Evidence map›Paper›PMID 40397166›Full record

ArticleDysphagia2025

Transsurgical Palatal Obturator for Maxillectomy Patients: A Preliminary Study of Swallowing and Oropharyngeal Geometry.

Eliane Cristina Viana Revoredo, Coeli Regina Carneiro Ximenes, Thiago Freire Pinto Bezerra, Kelly Greyce Sukar Cavalcanti de Oliveira, Hilton Justino da Silva, Adriana de Oliveira Camargo Gomes, Jair Carneiro Leão

Abstract read
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In one paragraph

Article in Dysphagia, 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. 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

7 authors.

Eliane Cristina Viana RevoredoGraduate Program in Dentistry, Federal University of Pernambuco. Health Sciences Center. Recife, Pernambuco, Brazil.ORCID http://orcid.org/0000-0001-6414-0596
Coeli Regina Carneiro XimenesSpeech-Languague Pathology and Audiology Departament, Federal University of Pernambuco. Health Sciences Center. Recife, Pernambuco, Brazil.ORCID http://orcid.org/0000-0001-7896-035X
Thiago Freire Pinto BezerraGraduate Program in surgery, Federal University of Pernambuco. Medical Sciences Center. Recife, Pernambuco, Brazil.ORCID http://orcid.org/0000-0003-3420-5074
Kelly Greyce Sukar Cavalcanti de OliveiraGraduate Program in Human Communication Health, Federal University of Pernambuco, Health Sciences Center. (Programa de Pós-Graduação em Saúde da Comunicação Humana da Universidade Federal de Pernambuco - Centro de Ciências da Saúde). Recife, Av. Prof. Artur de Sá, s/n - Cidade Universitária - Recife/PE, Pernambuco, 50670-420, Brazil.ORCID http://orcid.org/0000-0002-6467-7243
Hilton Justino da SilvaSpeech-Languague Pathology and Audiology Departament, Federal University of Pernambuco. Health Sciences Center. Recife, Pernambuco, Brazil.ORCID http://orcid.org/0000-0002-6852-3233
Adriana de Oliveira Camargo GomesSpeech-Languague Pathology and Audiology Departament, Federal University of Pernambuco. Health Sciences Center. Recife, Pernambuco, Brazil. adriana.camargo@ufpe.br.ORCID http://orcid.org/0000-0002-1871-9502
Jair Carneiro LeãoGraduate Program in Dentistry, Federal University of Pernambuco. Health Sciences Center. Recife, Pernambuco, Brazil.ORCID http://orcid.org/0000-0001-8303-2291

Funding

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior 001
6 · The paper itself

Abstract

introductionResection of malignancy through maxillectomy and subsequent maxillofacial prosthetics provides adequate swallowing function and rehabilitation. The aim of this study was to verify whether there is association between changes in swallowing and the oropharyngeal geometry in maxillectomy patients with and without using transsurgical palatal obturators (TPO).

methodsThe study includes 7 maxillectomy patients, TPO users who underwent complementary radiotherapy. Outcome variables were investigated by acoustic pharyngometry (APh) and fiberoptic endoscopic evaluation of swallowing (FEES) to assess the oropharyngeal geometry and swallowing, respectively with and without TPO. Sociodemographic and clinical characteristics (postoperative radiotherapy, type of surgery, type of obturator, time elapsed between adaptation and the swallowing test) were evaluated. To compare with and without TPO conditions, Mann-Whitney test and Spearman's correlation coefficient were used.

resultsSwallowing variables: early escape and nasopharyngeal reflux showed better results with TPO (p = 0.021 and p = 0.029, respectively) compared to swallowing without TPO. The oropharyngeal geometry was not statistically associated with swallowing changes.

conclusionOropharyngeal measures by APh compared to the swallowing evaluation by FEES showed a correlation between early escape and longer length of the vocal tract in individuals with TPO. Swallowing in maxillectomy patients showed significant improvement with the use of transsurgical palatal obturator, related to the lack of early escape and absence of nasopharyngeal reflux.

Indexed as

DeglutitionDeglutition DisordersMaxillaOropharynxPalatal ObturatorsAdultAgedFemaleHumansMaleMiddle AgedFacial-Maxillary ProsthesisMaxillectomyOropharynxPalatine ObturatorsSwallowing Disorders

Identifiers

PMID40397166

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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.