{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T17:52:07Z","timestamp":1787161927800,"version":"build-2736575974"},"reference-count":8,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2011,4,25]],"date-time":"2011-04-25T00:00:00Z","timestamp":1303689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2011,5]]},"abstract":"Abstract<\/jats:title>\n \n Objectives\/Hypothesis:<\/jats:title>\n To evaluate the impact of the uvular length on the efficacy of palatal implants in primary snoring.<\/jats:p>\n <\/jats:sec>\n \n Study Design:<\/jats:title>\n Prospective case series, tertiary hospital, snoring and respiratory sleep disorders center.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n \n Forty subjects with inserted palatal implants and diagnoses of primary snoring were included. All met the inclusion criteria of age >18 years, body mass index <30, apnea\u2010hypopnea index <5, tonsil grade <3, soft\u2010palate length >25 mm, and Friedman tongue position <3 following clinical, endoscopic, and polysomnographic evaluation. Epworth sleepiness scale (ESS) and the snoring\u2010intensity visual analogue scale (VAS) were recorded before and 9 months after the implant. Four subjects with extruded implants were excluded; the remaining 36 subjects were divided into two groups, Group I and Group II, with uvular lengths of \u226415 mm and >15 mm, respectively. The study assessed and compared subjective outcome measures including the partner's satisfaction (PS), partner's reported improvement (PRI), 50% VAS and ESS reduction, and subjective success (SS) defined as 50% VAS reduction. The Student\n t<\/jats:italic>\n test, \u03c7\n 2<\/jats:sup>\n test, and logistic regression models were used for statistical evaluation.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n SS (50% VAS reduction), PS, PRI, and 50% ESS reduction were significantly higher in Group I (\n P<\/jats:italic>\n < .001,\n P<\/jats:italic>\n = .0257,\n P<\/jats:italic>\n = .027,\n P<\/jats:italic>\n < .001). The overall SS, PRI, PS, and 50% ESS reduction were 33%, 78%, 50%, and 50%, respectively. The uvular length was found to be the determinant factor of SS (\n P<\/jats:italic>\n = .005; odds ratio = 0.75), PRI (\n P<\/jats:italic>\n = .039; odds ratio = 0.83), and 50% ESS reduction (\n P<\/jats:italic>\n = .038; odds ratio: 0.84) following implant insertion through stepwise logistic regression analysis.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Excess uvular length (>15 mm) is an important anatomic feature decreasing the efficacy of palatal implants in snoring, and additional measures, such as uvulectomy, should be considered simultaneously for better outcomes (level 4).<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/lary.21731","type":"journal-article","created":{"date-parts":[[2011,4,25]],"date-time":"2011-04-25T12:57:08Z","timestamp":1303736228000},"page":"1112-1116","source":"Crossref","is-referenced-by-count":5,"title":["Does the length of uvula affect the palatal implant outcome in the management of habitual snoring?"],"prefix":"10.1002","volume":"121","author":[{"given":"Meltem Esen","family":"Akpinar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ozgur","family":"Yigit","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ismail","family":"Kocak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aytug","family":"Altundag","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,4,25]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2005.12.009"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1080\/00016480310017090"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2005.10.006"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2005.07.027"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20137"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2005.10.032"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2005.09.033"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-008-0826-2"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.21731","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.21731","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.21731","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T06:11:28Z","timestamp":1697436688000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.21731"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,4,25]]},"references-count":8,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2011,5]]}},"alternative-id":["10.1002\/lary.21731"],"URL":"https:\/\/doi.org\/10.1002\/lary.21731","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,4,25]]}}}