{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T11:19:23Z","timestamp":1791199163538,"version":"4.1.0"},"reference-count":19,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,3,12]],"date-time":"2019-03-12T00:00:00Z","timestamp":1552348800000},"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":[[2020,1]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>We have previously shown that modified uvulopalatopharyngoplasty (UPPP) is effective to treat obstructive sleep apnea (OSA) and that the effect is stable after 24\u2009months. This continuous report includes questionnaires and phone interviews.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Prospective intervention study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Sixty\u2010five patients with apnea\u2010hypopnea index (AHI) score\u2009\u2265\u200915, body mass index &lt;36\u2009kg\/m<jats:sup>2<\/jats:sup>, and Epworth Sleepiness Scale (ESS) score\u2009\u2265\u20098 underwent modified UPPP after failing nonsurgical treatment. The results from a patient questionnaire at 6 and 24\u2009months after surgery were correlated with age, body mass index, and ESS and AHI scores. Patients reporting side effects and\/or regretting the surgery after 24\u2009months were selected for phone interviews 9\u2009years after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The response rate was 80% and 74% at the 6\u2010 and 24\u2010month follow\u2010ups, respectively. Of those who responded to the questionnaire, 96% and 83% were satisfied after 6 and 24\u2009months, respectively; 98% and 92% recommended the surgery. Side effects (globus, mucus, and voice and swallowing disorders) occurred in 38% and 31%, respectively. Dissatisfaction correlated significantly with high postoperative AHI and ESS scores, but not with occurrence of side effects. Younger subjects had a higher rate of recommendation and lower rate of side effects than did older subjects. Phone interviews after 9\u2009years were responded to by 14 of 16 selected patients, and the responders reported minor or no side effects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The vast majority of the OSA patients were satisfied 24\u2009months after surgery, even though a third of them were experiencing side effects. Younger patients had fewer side effects than did older patients. Patients with better OSA outcomes were also more satisfied. After 9\u2009years the side effects were no longer problematic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>2b <jats:italic>Laryngoscope<\/jats:italic>, 130:263\u2013268, 2020<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.27917","type":"journal-article","created":{"date-parts":[[2019,3,12]],"date-time":"2019-03-12T20:37:28Z","timestamp":1552423048000},"page":"263-268","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Long\u2010term evaluation of satisfaction and side effects after modified uvulopalatopharyngoplasty"],"prefix":"10.1002","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8327-1292","authenticated-orcid":false,"given":"Danielle","family":"Friberg","sequence":"first","affiliation":[{"name":"Department of Surgical Sciences, Otorhinolaryngology\u2013Head and Neck Surgery Uppsala University  Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joar","family":"Sundman","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Intervention, and Technology Karolinska Institute  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nanna","family":"Browaldh","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Intervention, and Technology Karolinska Institute  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,3,12]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988108900609"},{"key":"e_1_2_6_3_1","first-page":"27","article-title":"Effects and side\u2010effects of surgery for snoring and obstructive sleep apnea\u2014a systematic review","volume":"32","author":"Franklin 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