Evidence map›Paper›PMID 41855678›Full record

ArticleBrazilian journal of otorhinolaryngology

Zetapalatopharyngoplasty in treatment of obstructive sleep apnea: a 10-year retrospective study.

Alan Rodrigues de Almeida Paiva, Mauro Becker Santos Vieira, Roberto Eustáquio Santos Guimaraes, Ana Paula Alves Pereira, Yuri Alexandre Mota Amaral, Maria Clara Argolo Costa, Nayane Oliveira Pio

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In one paragraph

Article in Brazilian journal of otorhinolaryngology. 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

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No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

7 authors.

Alan Rodrigues de Almeida PaivaHospital Felicio Rocho, Department of Othorinolaryngology, Belo Horizonte, MG, Brazil; Universidade Federal de Minas Gerais, Department of Surgery, Belo Horizonte, MG, Brazil. Electronic address: alanrodriguesmd@gmail.com.
Mauro Becker Santos VieiraHospital Felicio Rocho, Department of Othorinolaryngology, Belo Horizonte, MG, Brazil.
Roberto Eustáquio Santos GuimaraesUniversidade Federal de Minas Gerais, Department of Surgery, Belo Horizonte, MG, Brazil.
Ana Paula Alves PereiraHospital Felicio Rocho, Department of Othorinolaryngology, Belo Horizonte, MG, Brazil.
Yuri Alexandre Mota AmaralHospital Felicio Rocho, Department of Othorinolaryngology, Belo Horizonte, MG, Brazil.
Maria Clara Argolo CostaHospital Socor, Department of Otorhinolaryngology, Belo Horizonte, MG, Brazil.
Nayane Oliveira PioHospital Felicio Rocho, Department of Othorinolaryngology, Belo Horizonte, MG, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the efficiency of the Zetapalatopharyngoplasty (ZPFP) technique for Obstructive Sleep Apnea (OSA).

methodsThis retrospective study included 36 adult patients treated with ZPFP between 2012 and 2023. Clinical, polysomnographic data, and subjective assessments using the Epworth Sleepiness Scale (ESS) and the Sleep Apnea Quality of Life Index (SAQLI) were analyzed. Surgical success was defined as a ≥50% reduction in the Apnea-Hypopnea Index (AHI) or a postoperative AHI <20. The mean follow-up duration was approximately 40-months.

resultsThe mean AHI decreased from 34.22 to 19.28 events/hour (p = 0.009), while desaturation time dropped from 51.09 to 17.71 min (p < 0.001). ESS scores improved from 12.36 to 6.25 (p = 0.002), indicating reduced daytime sleepiness. According to the SAQLI, 97% of patients experienced moderate to significant improvements in quality of life. Early complications included tonsillar bleeding (2.8%) and dysphagia (5.6%), while late complications involved pharyngeal reflux (8.3%) and voice changes (8.3%). Nosevere adverse events occurred.

conclusionZPFP demonstrated favorable clinical and polysomnographic outcomes, offering a safe and effective surgical alternative for CPAP-intolerant OSA patients. Future prospective studies should assess its long-term effectiveness in reducing cardiovascular risks associated with untreated OSA. LEVEL OF EVIDENCE: 3:

Indexed as

PharynxSleep Apnea, ObstructiveAdultAgedFemaleHumansMaleMiddle AgedPolysomnographyQuality of LifeRetrospective StudiesTreatment OutcomeObstructivePharyngeal musclesPolysomnographyQuality of lifeSleep apneaSurgery

Identifiers

PMID41855678
PMCPMC13019072

What Socratic holds

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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 Socratic graph.