Evidence map›Paper›PMID 36757019›Full record

ArticleThe Laryngoscope2023

Corticosteroid-LABA inhalers increase phonation threshold pressure (PTP) and flow (PTF) in rabbits.

Kristine Tanner, Heidi J Robison, Maya Elena Stevens, Ray M Merrill, Christopher Dromey, Julie Barkmeier-Kraemer, M Ben Christensen

Open access · bronzeAbstract read
In one paragraph

Article in The Laryngoscope, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 51% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

7 authors at 2 institutions in 1 country.

Kristine TannerDepartment of Communication Disorders, Brigham Young University, Provo, Utah, USA.ORCID 0000-0001-6973-8490
Heidi J RobisonDepartment of Communication Disorders, Brigham Young University, Provo, Utah, USA.
Maya Elena StevensDepartment of Communication Sciences & Disorders, The University of Utah, Salt Lake City, Utah, USA.ORCID 0000-0001-6964-7134
Ray M MerrillDepartment of Public Health, Brigham Young University, Provo, Utah, USA.
Christopher DromeyDepartment of Communication Disorders, Brigham Young University, Provo, Utah, USA.
Julie Barkmeier-KraemerDepartment of Surgery, Otolaryngology-Head & Neck Surgery, The University of Utah, Salt Lake City, Utah, USA.ORCID 0000-0002-5037-3070
M Ben ChristensenDepartment of Surgery, The University of Utah, Salt Lake City, Utah, USA.ORCID 0000-0003-0151-783X
Brigham Young University · USUniversity of Utah · US

Funding

Influence of subglottic anatomy on voice productionR01DC009616 · NIDCD · UNIVERSITY OF UTAH · PI TANNER, KRISTINE MARIE · 2009 to 2022
$4.8M
Pathophysiology of Voice Disorders due to Combination Inhaled Corticosteroids in AsthmaR01DC016269 · NIDCD · UNIVERSITY OF UTAH · PI TANNER, KRISTINE MARIE · 2018 to 2022
$2.7M
NIDCD NIH HHS 1R01DC016269-01A1NIDCD NIH HHS R01 DC009616NIDCD NIH HHS R01 DC016269
6 · The paper itself

Abstract

objectivesThis study examined the effects of a combination corticosteroid plus long-acting beta

methodsWhite New Zealand male rabbits were assigned randomly to experimental and control groups (n = 11 per group). The experimental group received twice-daily doses of Advair HFA™ (fluticasone propionate 45 mcg and salmeterol 21 mcg) via a veterinary facemask with 1-way valve and spacer; the control group received aerosolized saline. After 8 weeks, animals were euthanized, larynges excised, frozen, and subsequently thawed and mounted on a standard bench apparatus. Phonation was elicited during 15 successive trials, and phonation threshold pressure (PTP; cmH

resultsRepeated measures analysis of variance indicated significant differences between the experimental and control groups (p < 0.05). Mean PTP and PTF values were higher (worse) for rabbits that received Advair HFA™.

conclusionFollowing 8-week exposure to ICs, rabbit larynges required greater air pressure and flow to initiate phonation. Because even modest phonation onset differences can have a meaningful clinical impact on voice function, these findings suggest that LABA ICs may put patients at risk for voice disorders. Furthermore, these voice disorders may occur within a relatively short timeframe. The results from this study have important clinical implications for voice care in those who use ICs. LEVEL OF EVIDENCE: NA Laryngoscope, 133:2680-2686, 2023.

Indexed as

Adrenal Cortex HormonesVoice DisordersAdministration, InhalationAnimalsFluticasone-Salmeterol Drug CombinationMaleNebulizers and VaporizersPhonationRabbitsAdrenal Cortex HormonesFluticasone-Salmeterol Drug CombinationinhalerPTFPTPrabbitvoice

Identifiers

PMID36757019
PMCPMC10409873
OpenAlexW4319656394

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.