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Comparative study of anatomical features of primary and accessory maxillary ostia between patients with obstructive sleep apnea and healthy controls

  • Dentistry • Original Article
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Abstract

Purpose

The purpose of this study was to examine how the size and shape of the maxillary sinus and its ostia (the primary maxillary ostium and accessory maxillary ostium) relate to each other in patients with OSA using computed tomography (CT) scans. Additionally, the study aimed to explore whether or not obstructive sleep apnea (OSA) had an effect on these structures.

Methods

CT images of patients diagnosed with OSAS and healthy participants were evaluated to compare the patency, location, dimension, and presence of PMOs and AMOs using the Mann–Whitney U, Student t, and chi-square tests. Also, intragroup correlations were analyzed by Spearman’s correlation test.

Results

Among 139 patients with OSA and healthy controls, there were significant variations in the average length (p = 0.001) and width (p = 0.008) of PMOs among the study groups. The mean maxillary sinus volume was significantly decreased in the OSA group (p = 0.001). A significant decrease in the maxillary sinus volume was observed in the OSA group (p = 0.001). In the OSA group, a significant correlation was observed between PMO obstruction and the presence of AMO (p = 0.004). The healthy group had significant correlations (r = 0.755, p = 0.000) between the vertical height and the distance between PMO and the maxillary sinus floor. Correlation analyses revealed positive, strong correlations between study variables such as the mean length and width of AMO and the vertical height of the maxillary sinus (r = 0.566, p = 0.000) in the OSA group.

Conclusions

The current study indicated significant differences in sinus volume, PMO occlusion, and AMO-related dimensions between patients with OSA and healthy controls.

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Data Availability

The data supporting this study's findings are available from the corresponding author upon reasonable request.

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Acknowledgements

The authors express gratitude to the participants who volunteered and cooperated in the study.

Author information

Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Uşak University, Cumhuriyet Mh. Kolej Sk. No:3 64200, Merkez, Uşak, Turkey

    Cansu Gül Efeoğlu Koca & Aras Erdil

  2. Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Eskişehir Osmangazi University, Eskişehir, Turkey

    Elif Bilgir

  3. Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, İstanbul Aydın University, Istanbul, Turkey

    Gizem Çolakoğlu

  4. Department of Otorhinolaryngology, Uşak Education and Research Hospital, Uşak, Turkey

    Faruk Kadri Bakkal

  5. Department of Prosthodontics, Faculty of Dentistry, Uşak University, Uşak, Turkey

    Bengisu Yildirim & Mehmet Ali Güngör

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  1. Cansu Gül Efeoğlu Koca
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Correspondence to Aras Erdil.

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Ethical approval and consent to participate

The studies conducted on human participants followed the ethical standards set by the institutional research committee, the Ethics Committee of the Non-Interventional Clinical Research Ethics Committee of Uşak University Faculty of Medicine. These standards are per the 1964 Helsinki Declaration and its later amendments or similar ethical standards. It is important to note that formal consent is not required for this type of study.

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Informed consent was obtained from all participants in the study.

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Koca, C.G.E., Bilgir, E., Çolakoğlu, G. et al. Comparative study of anatomical features of primary and accessory maxillary ostia between patients with obstructive sleep apnea and healthy controls. Sleep Breath 28, 541–554 (2024). https://doi.org/10.1007/s11325-023-02874-5

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