentioning

confidence: 99%

Section: Ta B L E 1 Distribution By Gendermentioning

confidence: 99%

Cone beam computed tomography analysis results in patients with obstructive sleep apnoea syndrome

2021

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Correlating Nasal Patency with Obstructive Sleep Apnea in Obese Versus Non-Obese Patients: An Acoustic Rhinometry Study

Agarwal

Datana

Sahoo

et al. 2021

Indian J Otolaryngol Head Neck Surg

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Is there a Relationship between Vertical Facial Development and Nasal Cavity?

Sadry

Somtürk

2023

CMIR

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Background: There are no studies investigating the relationship between cone beam computed tomography (CBCT) and nasal passage findings and vertical facial development. The aim of this study is to determine the relationship between nasal cavity anatomy and vertical development of patients. Methods: A total of 60 CBCTs were examined, and Class I malocclusion individuals were divided into two groups (30 each) according to vertical facial development. All nasal cavity findings were recorded in the study. Vertical facial development, nasal septum, nasal cavity width, thickness and angle were evaluated. Mann-Whitney U Test was used, and Student's t test was used for the comparison of two groups with normal distribution. Significance was evaluated at p<0.01 and p<0.05 levels. Results: Statistical analysis showed a relationship between vertical facial development and nasal cavity findings. Nasal septum deviation was mild to moderate in the hyperdivergent group, while septal deviation was absent in the hypodivergent group. A statistically significant difference was found in the width, distance (x-y) and angle of the nasal cavity from the hyperdivergent group in Class I vertical subgroups (p<0.05). Conclusion: When compared between low-angle and high-angle groups, statistically significant differences were observed in anterior face height, nasal passage angle, and distance between the outermost points of the nasal cavity.

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How obesity affects nasal function in obstructive sleep apnea: anatomic and volumetric parameters

Cited by 5 publications

References 32 publications

Cone beam computed tomography analysis results in patients with obstructive sleep apnoea syndrome

Cone beam computed tomography analysis results in patients with obstructive sleep apnoea syndrome

Correlating Nasal Patency with Obstructive Sleep Apnea in Obese Versus Non-Obese Patients: An Acoustic Rhinometry Study

Is there a Relationship between Vertical Facial Development and Nasal Cavity?

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