Evidence map›Paper›PMID 35190957›Full record

SynthesisSleep & breathing = Schlaf & Atmung2023

Methodological parameters for upper airway assessment by cone-beam computed tomography in adults with obstructive sleep apnea: a systematic review of the literature and meta-analysis.

Marcela Lima Gurgel, Cauby Chaves Junior, Lucia Helena Soares Cevidanes, Paulo Goberlânio de Barros Silva, Francisco Samuel Rodrigues Carvalho, Lúcio Mitsuo Kurita, Thays Crosara Abrahão Cunha, Cibele Dal Fabbro, Fabio Wildson Gurgel Costa

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Sleep & breathing = Schlaf & Atmung, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  11. Three-Dimensional Airway Assessment as Diagnostic Aid in Obstructive Sleep Apnea.Pathophysiology : the official journal of the International Society for Pathophysiology · 2025
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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

9 authors.

Marcela Lima GurgelDepartment of Dental Clinic, School of Dentistry, Federal University of Ceará, 1273 Monsenhor Furtado St, Fortaleza, CE, Brazil.
Cauby Chaves JuniorDepartment of Dental Clinic, School of Dentistry, Federal University of Ceará, 1273 Monsenhor Furtado St, Fortaleza, CE, Brazil. cmcjr@uol.com.br.ORCID 0000-0003-0973-4556
Lucia Helena Soares CevidanesDepartment of Orthodontics and Pediatric Dentistry, School of Dentistry, University of Michigan, Ann Arbor, MI, USA.
Paulo Goberlânio de Barros SilvaDepartment of Dental Clinic, School of Dentistry, Federal University of Ceará, 1273 Monsenhor Furtado St, Fortaleza, CE, Brazil.
Francisco Samuel Rodrigues CarvalhoDepartment of Dental Clinic, School of Dentistry, Federal University of Ceará Campus Sobral, Sobral, Brazil.
Lúcio Mitsuo KuritaDepartment of Dental Clinic, School of Dentistry, Federal University of Ceará, 1273 Monsenhor Furtado St, Fortaleza, CE, Brazil.
Thays Crosara Abrahão CunhaBiotechnology Institute, Federal University of Uberlândia, Uberlândia, Minas Gerais, Brazil.
Cibele Dal FabbroFaculty of Dental Medicine, Center for Advance Research in Sleep Medicine & Stomatology, Universite de Montreal & CIUSSS Nord Ile de Montreal, CHUM, Montreal, QC, Canada.
Fabio Wildson Gurgel CostaDepartment of Dental Clinic, School of Dentistry, Federal University of Ceará, 1273 Monsenhor Furtado St, Fortaleza, CE, Brazil.

Funding

Quantification of 3D Bony Changes in Temporomandibular Joint OsteoarthritisR01DE024450 · NIDCR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Lucia H Cevidanes · 2013 to 2026
$5.5M
NIDCR NIH HHS R01 DE024450
6 · The paper itself

Abstract

backgroundA reliable method for analyzing the upper airway (UA) remains a challenge. This study aimed to report the methods for UA assessment using cone-beam computed tomography (CBCT) in adults with obstructive sleep apnea (OSA).

methodsWe performed a systematic review (PROSPERO #CRD42021237490 and PRISMA checklist) that applied a search strategy to seven databases and grey literature.

resultsIn 29 studies with moderate-to-high risk of bias, investigators mostly reported the body position during CBCT (upright or supine) and hard tissue references, diverging in UA delimitation and terminologies. The meta-analysis showed two subgroups (upright and supine), and no statistical differences were identified (p = 0.18) considering the UA area. The volume in the OSA group was smaller than that in the control group (p < 0.003 and Cohen's d =  - 0.81) in the upright position. Patients with OSA showed smaller anteroposterior dimensions than the control group and were not affected by the position during image acquisition (p = 0.02; Cohen's d =  - 0.52). The lateral measurements were also lower in the OSA group (supine) (p = 0.002; Cohen's d =  - 0.6).

conclusionsPatients with OSA showed smaller UA measurements in the upright (volume) and supine (lateral dimension) positions. The anteroposterior dimension was also reduced in patients with OSA compared to the control group, regardless of the position during CBCT acquisition.

Indexed as

Cone-Beam Computed TomographySleep Apnea, ObstructiveAdultHumansNosePostureAirway managementAnatomyCone-beam computed tomography (CBCT)Sleep apnea, Obstructive

Identifiers

PMID35190957
PMCPMC9392812

What OpenQuestion holds

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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.