Evidence map›Paper›PMID 40281317›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2025

Using DISE to evaluate tonsillar obstruction in sleep apnea syndrome in adults.

Sarah Cosseron, Said Rouhani, Jean-Baptiste Lecanu, Laurent Yona

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2025. 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. Sleep medicine - exploring its emerging relevance in Otorhinolayngology.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
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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

4 authors.

Sarah CosseronOtorhinolaryngology - Head and Neck department, Arthur Vernes Institute, Paris, F-75006, France.
Said RouhaniOtorhinolaryngology - Head and Neck department, Arthur Vernes Institute, Paris, F-75006, France.
Jean-Baptiste LecanuOtorhinolaryngology - Head and Neck department, Arthur Vernes Institute, Paris, F-75006, France.
Laurent YonaOtorhinolaryngology - Head and Neck department, Arthur Vernes Institute, Paris, F-75006, France. docteur.yona@gmail.com.ORCID http://orcid.org/0009-0001-4246-2292

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeObstructive sleep apnea syndrome is a common condition that can have serious consequences if left untreated. Many patients are intolerant of treatment by continuous positive airway pressure or a mandibular advancement splint. Tonsillopharyngeal surgery may be a viable therapeutic alternative. The objective of this study was to compare clinical assessments of tonsillar obstruction in awake patients with findings from drug-induced sleep endoscopy (DISE). A secondary objective was to evaluate its impact on therapeutic success.

methodsA retrospective cohort study was conducted on 270 patients, of whom 128 were selected for the study. Patients were evaluated both clinically and via DISE.

resultsSignificant differences were found between tonsillar obstruction pattern observed under sedation with those seen in awake patients. DISE led to the cancellation of surgeries planned in nearly half of the cases. Interestingly, size 2 tonsils, generally considered non-obstructive, were found to be obstructive in 58% of cases. Tonsillectomy and/or pharyngoplasty when performed on patients selected throught DISE was successful in 75% of cases.

conclusionDISE appears to be a valuable tool for assessing tonsillar obstructions and may allow more patients to benefit from appropriate surgical interventions.

Indexed as

Airway ObstructionEndoscopyPalatine TonsilSleep Apnea, ObstructiveAdultAgedFemaleHumansMaleMiddle AgedPolysomnographyRetrospective StudiesTonsillectomyDrug-induced sleep endoscopyObstructive sleep apneaPharyngoplastyTonsillectomy

Identifiers

PMID40281317

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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.