Evidence map›Paper›PMID 34204017›Full record

Trial reportInternational journal of environmental research and public health2021

The Efficacy of Lingual Laser Frenectomy in Pediatric OSAS: A Randomized Double-Blinded and Controlled Clinical Study.

Miriam Fioravanti, Francesca Zara, Iole Vozza, Antonella Polimeni, Gian Luca Sfasciotti

Abstract readRandomized Controlled Trial
In one paragraph

Trial report 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 10 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

10 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Outcomes of tongue-tie release by means of tongue and frenulum assessment tools: a scoping review on non-infants.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2022
    Pooled it
  4. Effectiveness of Myofunctional Therapy in Ankyloglossia: A Systematic Review.International journal of environmental research and public health · 2022
    Pooled it
  5. Article
  6. Review
  7. Review
  8. Article
  9. Treatment of Ankyloglossia: A Review.Children (Basel, Switzerland) · 2023
    Review
  10. Review
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

5 authors.

Miriam FioravantiDepartment of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, Italy.ORCID 0000-0002-2041-2075
Francesca ZaraDepartment of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, Italy.ORCID 0000-0002-6561-3487
Iole VozzaDepartment of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, Italy.ORCID 0000-0001-8545-9889
Antonella PolimeniDepartment of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, Italy.ORCID 0000-0002-2679-7607
Gian Luca SfasciottiDepartment of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This randomized, double-blind and controlled clinical trial investigates how a diode laser lingual frenectomy can improve obstructive sleep apnea syndrome (OSAS) in pediatric patients.

backgroundSeveral authors have shown that a short lingual frenulum causes a reduction in incoming air flow and the relationship between OSAS and a short lingual frenulum.

methodsThirty-two pediatric patients were equally randomly divided into a Study Group (SG) and a Control Group (CG). On each SG patient a polysomnography 1 (PSG1) and a lingual frenectomy were performed using a diode laser via Doctor Smile Wiser technology, power 7 W. After three months, a new polysomnography (PSG2) was performed to evaluate the lingual frenectomy efficacy in pediatric patients. The pain was assessed by a numerical rating scale (NRS) before and after surgery. The CG followed the same protocol without a lingual frenectomy but myofunctional and speech therapy were conducted to qualitatively and quantitatively improve the lingual functionality. In the SG, eight subjects (50%) had severe OSAS and eight had moderate (50%) while in the CG, three subjects had severe OSAS (18.8%) and thirteen had moderate (81.2%).

resultsIn the SG, 93.8% were classified as mild OSAS and 6.2% as moderate. In contrast, in the CG, 18.75% were classified as mild OSAS, 62.5% as moderate and 18.75% as severe.

conclusionThe study demonstrates how a lingual laser frenectomy can improve OSAS in pediatric patients.

Indexed as

Lingual FrenumSleep Apnea, ObstructiveChildControl GroupsDouble-Blind MethodHumansLasers, Semiconductorankyloglossiadiode laserfrenulectomylaserlaser therapylingual frenectomylingual frenulumoral surgeryOSASpaediatricpediatric OSAStongue-tie

Identifiers

PMID34204017
PMCPMC8200995

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.