Evidence map›Paper›PMID 38478208›Full record

SynthesisSleep & breathing = Schlaf & Atmung2024

Relationship of ankyloglossia and obstructive sleep apnea: systematic review and meta-analysis.

Sara Camañes-Gonzalvo, José María Montiel-Company, Vanessa Paredes-Gallardo, Francisco Javier Puertas-Cuesta, Rocío Marco-Pitarch, Marina García-Selva, Carlos Bellot-Arcís, María Dolores Casaña-Ruiz

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis 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 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
14.8field-weighted citation impact, top 1% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Article
  4. Article
  5. Review
  6. 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 1 institution in 1 country.

Sara Camañes-GonzalvoSleep Unit. Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain.ORCID 0000-0003-3681-8122
José María Montiel-CompanySenior Lecturer. Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain. jose.maria.montiel@uv.es.ORCID 0000-0002-3952-7681
Vanessa Paredes-GallardoSenior Lecturer. Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain.ORCID 0000-0002-4137-5808
Francisco Javier Puertas-CuestaSleep Unit, Faculty of Medicine and Health Sciences, Catholic University of Valencia San Vicente Mártir, Valencia, Valencia, Spain.
Rocío Marco-PitarchSleep Unit. Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain.ORCID 0000-0002-8725-2969
Marina García-SelvaSleep Unit. Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain.
Carlos Bellot-ArcísSenior Lecturer. Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain.ORCID 0000-0003-4363-2713
María Dolores Casaña-RuizDepartment of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain.ORCID 0000-0001-8304-7020
Universitat de València · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRecent studies have highlighted the potential role of a short lingual frenulum as a risk factor for pediatric obstructive sleep apnea syndrome. A shortened frenulum may contribute to abnormal orofacial development, leading to increased upper airway resistance and susceptibility to upper airway collapsibility during sleep. Recognizing early indicators, such as a short lingual frenulum, is crucial for prompt intervention. This systematic review aims to evaluate the association between a short lingual frenulum and the risk of obstructive sleep apnea syndrome in children.

methodsThis systematic review adheres to PRISMA criteria for a quantitative analysis. A comprehensive search was conducted on five databases until January 2024 to identify relevant studies. The selected articles underwent rigorous analysis, considering study design, sample characteristics, lingual frenulum characterization, sleep assessment methods, and key findings.

resultsA total of 239 references were initially identified. Finally, six studies were included in the qualitative synthesis, with four studies eligible for the quantitative synthesis. The Newcastle-Ottawa scale was employed to assess study quality. Meta-analysis, supported by a moderate evidence profile according to the GRADE scale, revealed statistically significant differences, with odds ratios of 3.051 (confidence interval: 1.939 to 4.801) for a short frenulum and 12.304 (confidence interval: 6.141 to 24.653) for a high-arched palate.

conclusionThis systematic review and meta-analysis provide evidence supporting the association between ankyloglossia and obstructive sleep apnea in children. Nevertheless, it is crucial to consider additional factors such as tongue mobility and the presence of a high-arched palate in further evaluations.

Indexed as

AnkyloglossiaSleep Apnea, ObstructiveChildHumansAnkyloglossiaObstructive sleep apneaShort lingual frenulumSleep-disordered breathing; Pediatric dentistry

Identifiers

PMID38478208
PMCPMC11196303
OpenAlexW4392763499

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.