Evidence map›Paper›PMID 37445208›Full record

ArticleJournal of clinical medicine2023

Multi-Level 3D Surgery for Obstructive Sleep Apnea: Could It Be the Future?

Angelo Eplite, Claudio Vicini, Giuseppe Meccariello, Giannicola Iannella, Antonino Maniaci, Angelo Cannavicci, Francesco Moretti, Fabio Facchini, Tommaso Mazzocco, Giovanni Cammaroto

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

10 authors.

Angelo EpliteDepartment of Biomedical and Clinical Sciences "Luigi Sacco", University of Milan, Via GB Grassi 74, 20154 Milan, Italy.ORCID 0000-0002-3026-2082
Claudio ViciniDepartment of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Via Carlo Forlanini 34, 47121 Forli, Italy.
Giuseppe MeccarielloDepartment of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Via Carlo Forlanini 34, 47121 Forli, Italy.
Giannicola IannellaDepartment of 'Organi di Senso', University "Sapienza", Viale dell'Università 33, 00185 Rome, Italy.
Antonino ManiaciDepartment of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia", ENT Section, University of Catania, Piazza Università 2, 95100 Catania, Italy.ORCID 0000-0002-1251-0185
Angelo CannavicciDepartment of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Via Carlo Forlanini 34, 47121 Forli, Italy.ORCID 0000-0002-9537-2549
Francesco MorettiDepartment ENT & Audiology, University of Ferrara, Via Savonarola 9, 44121 Ferrara, Italy.
Fabio FacchiniDepartment ENT & Audiology, University of Ferrara, Via Savonarola 9, 44121 Ferrara, Italy.
Tommaso MazzoccoDepartment ENT & Audiology, University of Ferrara, Via Savonarola 9, 44121 Ferrara, Italy.
Giovanni CammarotoDepartment of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Via Carlo Forlanini 34, 47121 Forli, Italy.ORCID 0000-0002-1618-0048

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

(1) Background: Obstructive sleep apnea (OSA) is the most common sleep-related breathing disorder and is characterized by recurrent episodes of complete or partial obstruction of the upper airway, leading to reduced or absent breathing during sleep. A nocturnal upper airway collapse is often multi-levelled. The aim of this communication is to describe a 3D multi-level surgery setting in OSA pathology, introducing new surgical approaches, such as 4K-3D endoscopic visualization for the tongue base approach with the aid of a coblator and exoscopic visualization in the palatal approach. (2) Methods: Seven patients affected by OSA underwent 3D Barbed Reposition Pharyngoplasty (BRP) surgery associated with transoral coblation tongue base reduction and nose surgery. (3) Results: No patients experienced intra-operative, post-operative or delayed complications. For OSA multi-level 3D surgery, it took less than 2 h: the median 3D system setting time was 12.5 ± 2.3 min; the overall procedure time was 59.3 ± 26 min. (4) Conclusions: The use of the 4K-3D endoscope and coblator for tongue base resectioning and of the 3D exoscope for lateral pharyngoplasty represents an excellent system in multi-level OSA related surgery that could reduce the time and the costs compared to those of robotic surgery.

Indexed as

3D barbed reposition pharyngoplasty3D surgery3D tongue base resectioncoblator

Identifiers

PMID37445208
PMCPMC10342675

What OpenQuestion holds

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Registered trials

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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.