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

被引：0

作者：

Tzironi, Georgia ^{[1
]}

Zubizarreta-Macho, Alvaro ^{[1
,2
,3
]}

Brunso-Casellas, Joan ^{[4
]}

Cabriada-Nuno, Valentin ^{[5
]}

Galindo, Ana Belen Lobo ^{[1
]}

Martinez, Alberto Albaladejo ^{[1
]}

De Carlos-Villafranca, Felix ^{[6
]}

机构：

[1] Univ Salamanca, Fac Med, Dept Surg, Salamanca 37008, Spain

[2] Alfonso X El Sabio Univ, Fac Hlth Sci, Dept Endodont, Madrid 28691, Spain

[3] Alfonso X El Sabio Univ, Fac Hlth Sci, Dept Implant Surg, Avda Univ 1, Villanueva De La Canada 28691, Spain

[4] Cruces Univ Hosp, Maxillofacial Surg, Baracaldo, Spain

[5] Cruces Univ Hosp, Resp Div, Sleep & Ventilat Unit, Baracaldo, Spain

[6] Univ Oviedo, Fac Med, Dept Surg & Med Surg Specialties, Area Orthodont, Oviedo, Spain

来源：

BMC ORAL HEALTH | 2023年 / 23卷 / 01期

关键词：

Orthodontics; Bimaxillary advancement surgery; Maxillary sinus; Nasal airway; Obstructive sleep apnea; AIRWAY; MANAGEMENT;

D O I：

10.1186/s12903-023-03657-w

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

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.

引用

页数：9