Evidence map›Paper›PMID 39904551›Full record

ReviewJournal of sleep research2026

Should positive airway pressure be continued uninterrupted after endoscopic skull base surgery? A review of current literature.

Ross Rosen, Jayanth Rajan, John Richter, Daniel Karasik, Claudia I Cabrera, John Gerka Stuyt, Kenneth Rodriguez, Brian D'Anza, Thomaz Fleury Curado, Sanjeet V Rangarajan

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Journal of sleep research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  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.

Ross RosenDepartment of Otolaryngology-Head and Neck Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.ORCID 0000-0002-3264-9950
Jayanth RajanDepartment of Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.
John RichterDepartment of Otolaryngology-Head and Neck Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.ORCID 0000-0003-1587-5857
Daniel KarasikDepartment of Otolaryngology-Head and Neck Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.
Claudia I CabreraDepartment of Otolaryngology-Head and Neck Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.
John Gerka StuytDepartment of Otolaryngology-Head and Neck Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.
Kenneth RodriguezDepartment of Otolaryngology-Head and Neck Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.
Brian D'AnzaDepartment of Otolaryngology-Head and Neck Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.
Thomaz Fleury CuradoDepartment of Otolaryngology-Head and Neck Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.
Sanjeet V RangarajanDepartment of Otolaryngology-Head and Neck Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Obstructive sleep apnea (OSA) poses unique challenges to the perioperative management of endoscopic skull base surgery (ESBS). Currently, no consensus or guidelines exist on the reintroduction of positive airway pressure (PAP) in these patients. To better clarify the safety of PAP reintroduction after ESBS, the databases Pubmed and Embase were searched in May 2024 for studies on PAP reintroduction after ESBS. Two articles, comprising 15 patients, met the inclusion criteria. All patients resumed PAP the first night after surgery. All patients underwent ESBS for transsphenoidal pituitary resection. Only one patient experienced cerebrospinal fluid leak, and no other complications were reported. While these results suggest that early reintroduction of PAP for ESBS patients with OSA may be safer than theoretically expected, the current literature on the topic remains scarce and more research is needed.

Indexed as

Continuous Positive Airway PressureEndoscopySkull BaseSleep Apnea, ObstructiveHumanscerebrospinal fluid leakpituitary adenomapituitary glandpneumocephaluspositive pressure ventilationsphenoid sinus

Identifiers

PMID39904551
PMCPMC12856119

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.