{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T18:08:00Z","timestamp":1793383680123,"version":"4.5.0"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,5,14]],"date-time":"2019-05-14T00:00:00Z","timestamp":1557792000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the effect of distraction osteogenesis maxillary expansion (DOME) on objective parameters of the internal nasal valve and correlate findings with subjective outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary referral center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>After Institutional Review Board approval, included subjects were those with obstructive sleep apnea, had undergone DOME from September 2014 to April 2018, and had cone beam computed tomography scans available before and after expansion. Measurement of the internal nasal valve parameters was performed with Invivo6 Software (version 6.0.3). Interrater reliability of all pre\u2010 and postexpansion parameters was measured. Patient\u2010reported outcome measures included the Nasal Obstruction and Septoplasty Effectiveness Scale (NOSE) and Epworth Sleepiness Scale scores, and correlation between objective and subjective outcomes were evaluated by Spearman correlation analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010two subjects met inclusion criteria. All showed significant improvement in their subjective outcomes as well as an increase in their internal valve parameters. Significant correlation was observed between increased angles and improvement in postexpansion NOSE score (right angle, <jats:italic>P<\/jats:italic> =. 024; left angle, <jats:italic>P<\/jats:italic> =. 029).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>DOME widens the internal nasal valve objectively (dimensions), which correlates significantly with subjective improvement (NOSE scores).<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599819842808","type":"journal-article","created":{"date-parts":[[2019,5,14]],"date-time":"2019-05-14T04:26:52Z","timestamp":1557808012000},"page":"362-367","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":46,"title":["Impact of Distraction Osteogenesis Maxillary Expansion on the Internal Nasal Valve in Obstructive Sleep Apnea"],"prefix":"10.1002","volume":"161","author":[{"given":"Mohamed","family":"Abdelwahab","sequence":"first","affiliation":[{"name":"Division of Sleep Surgery Department of Otolaryngology\u2013Head and Neck Surgery School of Medicine Stanford University Stanford California USA"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Faculty of Medicine Mansoura University Mansoura Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audrey","family":"Yoon","sequence":"additional","affiliation":[{"name":"Section of Pediatric Dentistry and Orthodontics Division of Growth and Development School of Dentistry University of California\u2013Los Angeles Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tyler","family":"Okland","sequence":"additional","affiliation":[{"name":"Division of Sleep Surgery Department of Otolaryngology\u2013Head and Neck Surgery School of Medicine Stanford University Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sasikarn","family":"Poomkonsarn","sequence":"additional","affiliation":[{"name":"Division of 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