Evidence map›Paper›PMID 27160751›Full record

ArticleBiomedical engineering online2016

Design, development and validation of a new laryngo-pharyngeal endoscopic esthesiometer and range-finder based on the assessment of air-pulse variability determinants.

Luis F Giraldo-Cadavid, Luis Mauricio Agudelo-Otalora, Javier Burguete, Mario Arbulu, William Daniel Moscoso, Fabio Martínez, Andrés Felipe Ortiz, Juan Diaz, Jaime A Pantoja, Andrés Felipe Rueda-Arango and 1 more

Registry-linked trialOpen access · goldAbstract readValidation Study
In one paragraph

Article in Biomedical engineering online, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03109171 (Accuracy of the Sensory Test Performed Using the Laryngopharyngeal Endoscopic Esthesiometer and Rangefinder in Patients With Suspected Obstructive Sleep Apnoea Hypopnea), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 21% 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.

NCT03109171 narecruitingnot on this mapstarted 2018, after this paper: background citation

Accuracy of the Sensory Test Performed Using the Laryngopharyngeal Endoscopic Esthesiometer and Rangefinder in Patients With Suspected Obstructive Sleep Apnoea Hypopnea (OSA): a Prospective Double-blinded, Randomised, Pilot Study

TypeinterventionalSponsorFundación Neumologica ColombianaRan2018 to 2026Enrolled117ConditionsSleep Apnea, Obstructive, Larynx, Sensory DisorderArmsLaryngopharyngeal sensory test
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Reliability of a laryngo-pharyngeal esthesiometer and a method for measuring laryngo-pharyngeal mechano-sensitivity in a prospectively recruited cohort of patients.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2017
    Article
  5. Evaluation methods and influencing factors of cough sensitivity.Therapeutic advances in respiratory disease
    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

11 authors at 3 institutions in 2 countries.

Luis F Giraldo-CadavidSchool of Medicine, University of Navarra, Irunlarea 1, 31080, Pamplona, Navarra, Spain. lgiraldo@alumni.unav.es.
Luis Mauricio Agudelo-OtaloraSchool of Engineering, University of La Sabana, Autonorte de Bogota, Km 7, Campus Puente del Común, Chia, 250001, Cundinamarca, Colombia.
Javier BurgueteSchool of Sciences, University of Navarra, Irunlarea 1, 31080, Pamplona, Navarra, Spain.
Mario ArbuluSchool of Engineering, University of La Sabana, Autonorte de Bogota, Km 7, Campus Puente del Común, Chia, 250001, Cundinamarca, Colombia.
William Daniel MoscosoSchool of Engineering, University of La Sabana, Autonorte de Bogota, Km 7, Campus Puente del Común, Chia, 250001, Cundinamarca, Colombia.
Fabio MartínezSchool of Engineering, University of La Sabana, Autonorte de Bogota, Km 7, Campus Puente del Común, Chia, 250001, Cundinamarca, Colombia.
Andrés Felipe OrtizStatistical Consulting Office, University of Santo Tomas, Carrera 9 # 51-11, Bogota, Colombia.
Juan DiazSchool of Engineering, University of La Sabana, Autonorte de Bogota, Km 7, Campus Puente del Común, Chia, 250001, Cundinamarca, Colombia.
Jaime A PantojaDepartamento de Medicina Interna, School of Medicine, University of La Sabana, Autonorte de Bogota, Km 7, Campus Puente del Comun, Chia, 250001, Cundinamarca, Colombia.
Andrés Felipe Rueda-ArangoSchool of Engineering, University of La Sabana, Autonorte de Bogota, Km 7, Campus Puente del Común, Chia, 250001, Cundinamarca, Colombia.
Secundino FernándezSchool of Medicine, University of Navarra, Irunlarea 1, 31080, Pamplona, Navarra, Spain.
Universidad de La Sabana · COUniversidad de Navarra · ESUniversidad Santo Tomás · CO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaryngo-pharyngeal mechano-sensitivity (LPMS) is involved in dysphagia, sleep apnea, stroke, irritable larynx syndrome and cough hypersensitivity syndrome among other disorders. These conditions are associated with a wide range of airway reflex abnormalities. However, the current device for exploring LPMS is limited because it assesses only the laryngeal adductor reflex during fiber-optic endoscopic evaluations of swallowing and requires a high degree of expertise to obtain reliable results, introducing intrinsic expert variability and subjectivity.

methodsWe designed, developed and validated a new air-pulse laryngo-pharyngeal endoscopic esthesiometer with a built-in laser range-finder (LPEER) based on the evaluation and control of air-pulse variability determinants and on intrinsic observer variability and subjectivity determinants of the distance, angle and site of stimulus impact. The LPEER was designed to be capable of delivering precise and accurate stimuli with a wide range of intensities that can explore most laryngo-pharyngeal reflexes.

resultsWe initially explored the potential factors affecting the reliability of LPMS tests and included these factors in a multiple linear regression model. The following factors significantly affected the precision and accuracy of the test (P < 0.001): the tube conducting the air-pulses, the supply pressure of the system, the duration of the air-pulses, and the distance and angle between the end of the tube conducting the air-pulses and the site of impact. To control all of these factors, an LPEER consisting of an air-pulse generator and an endoscopic laser range-finder was designed and manufactured. We assessed the precision and accuracy of the LPEER's stimulus and range-finder according to the coefficient of variation (CV) and by looking at the differences between the measured properties and the desired values, and we performed a pilot validation on ten human subjects. The air-pulses and range-finder exhibited good precision and accuracy (CV < 0.06), with differences between the desired and measured properties at <3 % and a range-finder measurement error of <1 mm. The tests in patients demonstrated obtainable and reproducible thresholds for the laryngeal adductor, cough and gag reflexes.

conclusionsThe new LPEER was capable of delivering precise and accurate stimuli for exploring laryngo-pharyngeal reflexes.

Indexed as

AirLarynxPharynxAgedAged, 80 and overEndoscopyEquipment DesignFemaleHumansMaleMiddle AgedPressureReflexSensationAccuracyAirwayBiomedical engineeringBiomedical equipmentBiomedical imagingBronchoscopyCalibrationDeglutitionEndoscopesEsthesiometerFiber lasersLarynxMechanoreceptorMedical diagnosisOptical fibersPharynxRange finderReflexReliabilityRepeatability and reproducibility of resultsSensory thresholdsTelemeter

Identifiers

PMID27160751
PMCPMC4862145
OpenAlexW2346825857

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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.