ReviewCureus2025
Managing Complete Concentric Collapse in Obstructive Sleep Apnea: A Narrative Review.
Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Obstructive sleep apnea (OSA) is a prevalent disorder characterized by intermittent airway obstruction during sleep, often leading to significant cardiovascular and metabolic consequences. One particularly challenging type of OSA involves complete concentric collapse (CCC) of the upper airway, which complicates management by limiting the effectiveness of conventional therapies such as continuous positive airway pressure (CPAP) and hypoglossal nerve stimulation (HGNS). This narrative review examines current surgical treatments for OSA, including uvulopalatopharyngoplasty (UPPP), expansion sphincter pharyngoplasty (ESP), maxillomandibular advancement (MMA), and other skeletal surgeries, with a focus on the challenges of treating patients with CCC. We discuss the limitations of HGNS in this population and critically review studies that have contraindicated HGNS due to airway dynamics, highlighting the small patient populations and limited generalizability. Finally, we explore the potential of bilateral HGNS (B-HGNS) as a promising alternative, which may synchronize the activation of both genioglossus muscles and improve airway stability. This review emphasizes the need for further research on B-HGNS and the development of treatment strategies that reduce reliance on invasive surgeries and optimize outcomes for patients with CCC.
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Registered trials
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.