Evidence map›Paper›PMID 39691144›Full record

ReviewCureus2024

Unveiling Progress: A Systematic Review and Meta-Analysis of Endoscopic Posterior Cricoid Split With Posterior Cartilage Graft.

Abdullah Sindi, Alhanouf Alhedaithy, Nasser Almutairi, Waleed Alshareef, Abdullah Aljasser, Ahmad Alammar

Abstract readReview
In one paragraph

Review in Cureus, 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. 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

6 authors.

Abdullah SindiOtolaryngology - Head and Neck Surgery, King Saud University Medical City, Riyadh, SAU.
Alhanouf AlhedaithyOtolaryngology - Head and Neck Surgery, King Fahad Medical Military Complex, Dhahran, SAU.
Nasser AlmutairiOtolaryngology, Alfaisal University College of Medicine, Riyadh, SAU.
Waleed AlshareefOtolaryngology - Head and Neck Surgery, Maternity and Children's Hospital, Makkah, SAU.
Abdullah AljasserOtolaryngology - Head and Neck Surgery, King Saud University Medical City, Riyadh, SAU.
Ahmad AlammarOtolaryngology - Head and Neck Surgery, King Saud University Medical City, Riyadh, SAU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Subglottic and posterior glottic stenosis (PGS) narrows distinct areas of the larynx, while bilateral vocal fold immobility (BVFI) is characterized by static cords. Treatments include open surgeries and newer endoscopic methods, offering comparable safety, quicker recovery, and fewer complications. This study assesses the decannulation rate of endoscopic posterior cricoid split with posterior cartilage grafting (EPCCG) in pediatric patients with posterior glottic stenosis, subglottic stenosis (SGS), and BVFI. Other outcomes include complications, symptom relief, need for additional airway procedures, and hospital stay. We retrieved relevant records published between 2003 and 2024 from PubMed, Scopus, Web of Science, and Cochrane Library. Using OpenMeta v5.26.14 software, we pooled the decannulation rates from individual studies. Other outcomes reported in fewer studies than what justifies a meta-analysis were synthesized manually. The selection process yielded 15 articles, 11 of which were eligible for analysis. The decannulation rate had an estimated proportion of approximately 83.2% (95% CI: 74.0-92.4%). Complications were present in 6/70 patients, and no mortality was reported. Additional airway procedures were needed in 14/82 patients for whom the outcome was reported. Hospital stays averaged 6.1 days in four studies reporting the outcome. Symptomatic relief was achieved in most of the patients; however, some cases reported odynophagia and concerns about voicing. EPCCG shows promise in treating less severe cases of PGS, SGS, and BVFI, offering safety, short hospital stays, and symptomatic relief. However, its efficacy for advanced cases and comorbidities needs more research. The limitations, including multiple pathologies and comorbidities in patients, hinder broader applicability. More extensive studies with standardized protocols are required in order to overcome these limitations.

Indexed as

endoscopiclaryngotracheal reconstructionmeta-analysisposterior cartilage graftsubglottic stenosisvocal fold immobility

Identifiers

PMID39691144
PMCPMC11651782

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.