Evidence map›Paper›PMID 40622493›Full record

ArticleSleep & breathing = Schlaf & Atmung2025

Evaluating outcomes of hyoid suspension combined with other upper airway surgery for obstructive sleep apnea.

Christian Schaaff, Tejal H Patel, Dania Alazawi, Evan Thomas, Mary H Kress, Nicholas R Lenze, Jeffrey J Stanley, Paul T Hoff

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Christian SchaaffUniversity of Michigan Medical School, Ann Arbor, MI, USA.
Tejal H PatelUniversity of Michigan Medical School, Ann Arbor, MI, USA.
Dania AlazawiUniversity of Michigan Medical School, Ann Arbor, MI, USA.
Evan ThomasUniversity of Michigan Medical School, Ann Arbor, MI, USA.
Mary H KressUniversity of Michigan Medical School, Ann Arbor, MI, USA.
Nicholas R LenzeDepartment of Otolaryngology- Head and Neck Surgery, University of Michigan Medical School, Ann Arbor, MI, USA.
Jeffrey J StanleyDepartment of Otolaryngology- Head and Neck Surgery, University of Michigan Medical School, Ann Arbor, MI, USA.
Paul T HoffDepartment of Otolaryngology- Head and Neck Surgery, University of Michigan Medical School, Ann Arbor, MI, USA. phoff@med.umich.edu.ORCID 0000-0001-5554-3123

Funding

Michigan Otolaryngology Research Education (MORE)R25DC020262 · NIDCD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Gabriel Corfas · 2023 to 2026
$1.1M
Foundation for the National Institutes of Health DC020262NIDCD NIH HHS R25 DC020262
6 · The paper itself

Abstract

objectiveTo assess the effectiveness of hyoid suspension in adults with OSA.

methodsThis is a retrospective case series of adult patients with OSA who underwent hyoid suspension at a single tertiary center. Patients were excluded if they did not have pre- and postoperative sleep study data. Change in AHI and ESS scores from preop to postop were estimated using paired t-tests. Data were analyzed using stratified analyses, simple linear regression models, and univariate logistic regression models.

results43 patients underwent hyoid suspension from 2012 to 2023 with a mean (SD) age of 47.7 (9.5) years, mean (SD) BMI of 31.4 (6.9) kg/m2, and mean preoperative AHI of 30.6 (21.1) events/hr. Most patients had an adjuvant procedure performed concurrently, including palatal surgery (n = 11), genioglossus advancement (n = 3), or palatal surgery and genioglossus advancement (n = 24). There was a statistically significant improvement in the pre- and post-surgery AHI (mean decrease of -9.4 events/hr (95% CI − 17.1 to − 1.6, p = 0.019)) and ESS score (mean decrease of − 2.0 points (95% CI − 3.7 to − 0.3, p = 0.025)). Thirteen (30.2%) patients achieved success based on Sher20 criteria.

conclusionsHyoid suspension with adjuvant OSA surgery results in statistically significant improvement in AHI and ESS scores, but additional research is needed to evaluate whether these results are clinically impactful. LEVEL OF EVIDENCE: 3.

Indexed as

Hyoid BoneSleep Apnea, ObstructiveAdultFemaleHumansMaleMiddle AgedPolysomnographyRetrospective StudiesTreatment OutcomeHyoid bone surgeryObstructive sleep apneaPalate surgeryPolysomnographyTreatment outcomes

Identifiers

PMID40622493
PMCPMC12234598

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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.