{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T07:14:01Z","timestamp":1768979641206,"version":"3.49.0"},"reference-count":18,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2014,8,6]],"date-time":"2014-08-06T00:00:00Z","timestamp":1407283200000},"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":[[2014,10]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>To evaluate the effect of radiofrequency surgery of the soft palate on daytime sleepiness in snoring men with mild or no sleep apnea.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Randomized controlled trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirty\u2010five men were recruited from consecutive patients referred to the Ear, Nose, and Throat Clinic due to snoring and complaints of daytime sleepiness. The inclusion criteria were an apnea\u2010hypopnea index (AHI) of\u2009\u2264\u200915, male gender, and age 18 to 65 years. Patients were randomized to either radiofrequency or sham surgery of the soft palate. All but one chose and received the option of three treatments. All patients participated in a follow\u2010up, including an overnight sleep apnea recording and questionnaires 12 months after the last treatment. The primary outcome was daytime sleepiness measured with the Epworth Sleepiness Scale (ESS) and other questionnaires. Secondary outcomes were effects on the AHI and subjective snoring.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010two of 35 patients\u201419 of 20 patients in the radiofrequency surgery group and 13 of 15 patients in the sham surgery group\u2014completed the study. No differences between the two groups in relation to the ESS or AHI were found at follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Radiofrequency surgery of the soft palate has no effect on daytime sleepiness, snoring, or apnea frequency in snoring men with mild or no sleep apnea 1 year after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>1b. <jats:italic>Laryngoscope<\/jats:italic> 124:2422\u20132426, 2014<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.24580","type":"journal-article","created":{"date-parts":[[2014,1,4]],"date-time":"2014-01-04T08:22:37Z","timestamp":1388823757000},"page":"2422-2426","source":"Crossref","is-referenced-by-count":8,"title":["Effects of Radiofrequency versus sham surgery of the soft palate on daytime sleepiness"],"prefix":"10.1002","volume":"124","author":[{"given":"Thorbjorn","family":"Holmlund","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology Ume\u00e5 School of Business and Economics  Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eva","family":"Levring\u2010J\u00e4ghagen","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Radiology Ume\u00e5 School of Business and Economics  Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karl A.","family":"Franklin","sequence":"additional","affiliation":[{"name":"Department of Surgery Ume\u00e5 School of Business and Economics  Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie","family":"Lindkvist","sequence":"additional","affiliation":[{"name":"Department of Statistics Ume\u00e5 School of Business and Economics  Sweden"},{"name":"Department of Epidemiology and Global Health Ume\u00e5 University. Ume\u00e5  Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diana","family":"Berggren","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Ume\u00e5 School of Business and Economics  Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,8,6]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/19.7.531"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.114.4.1048"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199304293281704"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.124.5.1709"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/31.6.801"},{"key":"e_1_2_6_7_1","first-page":"454","article-title":"Cognitive function in middle\u2010aged snorers and controls: role of excessive daytime somnolence and sleep\u2010related hypoxic events","volume":"11","author":"Telakivi T","year":"1988","journal-title":"Sleep"},{"key":"e_1_2_6_8_1","unstructured":"LimJ LassersonTJ FleethamJ WrightJJ.Oral appliances for obstructive sleep apnoea. 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