Evidence map›Paper›PMID 31745755›Full record

ArticleSleep & breathing = Schlaf & Atmung2020

Tongue peak pressure: a tool to aid in the identification of obstruction sites in patients with obstructive sleep apnea/hypopnea syndrome.

Carlos O'Connor-Reina, Guillermo Plaza, Maria Teresa Garcia-Iriarte, Jose Maria Ignacio-Garcia, Peter Baptista, Juan Carlos Casado-Morente, Eugenio De Vicente

Abstract read
PubMed Publisher
In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Assessment and rehabilitation of tongue motor skills with myofunctional therapy in obstructive sleep apnea: a systematic review and meta-analysis.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
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  6. Telemedicine-delivered myofunctional therapy remodels upper airway anatomy in obstructive sleep apnea: a prospective controlled study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
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  13. Moderate-to-severe obstructive sleep apnea syndrome is associated with altered tongue motion during wakefulness.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
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  19. The Role of Myofunctional Therapy in Treating Sleep-Disordered Breathing: A State-of-the-Art Review.International journal of environmental research and public health · 2021
    Review
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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 1 country.

Carlos O'Connor-ReinaCo-Chair of Department of Otorhinolaryngology, Hospital Quiron Salud Marbella & Hospital Quiron Salud Campo de Gibraltar, Postal address, Avenida Severo Ochoa 22, Marbella, 29603, Malaga, Spain. coconnor@us.es.ORCID http://orcid.org/0000-0002-1670-4235
Guillermo PlazaChief of Department of Otorhinolaryngology. Hospital Sanitas La Zarzuela & Hospital Universitario Fuenlabrada, Universidad Rey Juan Carlos, Madrid, Spain.
Maria Teresa Garcia-IriarteDepartment of Otorhinolaryngology, Hospital la Merced, Osuna, Sevilla, Spain.
Jose Maria Ignacio-GarciaChair of Department of Neumology, Hospital Quiron Salud Marbella & Hospital Quiron Salud Campo de Gibraltar, Malaga, Spain.
Peter BaptistaDepartment of Otorhinolaryngology, Clinica Universitaria de Navarra, Pamplona, Spain.
Juan Carlos Casado-MorenteCo-Chair of Department of Otorhinolaryngology, Hospital Quiron Salud Marbella & Hospital Quiron Salud Campo de Gibraltar, Postal address, Avenida Severo Ochoa 22, Marbella, 29603, Malaga, Spain.
Eugenio De VicenteDepartment of Otorhinolaryngology, Hospital Universitario Miguel Servet, Zaragoza, Spain.
Hospital Quirónsalud Barcelona · ESHospital Universitario Miguel Servet · ESUniversidad Rey Juan Carlos · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose of this study was to evaluate whether tongue peak pressure measured using the Iowa Oral Performance Instrument is correlated with the topographic site of obstruction in patients with obstructive sleep apnea/hypopnea syndrome observed during drug-induced sleep endoscopy. Thirty-five consecutive adult patients (29 men, 6 women) were prospectively enrolled after having been diagnosed with severe obstructive sleep apnea/hypopnea syndrome by polysomnography. An apnea-hypopnea index > 30 was confirmed, and age, gender, and body mass index were recorded by Epworth Sleepiness Scale questionnaire, and a thorough evaluation of the upper airway by video-flexible endoscopy. Twenty healthy controls according to age and sex were chosen for IOPI measurements. After drug-induced sleep endoscopy, a topographic diagnosis was done using the VOTE classification. Tongue and lip peak pressures were both measured using the Iowa Oral Performance Instrument in all patients and in 20 healthy controls. Main outcomes and measures: the correlations between office findings, Iowa Oral Performance Instrument measures, and the VOTE tongue classification during drug-induced sleep endoscopy (T0, T1, T2) were then investigated.

resultsThe average Iowa Oral Performance Instrument tongue and lip pressure were 44.02 ± 12.29 and 15.03 ± 3.71 kPa, respectively. The Iowa Oral Performance Instrument scores were both significantly lower than values in healthy controls (P < 0.001). The VOTE classification referring to the tongue position was T0 in 13 cases (37.1%), T1 in 12 cases (34.3%), and T2 in 10 cases (28.6%). A significant correlation was found between the Iowa Oral Performance Instrument tongue pressure and the T size during drug-induced sleep endoscopy (Kruskal-Wallis χ

Indexed as

EndoscopyAdultFemaleHumansMalePolysomnographyPressureProspective StudiesReference ValuesSleep Apnea, ObstructiveTongueDrug-induced sleep endoscopySleep apneaTongue peak pressure

Identifiers

PMID31745755
OpenAlexW2990279417

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.