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Daytime sleepiness and sleep-related complaints were assessed using an Epworth sleepiness scale (ESS)-based questionnaire and Berlin questionnaire (BQ)-derived items. Lip posture was measured cephalometrically. Independent t\u2011tests, chi-square\/Fisher exact tests, Pearson correlations, and multiple linear regression were used.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Hyperdivergent adolescents had higher ESS and BQ scores (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&lt;\u20090.001; ESS d\u202f=\u20090.70), more frequent sleep-disordered breathing (SDB)-related symptoms (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&lt;\u20090.05), and a\u00a0significant Frankfort mandibular plane angle (FMA)\u2013ESS association after adjustment for age, body mass index, and sex (\u03b2\u202f=0.354,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&lt;\u20090.001). Lip posture showed no group differences or associations with BQ, with only weak correlations with ESS or sleep duration.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Hyperdivergence, but not lip posture, was associated with greater questionnaire-derived sleepiness and SDB symptoms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00056-026-00674-6","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T12:09:49Z","timestamp":1782994189000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Hyperdivergency and lip posture in relation to self-reported sleepiness in adolescents","Hyperdivergenz und Lippenhaltung im Zusammenhang mit selbstberichteter Tagesm\u00fcdigkeit bei Jugendlichen"],"prefix":"10.1007","author":[{"given":"Mustafa","family":"Kosmen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aslihan Mediha","family":"Erdinc","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ezgi Cansu","family":"Firinciogullari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,2]]},"reference":[{"key":"674_CR1","doi-asserted-by":"publisher","first-page":"423","DOI":"10.1007\/s12630-010-9280-x","volume":"57","author":"A Abrishami","year":"2010","unstructured":"Abrishami\u00a0A, Khajehdehi\u00a0A, Chung\u00a0F (2010) A systematic review of screening questionnaires for obstructive sleep apnea. 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