Evidence map›Paper›PMID 40325172›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

A nomogram for predicting tongue collapse in DISE based on UACT findings in OSA patients.

Shiming Wang, Yamin Liu, Yinv Dong, Yanqing Ye, Jingmeng Zhou, Wen Peng, Huaihong Chen

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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

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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

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5 · Who and what money

Authors and funding

7 authors.

Shiming WangDepartment of Otolaryngology-Head and Neck Surgery, Nanfang Hospital, Southern Medical University, 1838 Guangzhou Avenue North, Guangzhou, Guangdong, 510515, China.
Yamin Liu *Department of Otolaryngology-Head and Neck Surgery, The Seventh Affiliated Hospital of Southern Medical University, Southern Medical University, Guangzhou, Guangdong, China.
Yinv Dong *Department of Anesthesiology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Yanqing YeDepartment of Otolaryngology-Head and Neck Surgery, The Seventh Affiliated Hospital of Southern Medical University, Southern Medical University, Guangzhou, Guangdong, China.
Jingmeng ZhouDepartment of Otolaryngology-Head and Neck Surgery, Nanfang Hospital, Southern Medical University, 1838 Guangzhou Avenue North, Guangzhou, Guangdong, 510515, China.
Wen PengDepartment of Otolaryngology-Head and Neck Surgery, Nanfang Hospital, Southern Medical University, 1838 Guangzhou Avenue North, Guangzhou, Guangdong, 510515, China.
Huaihong ChenDepartment of Otolaryngology-Head and Neck Surgery, Nanfang Hospital, Southern Medical University, 1838 Guangzhou Avenue North, Guangzhou, Guangdong, 510515, China. chh19760306@163.com.ORCID http://orcid.org/0000-0002-7805-256X

Funding

Nanfang Hospital 2022A011
6 · The paper itself

Abstract

objectiveThis study aimed to analyze the correlation between DISE and upper airway CT (UACT) in OSA patients and to establish and validate a predictive model for tongue base (TB) collapse in the upper airway of OSA patients.

methodsFrom October 2014 to March 2022, a total of 117 OSA patients diagnosed by polysomnography were enrolled. Three-dimensional CT measurements of the upper airway were conducted, and preoperative DISE examinations were performed. Surgical plans were determined based on VOTE scoring. We used logistic regression analysis to identify key predictors of tongue base (TB) collapse in patients with obstructive sleep apnea (OSA). Subsequently, a predictive model was constructed and validated using the R language.

resultsThrough univariate logistic regression analysis, distances between bilateral tonsils (BT), thickness of parapharyngeal space (PPS), thickness of lateral pharyngeal walls (LPW), distance from tongue to posterior pharyngeal wall (PAS), and transverse diameter of the epiglottis (TEP) (P ≤ 0.1) were included in the multivariate logistic regression analysis. Multivariate analysis revealed that the thickness of LPW (P < 0.05) and TEP (P < 0.001) were significant predictive factors for TB collapse in the predictive model. A nomogram model was created for predicting TB obstruction based on these factors, exhibiting an AUC of 0.729 (95% CI: 0.619 ~ 0.914). The internal validation of the model resulted in an AUC of 0.804 (95% CI: 0.688 ~ 0.878) within the validation population.

conclusionA significant correlation between TB obstruction observed under DISE and LPW (P < 0.05) and TEP as measured in UACT scans among OSA patients. Based on this, a predictive nomogram model for TB obstruction during DISE demonstrates good performance.

Indexed as

NomogramsSleep Apnea, ObstructiveTongueAdultAgedFemaleHumansImaging, Three-DimensionalMaleMiddle AgedPharynxPolysomnographyPredictive Value of TestsRetrospective StudiesTomography, X-Ray ComputedDrug-induced sleep endoscopyNomogramOSAPredictive modelTongue base collapse

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PMID40325172

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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.