Evidence map›Paper›PMID 26611245›Full record

Trial reportThe Annals of otology, rhinology, and laryngology2016

Oxymetazoline Applied Topically to the Nasal Mucosa Decreases Trans-Mucosal Nitrous Oxide Exchange for the Middle Ear.

Miriam S Teixeira, Cuneyt M Alper, Brian S Martin, Narmin Helal, Brendan M Cullen Doyle, William J Doyle

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Annals of otology, rhinology, and laryngology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Miriam S TeixeiraDepartment of Otolaryngology, School of Medicine of the University of Pittsburgh, Pittsburgh, Pennsylvania, USA teixeirams@upmc.edu.
Cuneyt M AlperDepartment of Otolaryngology, School of Medicine of the University of Pittsburgh, Pittsburgh, Pennsylvania, USA Department of Pediatric Otolaryngology, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania, USA.
Brian S MartinDivision of Pediatric Dentistry, School of Dental Medicine of the University of Pittsburgh, Pittsburgh, Pennsylvania, USA Department of Dentistry, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania, USA.
Narmin HelalDivision of Pediatric Dentistry, School of Dental Medicine of the University of Pittsburgh, Pittsburgh, Pennsylvania, USA Department of Dentistry, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania, USA.
Brendan M Cullen DoyleDepartment of Human Genetics, School of Public Health of the University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
William J DoyleDepartment of Otolaryngology, School of Medicine of the University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Children's Hospital of Pittsburgh · USUniversity of Pittsburgh · US

Funding

Testing/ImagingP50DC007667 · NIDCD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DOYLE, WILLIAM J · 2006 to 2017
$12.6M
NIDCD NIH HHS P50 DC007667
6 · The paper itself

Abstract

objectiveDetermine if the middle ear (ME) trans-mucosal nitrous oxide (N2O) gas exchange rate can be pharmacologically modulated by the nasal application of a vasoconstrictor.

methodsIn a randomized, double-blind, crossover study, 20 adults received a nasal spray challenge containing either oxymetazoline or saline (placebo). At each session, subjects were fitted with a non-rebreathing mask and breathed room air for 20 minutes, 50% N2O:50% O2 for 20 minutes, and 100% O2 for 10 minutes. Throughout, heart rate, blood pressure (BP), and blood O2 saturation were monitored, and bilateral ME pressure was recorded by tympanometry every minute. The primary outcome measure was the slope of the ME pressure-time function for the experimental period, a direct measure of the transMEM N2O exchange constant. The effects of treatment, session, and period on the measured vital signs and of treatment, session, disease history, and ear on the ME pressure-time slopes were evaluated for statistical significance using repeated measures ANOVAs.

resultsThe analysis documented a significant effect of period on O2 saturation (N2O > room air, P = .03) and of treatment on blood pressure (oxymetazoline > placebo, P < .02) and the ME pressure-time slope (placebo > oxymetazoline, P = .05).

conclusionThe exchange rate across the ME mucosa of inert gases can be decreased by topical treatment of the nasal mucosa with oxymetazoline.

Indexed as

Acoustic Impedance TestsAdministration, IntranasalAdministration, TopicalAdultCross-Over StudiesDouble-Blind MethodEar, MiddleFemaleFollow-Up StudiesHumansMaleNasal DecongestantsNasal MucosaNitrous OxideOxymetazolinePressureNasal DecongestantsNitrous OxideOxymetazolineblood flowmiddle ear mucosamiddle ear pressurenitrous oxideoxymetazolinephysiology

Identifiers

PMID26611245
PMCPMC4853169
OpenAlexW2340007147

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.