{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T13:43:10Z","timestamp":1778852590214,"version":"3.51.4"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,11,15]],"date-time":"2018-11-15T00:00:00Z","timestamp":1542240000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>This study aimed to evaluate the long\u2010term swallowing performance following transoral robotic surgery (TORS) to the base of tongue (BOT) in the treatment of obstructive sleep apnea (OSA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective and prospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data analysis of 39 patients who underwent BOT reduction via TORS to treat OSA at our center from September 2013 to April 2016. Long\u2010term swallowing functions were assessed using subjective self\u2010evaluated swallowing disturbances questionnaire (SDQ) and objective fiberoptic endoscopic evaluation of swallowing (FEES).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seven patients underwent TORS BOT reduction alone, whereas 32 had also uvulopalatoplasty\u2009\u00b1\u2009tonsillectomy, with a surgical success rate of 71.4%. Mean time for swallowing evaluation was 27.4\u2009\u00b1\u20099.43 months. Twenty\u2010five patients completed the SDQ with an average score of 9.26\u2009\u00b1\u200910.05. In 32%, the SDQ was positive for dysphagia. In 10 out of 14 patients who underwent FEES, swallowing problems were noticed. The most common pathological findings were food residue in the vallecula followed by early spillage of food into the hypopharynx, penetration of solid food and liquid on the vocal folds surface, and aspiration.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>BOT reduction via TORS has a negative effect on long\u2010term swallowing function. A self\u2010assessment questionnaire can help detect patients who suffer from swallowing impairment. Postoperative objective swallowing tests are essential not only in the immediate postoperative period but also during late routine follow\u2010up. Proper patient selection and detailed information about surgery and possible late\u2010swallowing effect are important factors before scheduling BOT reduction via TORS for OSA treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4 <jats:italic>Laryngoscope<\/jats:italic>, 129:422\u2013428, 2019<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.27364","type":"journal-article","created":{"date-parts":[[2018,11,16]],"date-time":"2018-11-16T09:05:07Z","timestamp":1542359107000},"page":"422-428","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Long\u2010term swallowing performance following transoral robotic surgery for obstructive sleep apnea"],"prefix":"10.1002","volume":"129","author":[{"given":"Miki","family":"Paker","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Head and Neck Center, Rambam Health Care Campus  Haifa 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