Evidence mapPaperPMID 39768359Full record

ReviewLife (Basel, Switzerland)2024

Surgical Management of Pediatric Obstructive Sleep Apnea: Efficacy, Outcomes, and Alternatives-A Systematic Review.

Gianna Dipalma, Angelo Michele Inchingolo, Irene Palumbo, Mariafrancesca Guglielmo, Lilla Riccaldo, Roberta Morolla, Francesco Inchingolo, Andrea Palermo, Ioannis Alexandros Charitos, Alessio Danilo Inchingolo

Abstract readReview
In one paragraph

Review in Life (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Drug-Induced Sleep Endoscopy in Children Predicts OSA Severity.World journal of otorhinolaryngology - head and neck surgery · 2026
    Article
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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

10 authors.

Gianna DipalmaDepartment of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70121 Bari, Italy.ORCID 0000-0002-5947-8987
Angelo Michele InchingoloDepartment of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70121 Bari, Italy.ORCID 0000-0003-0104-6337
Irene PalumboDepartment of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70121 Bari, Italy.ORCID 0000-0002-3652-7010
Mariafrancesca GuglielmoDepartment of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70121 Bari, Italy.ORCID 0000-0003-2792-7167
Lilla RiccaldoDepartment of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70121 Bari, Italy.
Roberta MorollaDepartment of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70121 Bari, Italy.ORCID 0000-0002-3925-6674
Francesco InchingoloDepartment of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70121 Bari, Italy.ORCID 0000-0003-3797-5883
Andrea PalermoDepartment of Experimental Medicine, University of Salento, 73100 Lecce, Italy.
Ioannis Alexandros CharitosPneumology and Respiratory Rehabilitation Unit, Istituti Clinici Scientifici Maugeri IRCCS, 70124 Bari, Italy.
Alessio Danilo InchingoloDepartment of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70121 Bari, Italy.ORCID 0000-0002-6366-1039

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimObstructive sleep apnea (OSA) is the most prevalent sleep-related breathing disorder. OSA affects approximately 2 million Italians, although only 3% receive a diagnosis and correct treatment. This review aims to provide an overview to guide clinical decision making, ensuring that patients receive the most appropriate treatment for their specific condition. MATERIAL AND

methodsThis systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and registered at PROSPERO under the ID CRD42024593760. A search on PubMed, Scopus, and Web of Science was performed to find papers that matched the topic, using the following Boolean keywords: ("obstructive sleep apnea" OR "OSA" OR "sleep apnea, obstructive") AND ("surgery" OR "surgical" OR "surgical techniques" OR "surgical treatment" OR "operative" OR "surgical procedures") AND ("treatment" OR "therapy" OR "management").

resultThe electronic database search found 20337 publications. After the screening and eligibility phase, 15 papers were chosen for the qualitative analysis.

conclusionsAdenotonsillectomy (AT) significantly improves secondary outcomes like behavioral issues and quality of life, compared to watchful waiting with supportive care (WWSC). Alternative approaches such as tonsillotomy and adenopharyngoplasty (APP) offer promising results, with less postoperative discomfort and lower complication rates. However, further large-scale studies are needed to refine surgical techniques, assess long-term outcomes, and optimize individualized treatment strategies for OSA.

Indexed as

obstructive sleep apneaOSASpediatric OSAsurgical treatmenttonsillectomy

Identifiers

PMID39768359
PMCPMC11677306

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.