Evidence map›Paper›PMID 31471675›Full record

ArticleSurgical and radiologic anatomy : SRA2020

Morphometric evaluation of the pterygoid hamulus and upper airway in patients with obstructive sleep apnea syndrome.

Ihsan Kuzucu, Izzet Selcuk Parlak, Deniz Baklaci, Ismail Guler, Rauf Oguzhan Kum, Muge Ozcan

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Article in Surgical and radiologic anatomy : SRA, 2020. 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
–field-weighted citation impact
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.

  1. Article
  2. Article
  3. International Consensus Statement on Obstructive Sleep Apnea.International forum of allergy & rhinology · 2023
    Review
  4. [Morphological changes of upper airway in patients with obstructive sleep apnea hypopnea syndrome after H-UPPP].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2022
    Article
  5. The role of craniofacial maldevelopment in the modern OSA epidemic: a scoping review.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    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.

Ihsan KuzucuDepartment of Otolaryngology, Numune Training and Research Hospital, 931st Avenue 945 Street No: 5/3, Ilker, Ankara, Turkey.ORCID http://orcid.org/0000-0001-5773-4126
Izzet Selcuk ParlakDepartment of Radiology, Numune Training and Research Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0002-3318-7399
Deniz BaklaciDepartment of Otolaryngology, Numune Training and Research Hospital, 931st Avenue 945 Street No: 5/3, Ilker, Ankara, Turkey. doktorent@gmail.com.ORCID http://orcid.org/0000-0001-8449-4965
Ismail GulerDepartment of Otolaryngology, Numune Training and Research Hospital, 931st Avenue 945 Street No: 5/3, Ilker, Ankara, Turkey.ORCID http://orcid.org/0000-0001-6093-6757
Rauf Oguzhan KumDepartment of Otolaryngology, Numune Training and Research Hospital, 931st Avenue 945 Street No: 5/3, Ilker, Ankara, Turkey.ORCID http://orcid.org/0000-0002-9639-0204
Muge OzcanDepartment of Otolaryngology, Numune Training and Research Hospital, 931st Avenue 945 Street No: 5/3, Ilker, Ankara, Turkey.ORCID http://orcid.org/0000-0003-2384-3564

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMany anatomical factors are known to cause obstructive sleep apnea syndrome (OSAS), but only few studies have examined the relationship between the morphology of pterygoid hamulus (PH), upper airway, and OSAS severity. This study aimed to investigate the relationship between the severity of OSAS and PH morphology and other anatomical variations of the upper airway.

methodsThe data of the patients who underwent polysomnography and diagnosed with OSAS were retrospectively reviewed, and those who underwent paranasal sinus computed tomography were determined. The patients were divided into three groups according to the apnea-hypopnea index (AHI) scores obtained from the polysomnography (mild, moderate, and severe). The relationship between PH thickness, length and interpterygoid distance, and the severity of AHI was investigated.

resultsSeventy-four patients were included in the study. In patients with severe OSAS (1.83 ± 0.29 mm), the PH bone thickness was significantly thicker compared to those with mild OSAS (1.59 ± 0.36 mm) (p = 0.03). When the interpterygoid distance and its ratio to the velopharyngeal length were examined, it was found significantly shorter in patients with severe OSAS than mild cases (p < 0.001; p = 0.045, respectively).

conclusionOur results showed that OSAS severity was associated with hamulus thickness, interpterygoid distance, and the ratio of interpterygoid distance to VL. Our study provides further insight into the pathophysiology of sleep apnea, suggesting that morphometric evaluation of the pterygoid hamulus and upper airway measurements can assist clinicians in stratifying and determining the best treatment options for patients with OSAS.

Indexed as

AdolescentAdultFemaleHumansMaleMiddle AgedParanasal SinusesPolysomnographyRetrospective StudiesSeverity of Illness IndexSleep Apnea, ObstructiveSphenoid BoneTomography, X-Ray ComputedYoung AdultObstructive sleep apnea syndromeParanasal sinus computed tomographyPterygoid hamulus

Identifiers

PMID31471675

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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.