Evidence map›Paper›PMID 36959432›Full record

ArticleSleep & breathing = Schlaf & Atmung2023

Sleep parameter characteristics of patients with OSA who have retropalatal circumferential narrowing and the clinical significance of lateral pharyngeal wall collapse during sleep.

Sun A Han, Hyunkyung Cha, Seung Koo Yang, Seo Young Kim, Doo Hee Han, Dong-Young Kim, Chae-Seo Rhee, Hyun Jik Kim

Open access · hybridAbstract read
In one paragraph

Article 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 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Effect of norepinephrine reuptake inhibitors combined with antimuscarinic agents vs monotherapy for OSA: a systematic review and meta-analysis.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Combination Tonsillectomy and Hypoglossal Nerve Stimulation for Sleep Apnea Patients With Oropharyngeal Lateral Wall Collapse.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2024
    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

8 authors at 2 institutions in 1 country.

Sun A HanDepartment of Otorhinolaryngology-Head and Neck Surgery, Hallym University Dongtan Sacred Heart Hospital, Hwaseong-si, Gyeonggi-do, 18450, Korea.
Hyunkyung ChaDepartment of Otorhinolaryngology, Seoul National University College of Medicine, Seoul National University Hospital, 103 Daehak-Ro, Jongno-Gu, Seoul, 03080, Korea.
Seung Koo YangDepartment of Otorhinolaryngology, Seoul National University College of Medicine, Seoul National University Hospital, 103 Daehak-Ro, Jongno-Gu, Seoul, 03080, Korea.
Seo Young KimDepartment of Otorhinolaryngology, Seoul National University College of Medicine, Seoul National University Hospital, 103 Daehak-Ro, Jongno-Gu, Seoul, 03080, Korea.
Doo Hee HanDepartment of Otorhinolaryngology, Seoul National University College of Medicine, Seoul National University Hospital, 103 Daehak-Ro, Jongno-Gu, Seoul, 03080, Korea.
Dong-Young KimDepartment of Otorhinolaryngology, Seoul National University College of Medicine, Seoul National University Hospital, 103 Daehak-Ro, Jongno-Gu, Seoul, 03080, Korea.
Chae-Seo RheeDepartment of Otorhinolaryngology, Seoul National University College of Medicine, Seoul National University Hospital, 103 Daehak-Ro, Jongno-Gu, Seoul, 03080, Korea.
Hyun Jik KimDepartment of Otorhinolaryngology, Seoul National University College of Medicine, Seoul National University Hospital, 103 Daehak-Ro, Jongno-Gu, Seoul, 03080, Korea. hyunjerry@snu.ac.kr.ORCID 0000-0001-8631-928X
Seoul National University Hospital · KRHallym University Dongtan Sacred Heart Hospital · KR

Funding

Ministry of Education 2022R1A2C2011867
6 · The paper itself

Abstract

backgroundThe lateral pharyngeal wall (LPW) is a critical anatomic structure in patients with obstructive sleep apnea (OSA). Resolving the retropalatal circumferential (RC) narrowing caused by combination of both LPW collapse and antero-posterior (AP) narrowing holds promise for surgical treatment of OSA. We sought to determine the clinical characteristics and distinctive alterations in sleep parameters of patients with OSA who have RC narrowing and LPW collapse.

methodsDrug-induced sleep endoscopy (DISE), polysomnography findings, and sleep questionnaires were reviewed retrospectively in patients with OSA.

resultsOf the 106 OSA patients examined, 48% showed RC narrowing and 44% showed AP narrowing at the oropharynx level during sleep while 8% of the patients showed only LPW collapse. Patients with RC narrowing with LPW collapse exhibited a higher BMI than those with AP narrowing only. In addition, patients with RC narrowing showed more aggravated sleep parameters including apneic events than patients with AP narrowing alone. The degree of RC narrowing correlated significantly with the severity of OSA as shown by a higher apnea index and lower oxygen desaturations.

conclusionsOur clinical findings suggest that the presence of RC narrowing with LPW collapse in OSA is closely related to increased apneic and oxygen desaturation events. RC narrowing with LPW collapse may be targets for surgical correction in patients with OSA to improve therapeutic outcomes.

Indexed as

Clinical RelevanceSleep Apnea, ObstructiveEndoscopyHumansOxygenRetrospective StudiesSleepOxygenLateral pharyngeal collapseObstructive sleep apneaRetropalatal circumferential narrowingSleep parameters

Identifiers

PMID36959432
PMCPMC10656349
OpenAlexW4360807201

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.