Evidence map›Paper›PMID 31907824›Full record

ArticleSleep & breathing = Schlaf & Atmung2020

Electrical stimulation of the whole hypoglossal nerve in patients with obstructive sleep apnea.

A Oliven, Y Dotan, T Golibroda, M Somri, R Oliven, A R Schwartz

Open access · greenAbstract read
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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 47% 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

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. 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 at 5 institutions in 3 countries.

A OlivenDepartment of Medicine, Bnai-Zion Medical Centre, 47 Golomb Str, 31048, Haifa, Israel. oliven@technion.ac.il.ORCID http://orcid.org/0000-0002-2188-7988
Y DotanSt. Luke's Pulmonary & Critical Care Associates, Bethlehem, PA, USA.
T GolibrodaTel Aviv University, Tel-Aviv-Yafo, Israel.
M SomriRappaport School of Medicine, Technion Institute of Technology, Haifa, Israel.
R OlivenDepartment of Medicine, Bnai-Zion Medical Centre, 47 Golomb Str, 31048, Haifa, Israel.
A R SchwartzPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Technion – Israel Institute of Technology · ILBnai Zion Medical Center · ILPulmonary and Critical Care Associates · USTel Aviv University · ILUniversidad Peruana Cayetano Heredia · PE

Funding

Lingual muscle control of upper airway patency in obstructive sleep apneaR01HL144859 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI DEDHIA, RAJ C., SCHWARTZ, ALAN R. · 2019 to 2023
$3.9M
NHLBI NIH HHS R01 HL144859
6 · The paper itself

Abstract

purposeElectrical stimulation of the whole hypoglossal nerve (HGp-ES) has been demonstrated to enlarge the pharynx and improve pharyngeal stability and patency to airflow in all animals studied, but not in humans. The present study was undertaken to better understand the effect of HGp-ES on the human pharynx.

methodsEight patients with obstructive sleep apnea who had implanted stimulators with electrodes positioned proximally on the main truck of the hypoglossus were studied under propofol sedation. Pharyngoscopy and air flow measurements at multiple levels of continuous positive airway pressure (CPAP) were performed before and during Hgp-ES.

resultsHGp-ES that activates both tongue protrusors and retractors narrowed the pharyngeal lumen at the site of collapse (velopharynx in all subjects) from 1.38 ± 0.79 to 0.75 ± 0.44 cm

conclusionsOur findings indicate that human retractors dominate when stimulated together with the protrusors during HGp-ES. While co-activation of retractors may be beneficial, it should be limited. We speculate that exercises that augment protrusor force may improve the response to hypoglossal stimulation. The exclusion of patients with concentric pharyngeal obstruction should be re-evaluated.

Indexed as

Electric StimulationAdultContinuous Positive Airway PressureHumansHypoglossal NerveMaleMiddle AgedSleep Apnea, ObstructiveDrug induced sedation endoscopy (DISE)Functional electrical stimulationHypoglossusPharyngeal collapseSleep apneaTongue

Identifiers

PMID31907824
PMCPMC9508899
OpenAlexW2997033264

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.