{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T04:12:28Z","timestamp":1782274348151,"version":"3.54.5"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,6,14]],"date-time":"2013-06-14T00:00:00Z","timestamp":1371168000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Transoral robotic surgery (TORS) for obstructive sleep apnea\u2010hypopnea syndrome is a relatively young technique principally devised for managing apneas in the tongue base (TB) area and supraglottic larynx. This procedure is included in the so\u2010called \u201cmultilevel surgery\u201d often including a palatal and nasal surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We carried out a retrospective analysis in order to understand in detail the relative impact on apneas of the 2 different procedures carried out in the palate area (expansion sphincter pharyngoplasty and uvulopalatopharyngoplasty). We evaluated 2 groups, each of 12 cases, which were sorted according to the primary selection criteria of statistically comparable preoperative apnea\u2010hypopnea index (AHI), sex, age, body mass index (BMI), and volume of removed TB tissue.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Postoperative AHI registered was of 9.9 \u00b1 8.6 SD for the expansion sphincter pharyngoplasty group and 19.8 \u00b1 14.1 SD for the uvulopalatopharyngoplasty group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>As the palate component of our multilevel procedure, expansion sphincter pharyngoplasty, including conventional nose surgery and robotic surgery, seems to be superior to uvulopalatopharyngoplasty. \u00a9 2013 Wiley Periodicals, Inc. <jats:italic>Head Neck<\/jats:italic> <jats:bold>36<\/jats:bold>: 77\u201383, 2014<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.23271","type":"journal-article","created":{"date-parts":[[2013,6,14]],"date-time":"2013-06-14T08:28:36Z","timestamp":1371198516000},"page":"77-83","source":"Crossref","is-referenced-by-count":75,"title":["Combined transoral robotic tongue base surgery and palate surgery in obstructive sleep apnea\u2010hypopnea syndrome: Expansion sphincter pharyngoplasty versus uvulopalatopharyngoplasty"],"prefix":"10.1002","volume":"36","author":[{"given":"Claudio","family":"Vicini","sequence":"first","affiliation":[{"name":"Department of Special Surgery ENT and Oral Surgery Unit G.B. Morgagni \u2013 L. Pierantoni Hospital University of Pavia in Forl\u00ec Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Filippo","family":"Montevecchi","sequence":"additional","affiliation":[{"name":"Department of Special Surgery ENT and Oral Surgery Unit G.B. Morgagni \u2013 L. Pierantoni Hospital University of Pavia in Forl\u00ec Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenny","family":"Pang","sequence":"additional","affiliation":[{"name":"Pacific Sleep Centre Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Bahgat","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Alexandria University Alexandria Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iacopo","family":"Dallan","sequence":"additional","affiliation":[{"name":"ENT Unit Azienda Ospedaliera Universitaria Pisana Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabrina","family":"Frassineti","sequence":"additional","affiliation":[{"name":"Department of Special Surgery ENT and Oral Surgery Unit G.B. Morgagni \u2013 L. Pierantoni Hospital University of Pavia in Forl\u00ec Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aldo","family":"Campanini","sequence":"additional","affiliation":[{"name":"Department of Special Surgery ENT and Oral Surgery Unit G.B. Morgagni \u2013 L. Pierantoni Hospital University of Pavia in Forl\u00ec Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,6,14]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1159\/000284352"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21691"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199908000-00017"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1159\/000327350"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2007.03.014"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/30.4.519"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s100720300004"},{"key":"e_1_2_6_9_1","first-page":"870","article-title":"The development and validation of a dysphagia\u2010specific quality\u2010of\u2010life questionnaire for patients with head and neck cancer: the M. D. 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