|
KMID : 0361020230660010020
|
|
Korean Journal of Otolaryngology - Head and Neck Surgery
2023 Volume.66 No. 1 p.20 ~ p.24
|
|
|
A Study on the Effects of Mucous Membrane of the Sinus by Severity of Sleep Breathing Disorder
|
|
Koo Hyung-Bon
Kown Jung-Hun
Lee Jin
Son Sang-Jun
Lee Jae-Hoon
|
|
|
Abstract
|
|
|
Background and Objectives : Obstructive sleep apnea (OSA) is an obstructive airflow disorderthat occurs in the upper respiratory tract during sleep and is therefore associated withthe occurrence of cardiovascular diseases. By examining the Lund-Mackay (L-M) scores andmaxillary sinus mucosal conditions according to the severity of sleep breathing disorder (SBD),we tried to find out the association between SBD and sinus mucosal change.
Subjects and Method : Of the 189 patients who underwent sinus CT with a polysomnographytest, 175 patients were enrolled in our study. We investigated the average L-M score andL-M score of five or higher, and the ratio of maxillary sinus mucosal thickness (MSMT) of 2mm or higher.
Results : The average L-M score of study population was 0.98 points and the L-M score offive or more was found in 14 patients (8%). The MSMT of 2 mm or more was found in 25.5%of the study group. The average L-M scores for the different groups, namely, the simple snoringgroup, the mild OSA, the moderate OSA, and the severe OSA were 1.31 points, 0.77 points,0.91 points, and 1.08 points, respectively. There was no significant difference (p=0.736) amongthem, and there was no correlation between the apnea-hypopnea index score and the L-Mscore (r=-0.052, p=0.499). There was no significant difference between OSA severity andMSMT (p=0.490).
Conclusion : There was no significant difference between the L-M score and MSMT dependingon the severity of SBD. Therefore, it is believed that SBD will have little effect on thesinus mucosa.
|
|
|
KEYWORD
|
|
|
Computed tomography, Lund-Mackay score, Obstructive sleep apnea, Paranasal sinuses, Sleep breathing disorder
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|
|