Evidence map›Paper›PMID 39621190›Full record

ArticleSleep & breathing = Schlaf & Atmung2024

The potential impact of new remodelling intrapharynegal OSA surgery on sleep architecture: a preliminary investigation.

Antonio Moffa, Lucrezia Giorgi, Domiziana Nardelli, Francesco Iafrati, Giannicola Iannella, Rodolfo Lugo, Peter M Baptista, Claudio Vicini, Manuele Casale

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. 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

9 authors.

Antonio MoffaSchool of Medicine, Università Campus Bio-Medico Di Roma, Rome, Italy. a.moffa@policlinicocampus.it.ORCID 0000-0002-6181-8194
Lucrezia GiorgiIntegrated Therapies in Otolaryngology, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.
Domiziana NardelliSchool of Medicine, Università Campus Bio-Medico Di Roma, Rome, Italy.
Francesco IafratiIntegrated Therapies in Otolaryngology, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.
Giannicola IannellaDepartment of "Organi Di Senso", University "Sapienza", 00185, Rome, Italy.
Rodolfo LugoDepartment of Otorhinolaryngology, Grupo Medico San Pedro, Monterrey, Mexico.
Peter M BaptistaENT Department, Al Zahra Private Hospital Dubai, 23614, Dubai, United Arab Emirates.
Claudio ViciniDepartment of Head-Neck Surgery, Oral Surgery Unit, Morgagni Pierantoni Hospital, Head-Neck, Otolaryngology Forli, Italy.
Manuele CasaleSchool of Medicine, Università Campus Bio-Medico Di Roma, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePatients with Obstructive Sleep Apnea (OSA) often experience poor sleep quality and excessive daytime sleepiness, which significantly affect their daily lives. Among the therapeutic options, Barbed Pharyngoplasty (BP) is widely used, showing an overall improvement in the primary efficacy parameters. However, the impact of this surgical intervention on sleep architecture remains unclear. The purpose of this study is to assess potential changes in sleep architecture in patients with moderate to severe OSA who have successfully undergone BP.

methodsAdult patients affected by moderate-severe OSA who underwent Alianza BP were enrolled. Each patient underwent polysomnography preoperatively and six months postoperatively, using the WatchPAT device for consistent data acquisition.

resultsThis study enrolled 27 patients. Although not statistically significant, improvements were observed in Total Sleep Time (TST), Sleep Efficiency, REM, light, and deep sleep, significant improvements were noted in the Apnea-Hypopnea Index (AHI), Oxygen Desaturation Index (ODI), Respiratory Disturbance Index (RDI), and Epworth Sleepiness Scale (ESS). Positive correlations were found between AHI improvement and changes in light sleep and negative correlations with deep sleep. ODI and RDI improvement correlated positively with light sleep and negatively with deep and REM sleep. No correlations were found between these indices and TST and sleep efficiency.

conclusionA noteworthy correlation was found between AHI improvement and changes in sleep stages. Increased AHI gain and surgical success were associated with improved deep sleep and reduced light sleep, even though REM sleep remained relatively unchanged. Indeed, BP could be a valid surgical option for improving sleep architecture, by promoting better sleep quality.

Indexed as

PolysomnographySleep Apnea, ObstructiveAdultFemaleHumansMaleMiddle AgedPharynxSleep QualitySleep StagesBarbed PharyngoplastyObstructive Sleep ApneaPolysomnographySleep ArchitectureSleep Efficiency

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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.