Relationship between Nasal Septum Deviation and Size of Inferior Turbinate in Obstructive Sleep Apnea: A Systematic Review
Background: Obstructive sleep apnea is increasing in prevalence, with multiple risk factors, but the relationship between nasal septum deviations and inferior turbinate size remains controversial. Objective: This systematic review examines the link between obstructive sleep apnea (OSA) and upper air...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-04-01
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| Series: | Journal of Indian Academy of Oral Medicine and Radiology |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jiaomr.jiaomr_16_25 |
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| Summary: | Background:
Obstructive sleep apnea is increasing in prevalence, with multiple risk factors, but the relationship between nasal septum deviations and inferior turbinate size remains controversial.
Objective:
This systematic review examines the link between obstructive sleep apnea (OSA) and upper airway abnormalities, specifically nasal septum deviation and inferior turbinate hypertrophy.
Methods:
Registered in PROSPERO [CRD42024523975], the review used a two-phase search in six databases, including eligible studies while excluding small samples, animal studies, case reports, reviews, and non-full-text articles. Two reviewers extracted data, with findings summarized narratively and analyzed using risk ratios and standardized mean differences. Study quality was assessed via the Newcastle-Ottawa Scale.
Results:
This review of nine studies [five case-control, four cohort] found a strong association between nasal septum deviation (NSD), inferior turbinate hypertrophy (ITH), and OSA in 34,742 participants, with low bias risk and reliable diagnostic methods.
Conclusion:
The systematic review suggests assessing obstructive sleep apnea patients for nasal septum deviations and inferior turbinate hypertrophy, and recommending specialized training for healthcare and dental professionals for improved diagnosis and treatment outcomes. Further research is needed. |
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| ISSN: | 0972-1363 0975-1572 |