{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T15:18:17Z","timestamp":1780499897086,"version":"3.54.1"},"reference-count":39,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T00:00:00Z","timestamp":1770940800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T00:00:00Z","timestamp":1770940800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100004844","name":"National Cheng Kung University Hospital","doi-asserted-by":"publisher","award":["NCKUH\u201010703035"],"award-info":[{"award-number":["NCKUH\u201010703035"]}],"id":[{"id":"10.13039\/501100004844","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp;amp; Neck"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Obstructive sleep apnea (OSA) often worsens in head and neck cancer patients post\u2010treatment. Its relationship with airway morphology after free flap reconstruction in oral\/oropharyngeal cancer (OOC) remains unclear. This study longitudinally explored OSA severity and airway changes in OOC patients post\u2010reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twenty six male OOC patients underwent polysomnography and head\/neck computed tomography scans before, 1\u2009week after, and 6\u2009months after free flap reconstruction. Airway volume\/dimensions and OSA parameters were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Upper airway volume, neck size, and total apnea\u2010hypopnea index (AHI) significantly increased 1\u2010week post\u2010surgery. At 6\u2009months, only the total AHI increase remained significant. Upper airway volume was found to have a positive influence on AHI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>OSA worsened after free flap reconstruction with partial recovery by 6\u2009months. Airway dimensions may play a different role in these patients than general OSA populations, warranting more aggressive OSA screening in this cohort.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.70198","type":"journal-article","created":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T07:05:11Z","timestamp":1771052711000},"page":"1788-1795","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Obstructive Sleep Apnea in Patients With Oral and Oropharyngeal Cancer Undergoing Free Flap Reconstruction: A Longitudinal Study With Computed Tomography"],"prefix":"10.1002","volume":"48","author":[{"given":"Han\u2010Song","family":"Tseng","sequence":"first","affiliation":[{"name":"Department of Otolaryngology National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University  Tainan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei\u2010Shu","family":"Lai","sequence":"additional","affiliation":[{"name":"Department of Nursing College of Medicine, National Cheng Kung University  Tainan Taiwan"},{"name":"Department of Nursing National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University in Tainan  Tainan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0321-8908","authenticated-orcid":false,"given":"Chung\u2010Yi","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Public Health College of Medicine, National Cheng Kung University  Tainan Taiwan"},{"name":"Department of Public Health College of Public Health, China Medical University  Taichung Taiwan"},{"name":"Department of Healthcare Administration College of Medical and Health Science, Asia University  Taichung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ming\u2010Tsung","family":"Chuang","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University  Tainan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fu\u2010Hsin","family":"Liao","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University  Tainan Taiwan"},{"name":"Sleep Medicine Center, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University  Tainan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Hsiao","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University  Tainan 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