Evidence map›Paper›PMID 31652594›Full record

ReviewJournal of clinical medicine2019

Obstructive Sleep Apnea: Emerging Treatments Targeting the Genioglossus Muscle.

Olga Mediano, Sofia Romero-Peralta, Pilar Resano, Irene Cano-Pumarega, Manuel Sánchez-de-la-Torre, María Castillo-García, Ana Belén Martínez-Sánchez, Ana Ortigado, Francisco García-Río

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 5% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Drug-induced sleep endoscopy in obstructive sleep apnea: a systematic review and meta-analysis of sedative agents, monitoring methods, and administration techniques.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
    Pooled it
  2. Uvulopalatopharyngoplasty with and without modified thyrohyoid suspension for obstructive sleep apnea treatment: a randomized clinical trial.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2023
    Trial
  3. Article
  4. KalinixSleep & breathing = Schlaf & Atmung · 2026
    Article
  5. Exploring Exercise Interventions for Obstructive Sleep Apnea: A Scoping Review.Journal of functional morphology and kinesiology · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Observational
  16. Article
  17. OSA: Treatments beyond CPAP.Journal of clinical medicine · 2022
    Article
  18. Review
  19. Article
  20. 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

9 authors at 6 institutions in 1 country.

Olga MedianoSleep Unit, Pneumology Department, Hospital Universitario de Guadalajara, 19005 Guadalajara, Spain. olgamediano@hotmail.com.ORCID 0000-0001-7824-1523
Sofia Romero-PeraltaSleep Unit, Pneumology Department, Hospital Universitario de Guadalajara, 19005 Guadalajara, Spain. sofiamp10@hotmail.com.
Pilar ResanoSleep Unit, Pneumology Department, Hospital Universitario de Guadalajara, 19005 Guadalajara, Spain. presanob@gmail.com.
Irene Cano-PumaregaPneumology Department, Hospital Universitario Ramón y Cajal, 28034 Madrid, Spain. irene.cano@yahoo.com.ORCID 0000-0003-1543-7187
Manuel Sánchez-de-la-TorreCentro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), 28029 Madrid, Spain. sanchezdelatorre@gmail.com.
María Castillo-GarcíaSleep Unit, Pneumology Department, Hospital Universitario de Guadalajara, 19005 Guadalajara, Spain. mariacastillogarcia37@gmail.com.
Ana Belén Martínez-SánchezPsychiatric Department. Hospital General La Mancha Centro, 13600 Toledo, Spain. martinez.anabelen@gmail.com.
Ana OrtigadoRadiology Department, Hospital Universitario de Guadalajara, 19005 Guadalajara, Spain. anaorti_86@hotmail.com.
Francisco García-RíoCentro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), 28029 Madrid, Spain. fgr01m@gmail.com.
Hospital Universitario de Guadalajara · ESComplejo Hospitalario Universitario de Toledo · ESHospital Universitari Arnau de Vilanova · ESHospital Universitario La Paz · ESHospital Universitario Ramón y Cajal · ESUniversidad de Alcalá · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Obstructive sleep apnea (OSA) is characterized by repetitive episodes of upper airway obstruction caused by a loss of upper airway dilator muscle tone during sleep and an inadequate compensatory response by these muscles in the context of an anatomically compromised airway. The genioglossus (GG) is the main upper airway dilator muscle. Currently, continuous positive airway pressure is the first-line treatment for OSA. Nevertheless, problems related to poor adherence have been described in some groups of patients. In recent years, new OSA treatment strategies have been developed to improve GG function. (A) Hypoglossal nerve electrical stimulation leads to significant improvements in objective (apnea-hypopnea index, or AHI) and subjective measurements of OSA severity, but its invasive nature limits its application. (B) A recently introduced combination of drugs administered orally before bedtime reduces AHI and improves the responsiveness of the GG. (C) Finally, myofunctional therapy also decreases AHI, and it might be considered in combination with other treatments. Our objective is to review these therapies in order to advance current understanding of the prospects for alternative OSA treatments.

Indexed as

Genioglossus musclehypoglossal nerve electrical stimulationmyofunctional therapypharmacological treatmentsleep apnea

Identifiers

PMID31652594
PMCPMC6832267
OpenAlexW2982085007

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.