Evidence map›Paper›PMID 29756614›Full record

ArticleActa otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale2018

Transoral glossoepiglottopexy in the treatment of adult obstructive sleep apnoea: a surgical approach.

V Roustan, M Barbieri, F Incandela, F Missale, H Camera, F Braido, R Mora, G Peretti

Open access · goldAbstract readComparative Study
In one paragraph

Article in Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 24% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Referral of adults with obstructive sleep apnea for surgical consultation: an American Academy of Sleep Medicine systematic review, meta-analysis, and GRADE assessment.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021
    Pooled it
  2. Article
  3. Airway Anatomy and Surgical Management in Obstructive Sleep Apnea.Clinical and experimental otorhinolaryngology · 2026
    Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Dual Staged Supraglottoplasty for the Treatment of Trapdoor Epiglottis with Underlying Neurodegenerative Disease-Case report and Review of literature.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2022
    Article
  9. Review
  10. Article
  11. Treatment of primary epiglottis collapse in OSA in adults with glossoepiglottopexy: a 5-year experience.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2022
    Article
  12. Surgical treatment of epiglottis collapse in obstructive sleep apnoea syndrome: epiglottis stiffening operation.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2019
    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

8 authors at 1 institution in 1 country.

V RoustanDepartment of Otorhinolaryngology and Head and Neck Surgery, University of Genoa, IRCCS AUO San Martino-IST, Genoa, Italy.
M BarbieriDepartment of Otorhinolaryngology and Head and Neck Surgery, University of Genoa, IRCCS AUO San Martino-IST, Genoa, Italy.
F IncandelaDepartment of Otorhinolaryngology and Head and Neck Surgery, University of Genoa, IRCCS AUO San Martino-IST, Genoa, Italy.
F MissaleDepartment of Otorhinolaryngology and Head and Neck Surgery, University of Genoa, IRCCS AUO San Martino-IST, Genoa, Italy.
H CameraDepartment of Otorhinolaryngology and Head and Neck Surgery, University of Genoa, IRCCS AUO San Martino-IST, Genoa, Italy.
F BraidoAllergy and Respiratory Diseased Clinic DIMI, University of Genoa, IRCCS AUO San Martino-IST, Genoa, Italy.
R MoraDepartment of Otorhinolaryngology and Head and Neck Surgery, University of Genoa, IRCCS AUO San Martino-IST, Genoa, Italy.
G PerettiDepartment of Otorhinolaryngology and Head and Neck Surgery, University of Genoa, IRCCS AUO San Martino-IST, Genoa, Italy.
Istituti di Ricovero e Cura a Carattere Scientifico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

summaryThe treatment of obstructive sleep apnoea syndrome (OSAS) is still a matter of debate; among the different therapeutic alternatives, both surgical and conservative, treatment with continuous positive airway pressure (CPAP) is considered the "gold standard". The recent scientific literature reports that even if CPAP represents an effective solution for sleep apnoeas, 12% of patients do not benefit from its use. In most cases, primary collapse of the epiglottis is responsible for failure. We developed a surgical technique that provides a stable support to the epiglottis without influencing its function during swallowing while preserving laryngeal anatomy and physiology. The procedure we propose is based on that conceived by Monnier for children affected by laryngomalacia. We analysed a group of 20 patients who underwent glossoepiglottopexy between January 2015 and September 2016 and compared data (AHI, ODI, t90, ESS, EAT10, etc.) collected before and 6 months after surgery to demonstrate the safety and effectiveness of our glossoepiglottopexy (GEP). The results allow us to consider GEP as a valid choice to treat adults who suffer from sleep apnoeas.

Indexed as

AdultAgedFemaleGlottisHumansMaleMiddle AgedMouthOtorhinolaryngologic Surgical ProceduresSleep Apnea, ObstructiveTongueEpiglottisOSASTransoral laser microsurgery (TLM)

Identifiers

PMID29756614
PMCPMC5952982
OpenAlexW2790649839

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.