Evidence map›Paper›PMID 31478126›Full record

ArticleSleep & breathing = Schlaf & Atmung2019

Changes in craniofacial and airway morphology as well as quality of life after passive myofunctional therapy in children with obstructive sleep apnea: a comparative cohort study.

Li-Chuan Chuang, Yi-Jing Hwang, Yun-Chia Lian, Michèle Hervy-Auboiron, Paola Pirelli, Yu-Shu Huang, Christian Guilleminault

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.0field-weighted citation impact, top 8% 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

17 citing papers in PubMed, 49 citations in OpenAlex.

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  11. [The efficacy of muscle function training combined with occlusal inducer in the treatment of malocclusion in children with OSA].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2023
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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

7 authors at 3 institutions in 3 countries.

Li-Chuan ChuangDepartment of Pediatric Dentistry, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan.
Yi-Jing HwangDepartment of Pediatric Dentistry, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan.
Yun-Chia LianDepartment of Pediatric Dentistry, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan.
Michèle Hervy-AuboironOrthodontic Institute, Noisy-Lesec, France.
Paola PirelliDepartment of Clinical Science and Translational Medicine, University of Rome "Tor Vergata", Rome, Italy.
Yu-Shu HuangDepartment of Pediatric Psychiatry and Sleep Center, Chang Gung Memorial Hospital and College of Medicine, No. 5, Fuxing St., Guishan Dist, Taoyuan City, 333, Taiwan. yushuhuang1212@gmail.com.
Christian GuilleminaultStanford University Sleep Medicine Division, Stanford, CA, USA.
Chang Gung Memorial Hospital · TWStanford Medicine · USUniversity of Rome Tor Vergata · IT

Funding

Chang Gung Memorial Hospital, Linkou CMRPG3G1951
6 · The paper itself

Abstract

purposeTo examine the craniofacial and airway morphology as well as the quality of life before and after passive myofunctional therapy (PMFT) for 1 year in children with obstructive sleep apnea (OSA).

methodsForty children with OSA wearing an oral device nightly (treatment group) and seventeen without the device (control group) were followed up for 1 year. Lateral cephalometric radiography, polysomnography (without participants wearing the oral device), and quality of life survey (OSA-18) were performed before and after the study period.

resultsThe apnea-hypopnea index (AHI) during sleep, REM AHI, hypopnea count, and desaturation count in the treatment group dropped significantly, compared with the control group. The craniofacial linear measurements increased significantly in both groups, while the length of mandible (Co-Gn) and anterior facial height (N-Me) became significantly larger in the treatment group. For the airway morphology, the intergroup comparison showed that OPha-Ophp (distance between anterior and posterior sides of oropharynx) increased significantly in the treatment group. For quality of life, the intergroup comparison found statistically significant improvements in the following in the treatment group, based on the OSA-18 survey: loud snoring, dysphagia, mood swings, discipline problems, difficulty awakening, total score for the emotional distress portion, and total survey score.

conclusionsPreliminary evidence is substantiated for the benefits of 1-year PMFT using an oral device with a built-in tongue bead, including improvements in nasal breathing during sleep, mandible linear growth (Co-Gn and N-Me), airway morphology (OPha-Ophp), and patients' quality of life.

Indexed as

CephalometryMyofunctional TherapyQuality of LifeAirway ResistanceChildCohort StudiesFollow-Up StudiesHumansPolysomnographySleep Apnea, ObstructiveAirway morphologyCraniofacial morphologyOral appliancePassive myofunctional therapyPediatric obstructive sleep apnea syndrome

Identifiers

PMID31478126
OpenAlexW2972252386

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.