Evidence map›Paper›PMID 33804517›Full record

ArticleInternational journal of environmental research and public health2021

Functional Upper Airway Space Endoscopy: A Prognostic Indicator in Obstructive Sleep Apnea Treatment with Mandibular Advancement Devices.

Giulio Gasparini, Gianmarco Saponaro, Mattia Todaro, Gabriele Ciasca, Lorenzo Cigni, Piero Doneddu, Camillo Azzuni, Enrico Foresta, Paolo De Angelis, Giorgio Barbera and 3 more

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 29% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
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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

13 authors at 3 institutions in 1 country.

Giulio GaspariniMaxillofacial Surgery Unit, Faculty of Medicine, University Hospital 'A. Gemelli', Catholic University of the Sacred Heart, IRCCS, 00168 Rome, Italy.
Gianmarco SaponaroMaxillofacial Surgery Unit, Faculty of Medicine, University Hospital 'A. Gemelli', Catholic University of the Sacred Heart, IRCCS, 00168 Rome, Italy.
Mattia TodaroMaxillofacial Surgery Unit, Faculty of Medicine, University Hospital 'A. Gemelli', Catholic University of the Sacred Heart, IRCCS, 00168 Rome, Italy.ORCID 0000-0002-6315-3667
Gabriele CiascaDipartimento di Neuroscienze, Sezione di Fisica, University Hospital 'A. Gemelli', Catholic University of the Sacred Heart, IRCCS, 00168 Rome, Italy.
Lorenzo CigniDepartment of Odonto-Stomatology, Azienda Ospedaliera Valtellina e Valchiavenna, 23100 Sondrio, Italy.ORCID 0000-0002-5166-8153
Piero DonedduMaxillofacial Surgery Unit, Faculty of Medicine, University Hospital 'A. Gemelli', Catholic University of the Sacred Heart, IRCCS, 00168 Rome, Italy.ORCID 0000-0001-5657-3025
Camillo AzzuniMaxillofacial Surgery Unit, Faculty of Medicine, University Hospital 'A. Gemelli', Catholic University of the Sacred Heart, IRCCS, 00168 Rome, Italy.
Enrico ForestaMaxillofacial Surgery Unit, Faculty of Medicine, University Hospital 'A. Gemelli', Catholic University of the Sacred Heart, IRCCS, 00168 Rome, Italy.
Paolo De AngelisDepartement of Head, Division of Oral Surgery and Implantology, Neck and Sensory Organs, University Hospital 'A. Gemelli', Catholic University of the Sacred Heart, IRCCS, 00168 Rome, Italy.ORCID 0000-0002-0310-0037
Giorgio BarberaMaxillofacial Surgery Unit, Faculty of Medicine, University Hospital 'A. Gemelli', Catholic University of the Sacred Heart, IRCCS, 00168 Rome, Italy.ORCID 0000-0003-1581-0500
Roberta Gaia ParcianelloMaxillofacial Surgery Unit, Faculty of Medicine, University Hospital 'A. Gemelli', Catholic University of the Sacred Heart, IRCCS, 00168 Rome, Italy.
Horia Vasile HreniucDepartment of Anesthesia and Intensive Care, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Roma, Italy.
Alessandro MoroMaxillofacial Surgery Unit, Faculty of Medicine, University Hospital 'A. Gemelli', Catholic University of the Sacred Heart, IRCCS, 00168 Rome, Italy.ORCID 0000-0002-6708-171X
Università Cattolica del Sacro Cuore · ITAgostino Gemelli University Polyclinic · ITAzienda Ospedaliera di Valtellina e Valchiavenna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe use of a mandibular advancement device (MAD) in the treatment of obstructive sleep apnea (OSA) is a consolidated therapy. This study aimed to evaluate the predictive value of awake upper airways (UA) functional endoscopy in identifying the outcome of MAD therapy.

methodsThis observational prospective study included 30 adult OSA patients, all patients underwent pre-treatment awake UA functional endoscopy, during the exam subjects were instructed to advance their mandible maximally, and they were divided into three different groups according to the response of the soft tissue, group A (expansion), group B (stretch), group C (unchanged). The results of this test were used in combination with other noninvasive indexes to predict the treatment outcome in terms of apnea-hypopnea index (AHI) reduction.

resultsWe found that a substantial AHI reduction occurred in group A and group B while e slight AHI reduction was measured in group C.

conclusionBased on our experience the awake UA endoscopy is a valid prognostic exam for discriminating responder and non-responder patients; in addition our results indicate the possibility of predicting a range of post-treatment AHI index values.

Indexed as

Mandibular AdvancementSleep Apnea, ObstructiveAdultEndoscopyHumansOcclusal SplintsPolysomnographyPrognosisProspective StudiesTreatment OutcomeAHIMADmandibular advancementOSAOSASupper airways

Identifiers

PMID33804517
PMCPMC7967765
OpenAlexW3134663733

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.