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Midline posterior glossectomy and lingual tonsillectomy in obese and nonobese children with down syndrome: Biomarkers for success

Overview of attention for article published in The Laryngoscope, June 2016
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Mentioned by

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3 tweeters

Citations

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28 Dimensions

Readers on

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70 Mendeley
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Title
Midline posterior glossectomy and lingual tonsillectomy in obese and nonobese children with down syndrome: Biomarkers for success
Published in
The Laryngoscope, June 2016
DOI 10.1002/lary.26104
Pubmed ID
Authors

Evan J. Propst, Reshma Amin, Natasha Talwar, Michele Zaman, Allison Zweerink, Susan Blaser, Christian Zaarour, Igor Luginbuehl, Cengiz Karsli, Albert Aziza, Christopher Forrest, James Drake, Indra Narang

Abstract

To examine outcomes following midline posterior glossectomy (MPG) plus lingual tonsillectomy (LT) for the treatment of significant obstructive sleep apnea (OSA) in children with Down syndrome (DS). Patients with DS who had persistent OSA following tonsillectomy and adenoidectomy (TA) and were relatively intolerant of positive airway pressure (PAP) therapy were evaluated by physical examination and sleep/CINE magnetic resonance imaging to determine the etiology of upper airway obstruction. Patients with relative macroglossia underwent MPG plus LT if required. Successful surgical outcome was defined as the resolution of OSA or the ability to tolerate PAP. Thirteen children (8 male, 5 female), mean (standard deviation) age 14.2 (4.0) years underwent MPG plus LT. Fifty-four percent of patients were obese (Body mass index [BMI] > 95th centile) and 8% were overweight (BMI 85th-95th centile) preoperatively. All patients underwent pre- and postoperative polysomnography. Postoperatively, the obstructive apnea-hypopnea index fell significantly from 47.0/hour to 5.6/hour (P <.05) in normal weight individuals who did not become obese, but not in obese patients or those who became obese postoperatively. Successful surgical outcome was seen in all (N = 6) children who were normal weight or overweight preoperatively compared with none who were obese preoperatively (N = 7). Midline posterior glossectomy and LT are beneficial in normal weight and overweight children with DS who have persistent OSA following TA and are intolerant of PAP therapy. Obesity pre- or postoperatively portends a worse prognosis following MPG, suggesting that aggressive weight loss initiatives should be considered as an adjunct to surgery in this population. Level 4. Laryngoscope, 2016.

Twitter Demographics

The data shown below were collected from the profiles of 3 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 70 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Spain 1 1%
Unknown 69 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 13 19%
Student > Postgraduate 9 13%
Student > Bachelor 9 13%
Student > Doctoral Student 7 10%
Researcher 6 9%
Other 15 21%
Unknown 11 16%
Readers by discipline Count As %
Medicine and Dentistry 38 54%
Nursing and Health Professions 8 11%
Social Sciences 3 4%
Biochemistry, Genetics and Molecular Biology 2 3%
Computer Science 1 1%
Other 2 3%
Unknown 16 23%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 August 2017.
All research outputs
#10,132,373
of 15,903,488 outputs
Outputs from The Laryngoscope
#2,307
of 4,397 outputs
Outputs of similar age
#146,911
of 265,036 outputs
Outputs of similar age from The Laryngoscope
#22
of 98 outputs
Altmetric has tracked 15,903,488 research outputs across all sources so far. This one is in the 23rd percentile – i.e., 23% of other outputs scored the same or lower than it.
So far Altmetric has tracked 4,397 research outputs from this source. They receive a mean Attention Score of 4.4. This one is in the 37th percentile – i.e., 37% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 265,036 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 35th percentile – i.e., 35% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 98 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 72% of its contemporaries.