Evidence map›Paper›PMID 37792164›Full record

ArticleSleep & breathing = Schlaf & Atmung2024

The morphometrical evaluation after uvulopalatopharyngoplasty.

Tsutomu Nomura, Tomomi Horikoshi, Yuka Kitano, Masato Yamada, Kenji Kondo, Shigeru Kikuchi

Abstract read
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In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2024. 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
–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

1 citing paper in PubMed.

  1. Tonsillectomy May Not Be the Answer in All OSA Cases.Journal of clinical medicine · 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

6 authors.

Tsutomu NomuraDivision of Head & Neck Surgery/Otolaryngology, Department of Comprehensive Medical Sciences, Meikai University School of Dentistry, 1-1 Keyakidai, Sakado, Saitama, 350-0283, Japan. t-nomura@dent.meikai.ac.jp.ORCID 0000-0001-7310-5338
Tomomi HorikoshiDepartment of Otolaryngology, Saitama Medical Center, Saitama Medical University, Saitama, Japan.
Yuka KitanoDepartment of Otolaryngology, Saitama Medical Center, Saitama Medical University, Saitama, Japan.
Masato YamadaDepartment of Otolaryngology, Saitama Medical Center, Saitama Medical University, Saitama, Japan.
Kenji KondoDepartment of Otolaryngology and Head and Neck Surgery, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan.
Shigeru KikuchiDepartment of Otolaryngology, Saitama Medical Center, Saitama Medical University, Saitama, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this study was to evaluate the efficacy of uvulopalatopharyngoplasty (UPPP) and the corresponding postoperative morphometrical changes.

methodsPatients diagnosed with obstructive sleep apnea syndrome who complained of snoring and apnea were enrolled in this study. Pre- and postoperative tests, including CTs, pharyngeal volume (PV), cross-sectional area (CSA), and six-category morphometrical studies, were performed.

resultsOf 11 patients included, 10 showed improvement of symptoms. BMI correlated with the respiratory event index (REI). In terms of PV, there was a significantly wider postoperative area. The rate of change between preoperative REI and postoperative REI (ΔREI) correlated with the amount of change of PV between preoperative PV and postoperative PV (ΔPV). CSA increased postoperatively and correlated with REI. Uvula space (UV) and distance between the hyoid bone and the base of the tongue (HB) increased postoperatively, and posterior airway space (PAS) and epiglottic space (Epi) decreased postoperatively. UV and PAS were significant (p = 0.046, 0.014). UV was related to REI.

conclusionWidening the PV, increasing CSA, and the posterior movement of the tongue base after UPPP surgery were found. The improvement of REI did not depend only on volume. These results suggest that it was important not only to widen the PV but also to improve the shape of the pharynx.

Indexed as

PharynxSleep Apnea, ObstructiveUvulaAdultFemaleHumansMaleMiddle AgedOtorhinolaryngologic Surgical ProceduresPalate, SoftPolysomnographyMorphometrySleep apnea syndromeUvulopalatopharyngoplasty

Identifiers

PMID37792164

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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.