Feasibility of Distraction Osteogenesis Maxillary Expansion (DOME) in patients with persistent nasal obstruction after septoplasty

2021 ◽  
Author(s):  
Stanley Yung‐Chuan Liu ◽  
Audrey Yoon ◽  
Mohamed Abdelwahab ◽  
Myeong Sang Yu
Keyword(s):  
Nasal Obstruction ◽  
Distraction Osteogenesis ◽  
Maxillary Expansion

How does distraction osteogenesis maxillary expansion (DOME) reduce severity of obstructive sleep apnea?

2019 ◽  
Vol 24 (1) ◽  
pp. 287-296 ◽  
Author(s):  
Tomonori Iwasaki ◽  
Audrey Yoon ◽  
Christian Guilleminault ◽  
Youichi Yamasaki ◽  
Stanley Yung Liu
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Distraction Osteogenesis ◽  
Maxillary Expansion ◽  
Obstructive Sleep

scholarly journals Assessment of nasal obstruction symptoms using the NOSE scale after surgically assisted rapid maxillary expansion

2015 ◽  
Vol 44 (11) ◽  
pp. 1346-1350 ◽  
Author(s):  
F. Menegat ◽  
M.S. Monnazzi ◽  
B.N. Silva ◽  
M. de Moraes ◽  
M.A.C. Gabrielli ◽  
...  
Keyword(s):  
Nasal Obstruction ◽  
Rapid Maxillary Expansion ◽  
Maxillary Expansion ◽  
Nose Scale

scholarly journals Rapid Maxillary Expansion for the Treatment of Nasal Obstruction in Children Younger Than 12 Years

2009 ◽  
Vol 135 (1) ◽  
pp. 22 ◽  
Author(s):  
Simonetta Monini ◽  
Caterina Malagola ◽  
Maria Pia Villa ◽  
Caterina Tripodi ◽  
Silvia Tarentini ◽  
...  
Keyword(s):  
Nasal Obstruction ◽  
Rapid Maxillary Expansion ◽  
Maxillary Expansion

The Upper Airway Nasal Complex: Structural Contribution to Persistent Nasal Obstruction

2019 ◽  
Vol 161 (1) ◽  
pp. 171-177 ◽  
Author(s):  
Ryan Williams ◽  
Vishal Patel ◽  
Yu-Feng Chen ◽  
Navarat Tangbumrungtham ◽  
Andrew Thamboo ◽  
...  
Keyword(s):  
Nasal Obstruction ◽  
Hard Palate ◽  
Surgical Intervention ◽  
Upper Airway ◽  
Sinus Surgery ◽  
Control Group ◽  
Maxillary Expansion ◽  
Retrospective Case ◽  
Nasal Floor

Objective To determine the contribution of the nasal floor and hard palate morphology to nasal obstruction for nonresponders to prior intranasal surgery. Study Design Retrospective case-control study. Setting Tertiary academic center. Methods Institutional review board–approved, retrospective institutional database analysis was obtained of a cohort of 575 patients who presented with nasal obstruction over a 21-year period. Of the patients, 89 met inclusion criteria: 52 were placed into the experimental group, defined as having persistent nasal obstruction following endoscopic sinus surgery (ESS), septoplasty, nasal valve repair, and/or turbinoplasty using validated subjective questionnaires, and 37 were placed into the control group, defined as having resolution of subjective nasal obstruction. Computed tomography imaging was presented to 3 blinded experts, who measured numerous nasal airway and hard palate morphology parameters, including anterior nasal floor width, anterior maxillary angle, maxilla width, anterior nasal floor width, and palatal vault height. Standard demographic information, comorbidities, perioperative 22-item Sinonasal Outcome Test (SNOT-22), and follow-up time were also assessed. Wilcox rank sum analysis or t test was performed where appropriate. Results Follow-up ranged from 2 to 36 months following surgical intervention. Several skeletal characteristics within the upper airway were significantly associated with persistent nasal obstruction, including acute maxillary angle ( P = .035), narrow maxillary width ( P = .006), and high arched palate ( P = .004). Conclusion Persistent nasal obstruction may be seen in patients with narrow, high arched hard palate despite prior nasal surgical intervention and may benefit from additional skeletal remodeling procedures such as maxillary expansion.

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