Evidence map›Paper›PMID 34993758›Full record

ArticleSleep & breathing = Schlaf & Atmung2022

Mandibular advancement device therapy in patients with epiglottic collapse.

Eli Van de Perck, Marijke Dieltjens, Anneclaire V Vroegop, Johan Verbraecken, Marc Braem, Olivier M Vanderveken

Abstract read
PubMed Publisher
In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.6field-weighted citation impact, top 12% 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

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. 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

6 authors at 1 institution in 1 country.

Eli Van de PerckFaculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium. eli.vandeperck@uza.be.
Marijke DieltjensFaculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium.ORCID 0000-0002-5822-1960
Anneclaire V VroegopFaculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium.ORCID 0000-0001-7538-2021
Johan VerbraeckenFaculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium.ORCID 0000-0002-6087-678X
Marc BraemFaculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium.ORCID 0000-0002-8260-4240
Olivier M VandervekenFaculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium.ORCID 0000-0002-4088-4213
University of Antwerp · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEpiglottic collapse is a specific sleep-endoscopic finding that can prove challenging to treat in patients with obstructive sleep apnea (OSA). Its effect on mandibular advancement devices (MAD) remains largely unknown. Therefore, this study assessed whether or not epiglottic collapse affects treatment outcome with MAD.

methodsPatients with diagnosed OSAD underwent drug-induced sleep endoscopy (DISE) and were treated with a titratable MAD. Two age- and gender-matched controls were selected for every subject with primary epiglottic collapse (i.e., complete closure without involvement of other upper airway structures). Treatment response was defined as a reduction in oxygen desaturation index (ODI) of ≥ 50% following MAD therapy.

resultsOf 101 patients who underwent DISE, twenty (20%) showed primary epiglottic collapse (mean [SD]: 17 men; age 49.8 [10.1]; body mass index 28.3 [2.9] kg/m

conclusionThe presence of epiglottic collapse during DISE does not impair the effectiveness of MAD. Therefore, MAD therapy should be considered in patients with predominant epiglottic collapse.

Indexed as

Mandibular AdvancementSleep Apnea, ObstructiveEndoscopyEpiglottisHumansMaleMiddle AgedOcclusal SplintsPolysomnographyTreatment OutcomeDISEEndoscopyEpiglottisObstructive sleep apneaOral applianceOSA

Identifiers

PMID34993758
OpenAlexW4205091307

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.