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: K.M Veena, A. M Mohamed Sharuff, Prashanth Shenoy, Laxmikanth Chatra, Rachana V. Prabhu, Prathima Shetty
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-04-01
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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author K.M Veena
A. M Mohamed Sharuff
Prashanth Shenoy
Laxmikanth Chatra
Rachana V. Prabhu
Prathima Shetty
author_facet K.M Veena
A. M Mohamed Sharuff
Prashanth Shenoy
Laxmikanth Chatra
Rachana V. Prabhu
Prathima Shetty
author_sort K.M Veena
collection DOAJ
description 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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spelling doaj-art-c005e14afe0e4e4b87adb3a1bb0470a42025-07-03T14:57:54ZengWolters Kluwer Medknow PublicationsJournal of Indian Academy of Oral Medicine and Radiology0972-13630975-15722025-04-0137214915510.4103/jiaomr.jiaomr_16_25Relationship between Nasal Septum Deviation and Size of Inferior Turbinate in Obstructive Sleep Apnea: A Systematic ReviewK.M VeenaA. M Mohamed SharuffPrashanth ShenoyLaxmikanth ChatraRachana V. PrabhuPrathima ShettyBackground: 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.https://journals.lww.com/10.4103/jiaomr.jiaomr_16_25nasal septum deviationobstructive sleep apneasleep-related disordersupper airway structure abnormalities and size of inferior turbinate
spellingShingle K.M Veena
A. M Mohamed Sharuff
Prashanth Shenoy
Laxmikanth Chatra
Rachana V. Prabhu
Prathima Shetty
Relationship between Nasal Septum Deviation and Size of Inferior Turbinate in Obstructive Sleep Apnea: A Systematic Review
Journal of Indian Academy of Oral Medicine and Radiology
nasal septum deviation
obstructive sleep apnea
sleep-related disorders
upper airway structure abnormalities and size of inferior turbinate
title Relationship between Nasal Septum Deviation and Size of Inferior Turbinate in Obstructive Sleep Apnea: A Systematic Review
title_full Relationship between Nasal Septum Deviation and Size of Inferior Turbinate in Obstructive Sleep Apnea: A Systematic Review
title_fullStr Relationship between Nasal Septum Deviation and Size of Inferior Turbinate in Obstructive Sleep Apnea: A Systematic Review
title_full_unstemmed Relationship between Nasal Septum Deviation and Size of Inferior Turbinate in Obstructive Sleep Apnea: A Systematic Review
title_short Relationship between Nasal Septum Deviation and Size of Inferior Turbinate in Obstructive Sleep Apnea: A Systematic Review
title_sort relationship between nasal septum deviation and size of inferior turbinate in obstructive sleep apnea a systematic review
topic nasal septum deviation
obstructive sleep apnea
sleep-related disorders
upper airway structure abnormalities and size of inferior turbinate
url https://journals.lww.com/10.4103/jiaomr.jiaomr_16_25
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