Evidence map›Paper›PMID 29105033›Full record

ReviewCurrent gastroenterology reports2017

An Aerodigestive Approach to Laryngeal Clefts and Dysphagia Using Injection Laryngoplasty in Young Children.

Amar Miglani, Scott Schraff, Pamela Y Clarke, Usmaan Basharat, Peter Woodward, Paul Kang, Lindsay Stevens, Jim Woodward, Howard Williams, Dana I Williams

Abstract readMulticenter StudyReview
PubMed Publisher
In one paragraph

Review in Current gastroenterology reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

5 citing papers in PubMed, 30 citations in OpenAlex.

  1. Outcomes of Injection Laryngoplasty for Deep Interarytenoid Groove.International archives of otorhinolaryngology · 2024
    Article
  2. Interarytenoid injection outcomes in pediatric feeding disorders.Laryngoscope investigative otolaryngology · 2023
    Article
  3. Article
  4. Article
  5. Observational
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

10 authors at 4 institutions in 1 country.

Amar MiglaniDepartment of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Phoenix, AZ, USA.
Scott SchraffArizona Otolaryngology Consultants, Phoenix, AZ, USA.
Pamela Y ClarkeDepartment of Gastroenterology, Aerodigestive Program, Phoenix Children's Hospital, Phoenix, AZ, USA.
Usmaan BasharatUniversity of Arizona College of Medicine, Phoenix, AZ, USA.
Peter WoodwardDepartment of Pulmonology, Phoenix Children's Hospital, Phoenix, AZ, USA.
Paul KangDepartment of Epidemiology and Biostatistics, University of Arizona College of Public Health, Phoenix, AZ, USA.
Lindsay StevensDepartment of Gastroenterology, Aerodigestive Program, Phoenix Children's Hospital, Phoenix, AZ, USA.
Jim WoodwardDepartment of Pulmonology, Phoenix Children's Hospital, Phoenix, AZ, USA.
Howard WilliamsDepartment of Anesthesiology, Valley Anesthesia and Phoenix Children's Hospital, Phoenix, AZ, USA.
Dana I WilliamsDepartment of Gastroenterology, Aerodigestive Program, Phoenix Children's Hospital, Phoenix, AZ, USA. DUrsea@phoenixchildrens.com.
Phoenix Children's Hospital · USUniversity of Arizona · USMayo Clinic Hospital · USRetinal Consultants of Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewOur objective is to summarize the presentation, diagnosis, and management of mild laryngeal clefts in children. We focus on deep interarytenoid notches (DIN), a subclassification of type 1 laryngeal clefts (LC1), and review the literature and our multidisciplinary experience utilizing injection laryngoplasty (IL). RECENT

findingsDIN is a mild form of LC1 and is considered a normal anatomical variant. Recent cohort studies demonstrate IL to be a safe, low-risk, and efficacious treatment of LC1, but few studies focus on DIN. We present results from two aerodigestive clinic (ADC) pilot studies at our institution, in patients 1-3 years old, with DIN-related dysphagia and aspiration (DA). Feeding, respiratory-related symptom scores, and aspiration/penetration assessed on modified barium swallow (MBS) significantly improved following combined IL and feeding therapy using a thickener weaning protocol (TWP). Subgroup analysis reveals combined IL and TWP to be particularly effective in patients with severe baseline DA. Multidisciplinary aerodigestive evaluation and management with IL and feeding therapy focused on weaning levels of thickener is emerging as a novel and effective approach for treatment of DIN-related DA in young children. Further comparative, prospective trials investigating effects of IL and feeding therapy are required to validate results.

Indexed as

Child, PreschoolCongenital AbnormalitiesDeglutition DisordersDiagnosis, DifferentialFemaleHumansInfantInfant Nutritional Physiological PhenomenaLaryngoplastyLarynxMalePilot ProjectsRespiratory AspirationRetrospective StudiesSeverity of Illness IndexTreatment OutcomeAspirationDeep interarytenoid notchDysphagiaFeeding therapyInjection laryngoplastyLaryngeal cleft

Identifiers

PMID29105033
OpenAlexW2767001641

What OpenQuestion holds

Textmetadata
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.