ArticleSleep & breathing = Schlaf & Atmung2026
Single-stage multilevel surgery: expansion sphincter pharyngoplasty, anterior palatoplasty, tongue base resection in obstructive sleep apnea.
Article in Sleep & breathing = Schlaf & Atmung, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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
1 citing paper in PubMed.
- Sleep-Related Breathing Disorders: A Comprehensive Review of Surgical Innovations and Evolving Technologies.Healthcare (Basel, Switzerland) · 2026Review
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
purposeTo evaluate the efficacy and safety of a standardized, drug-induced sleep endoscopy guided, single-stage multilevel protocol combining expansion sphincter pharyngoplasty (ESP), anterior palatoplasty, and coblation-assisted tongue base resection in positive airway pressure (PAP)-intolerant obstructive sleep apnea (OSA).
methodsTwenty adults with OSA (19 men, 1 woman) underwent single-stage ESP, anterior palatoplasty, and coblation-assisted tongue base resection. Preoperative and 3-month postoperative polysomnography and Epworth Sleepiness Scale (ESS) scores were compared; postoperative adverse events were recorded during follow-up.
resultsMean age was 43.75 ± 11.85 years. ESS decreased from 11.5 (IQR 9.0) to 4.5 (IQR 6.0) (p < 0.001). Overall AHI decreased from 17.55 events/h (IQR 12.43) to 7.05 events/h (IQR 8.55) (p < 0.001). Minimum oxygen saturation increased from 84% (IQR 7) to 87% (IQR 4) (p = 0.039), and T90 decreased from 2.85% (IQR 15.38) to 0.25% (IQR 1.85) (p = 0.003). After excluding recordings with < 60 min of supine sleep, supine AHI decreased from 28.3 to 7.8 events/h (n = 15; p = 0.002). Surgical success (postoperative AHI < 20 and > 50% reduction) was achieved in 13/20 (65%); 9/20 (45%) achieved postoperative AHI < 5. No major complications occurred.
conclusionSingle stage multilevel surgery combining ESP, anterior palatoplasty, and coblation-assisted tongue base resection provides significant short-term improvements in symptoms, polysomnographic indices, and nocturnal oxygenation, with a favorable safety profile in PAP-intolerant OSA.
Indexed as
Identifiers
41691121What Socratic holds
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 Socratic graph.