Evidence map›Paper›PMID 30051633›Full record

ArticleLasers in surgery and medicine2019

Upper airway reconstruction using long-range optical coherence tomography: Effects of airway curvature on airflow resistance.

Julia S Kimbell, Saikat Basu, Guilherme J M Garcia, Dennis O Frank-Ito, Frances Lazarow, Erica Su, Dimitry Protsenko, Zhongping Chen, John S Rhee, Brian J Wong

Open access · greenAbstract read
In one paragraph

Article in Lasers in surgery and medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.8field-weighted citation impact, top 16% 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

19 citing papers in PubMed, 34 citations in OpenAlex.

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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.

Julia S KimbellDepartment of Otolaryngology/Head and Neck Surgery, University of North Carolina School of Medicine, Chapel Hill, North Carolina.ORCID 0000-0002-1969-6373
Saikat BasuDepartment of Otolaryngology/Head and Neck Surgery, University of North Carolina School of Medicine, Chapel Hill, North Carolina.
Guilherme J M GarciaOtolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee, Wisconsin.
Dennis O Frank-ItoOtolaryngology-Head and Neck Surgery, Duke University Medical Center, Durham, North Carolina.
Frances LazarowBeckman Laser Institute, University of California, Irvine, California.
Erica SuBeckman Laser Institute, University of California, Irvine, California.
Dimitry ProtsenkoBeckman Laser Institute, University of California, Irvine, California.
Zhongping ChenBeckman Laser Institute, University of California, Irvine, California.
John S RheeOtolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee, Wisconsin.
Brian J WongBeckman Laser Institute, University of California, Irvine, California.
University of California, Irvine · USMedical College of Wisconsin · USUniversity of North Carolina at Chapel Hill · USDuke Medical Center · US

Funding

Virtual Photonocs TechnologiesP41EB015890 · NIBIB · UNIVERSITY OF CALIFORNIA-IRVINE · PI DURKIN, ANTHONY · 2012 to 2017
$7.0M
Modeling the Pediatric Upper Airway using A-OCT and Computational Fluid DynamicsR01HL105215 · NHLBI · UNIVERSITY OF CALIFORNIA-IRVINE · PI CHEN, ZHONGPING, ELGHOBASHI, SAID E. · 2010 to 2013
$3.7M
Improving Topical Drug Delivery for Treatment of Chronic RhinosinusitisR01HL122154 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KIMBELL, JULIA SPENCER · 2015 to 2018
$1.5M
NHLBI NIH HHS R01 HL105215NHLBI NIH HHS R01 HL122154NIBIB NIH HHS P41 EB015890
6 · The paper itself

Abstract

objectivesAdenotonsillectomy (AT) is commonly used to treat upper airway obstruction in children, but selection of patients who will benefit most from AT is challenging. The need for diagnostic evaluation tools without sedation, radiation, or high costs has motivated the development of long-range optical coherence tomography (LR-OCT), providing real-time cross-sectional airway imaging during endoscopy. Since the endoscope channel location is not tracked in conventional LR-OCT, airway curvature must be estimated and may affect predicted airway resistance. The study objective was to assess effects of three realistic airway curvatures on predicted airway resistance using computational fluid dynamics (CFD) in LR-OCT reconstructions of the upper airways of pediatric patients, before and after AT.

methodsEight subjects (five males, three females, aged 4-9 years) were imaged using LR-OCT before and after AT during sedated endoscopy. Three-dimensional (3D) airway reconstructions included three airway curvatures. Steady-state, inspiratory airflow simulations were conducted under laminar conditions, along with turbulent simulations for one subject using the k-ω turbulence model. Airway resistance (pressure drop/flow) was compared using two-tailed Wilcoxon signed rank tests.

resultsRegardless of the airway curvatures, CFD findings corroborate a surgical end-goal with computed post-operative airway resistance significantly less than pre-operative (P < 0.01). The individual resistances did not vary significantly for different airway curvatures (P > 0.25). Resistances computed using turbulent simulations differed from laminar results by less than ∼5%.

conclusionsThe results suggest that reconstruction of the upper airways from LR-OCT imaging data may not need to account for airway curvature to be predictive of surgical effects on airway resistance. Lasers Surg. Med. 51:150-160, 2019. © 2018 Wiley Periodicals, Inc.

Indexed as

EsophagoscopyPlastic Surgery ProceduresTomography, Optical CoherenceAdenoidsAirway ObstructionAirway ResistanceChildChild, PreschoolComputer SimulationFemaleHumansHydrodynamicsHypertrophyMalePalatine Tonsiladenotonsillectomycomputational fluid dynamicslong-range optical coherence tomographyobstructive sleep apneapediatric airway

Identifiers

PMID30051633
PMCPMC6424583
OpenAlexW2884579067

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.