Evidence map›Paper›PMID 40390055›Full record

SynthesisOrphanet journal of rare diseases2025

Mounier-Kuhn syndrome: a tripartite analysis bridging clinical epidemiology, imaging evolution, and global research landscapes.

Yanjie Wang, Luyao Wang, Haoxiang Zhang, Xiaojia Zhu, Xiaoxi Shi, Sirui Fu, Kai Sun, Jiao Wang, Quanwei Ren, Yongjin Ji and 1 more

Abstract readSystematic Review
In one paragraph

Synthesis in Orphanet journal of rare diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Mounier Kuhn Syndrome - A Case Report.International medical case reports journal · 2026
    Article
  3. 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

11 authors.

Yanjie Wang *Department of Otolaryngology Head and Neck Surgery, Second Hospital of Shanxi Medical University, 382 Wuyi Road, Taiyuan, 030000, Shanxi Province, China.
Luyao Wang *Department of Otolaryngology Head and Neck Surgery, Second Hospital of Shanxi Medical University, 382 Wuyi Road, Taiyuan, 030000, Shanxi Province, China.
Haoxiang Zhang *Department of Otolaryngology Head and Neck Surgery, Second Hospital of Shanxi Medical University, 382 Wuyi Road, Taiyuan, 030000, Shanxi Province, China.
Xiaojia Zhu *Department of Otolaryngology Head and Neck Surgery, Second Hospital of Shanxi Medical University, 382 Wuyi Road, Taiyuan, 030000, Shanxi Province, China.
Xiaoxi ShiDepartment of Otolaryngology Head and Neck Surgery, Second Hospital of Shanxi Medical University, 382 Wuyi Road, Taiyuan, 030000, Shanxi Province, China.
Sirui FuDepartment of Otolaryngology Head and Neck Surgery, Second Hospital of Shanxi Medical University, 382 Wuyi Road, Taiyuan, 030000, Shanxi Province, China.
Kai SunDepartment of Radiology, Second Hospital of Shanxi Medical University, Taiyuan, China.
Jiao WangDepartment of Radiology, Second Hospital of Shanxi Medical University, Taiyuan, China.
Quanwei RenDepartment of Respiratory and Critical Care, Second Hospital of Shanxi Medical University, Taiyuan, China.
Yongjin JiDepartment of Otolaryngology Head and Neck Surgery, Second Hospital of Shanxi Medical University, 382 Wuyi Road, Taiyuan, 030000, Shanxi Province, China.
Changqing ZhaoDepartment of Otolaryngology Head and Neck Surgery, Second Hospital of Shanxi Medical University, 382 Wuyi Road, Taiyuan, 030000, Shanxi Province, China. fahyj@126.com.ORCID http://orcid.org/0000-0002-3825-0940

Funding

Basic Research Project of Shanxi Province (Exploration Category) 202203021222390National Natural Science Foundation of China 81870707National Natural Science Foundation of China 82171119the National Key R & D Program of China 2023YFC2507900The Youth Project of the Second Hospital of Shanxi Medical University 202302-9
6 · The paper itself

Abstract

backgroundMounier-Kuhn syndrome (MKS) is characterized by tracheobronchomegaly with thinning or atrophy of the elastic tissue. Due to low clinical awareness, MKS is frequently overlooked on chest CT examinations, leading to diagnostic delays. This study aimed to synthesize the historical context and contemporary advancements in MKS research.

methodsFive MKS cases were retrospectively identified through thoracic imaging review at our institution. A systematic review adhering to PRISMA guidelines was conducted across Web of Science (WOS) and China-specific databases (China National Knowledge Infrastructure [CNKI], Wanfang) from January 2000 to March 2025 to identify studies reporting CT-confirmed tracheobronchial dilation, to address geographic bias. Concurrently, a bibliometric analysis of WOS publications spanning January 1962 to March 2025 was performed using predefined inclusion criteria to analyze historical research trends through VOSviewer.

resultsOur institutional cohort (5 patients: 4 males) exhibited marked tracheobronchial dilation, with two representative cases demonstrating distinct clinical trajectories of disease progression. Systematic analysis of 147 publications encompassing 169 radiologically confirmed cases revealed significant male predominance (male-to-female ratio: 5.5:1), a mean tracheal diameter of 34.3 ± 6.1 mm, a median diagnostic delay of 3.0 years (IQR: 0.25-20.0 years), and high comorbidity prevalence including bronchiectasis (71.6%) and tracheal diverticulosis (67.5%). The most frequent clinical manifestations were cough (64.5%), dyspnoea (52.7%), and recurrent respiratory infections (57.4%). Bibliometric analysis of 288 global publications characterized research trends through country/institutional affiliations, author collaborations, journal distributions, and keyword co-occurrence, with diagnostic imaging advancements dominating recent scholarly output.

conclusionsThis three-phase analytical approach bridges clinical observations with global research trends, revealing significant diagnostic delays and evolving imaging paradigms in MKS management. Our findings underscore the need for enhanced clinical vigilance and multinational collaborative research initiatives to establish evidence-based therapeutic frameworks for this under-diagnosed condition.

Indexed as

TracheobronchomegalyAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesTomography, X-Ray ComputedChronic respiratory infectionsCoughManagementMounier–Kuhn syndromeTracheobronchomegaly

Identifiers

PMID40390055
PMCPMC12087173

What OpenQuestion holds

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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.