{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T11:19:21Z","timestamp":1791199161827,"version":"4.1.0"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,9,16]],"date-time":"2022-09-16T00:00:00Z","timestamp":1663286400000},"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":[[2023,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Identification and evaluation of swallowing dysfunction in patients undergoing upper airway surgery for obstructive sleep apnea (OSA) is limited. This study evaluated subjective swallowing function pre and postoperatively in patients undergoing multi\u2010level reconstructive pharyngeal sleep surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective analysis of prospectively\u2010administered Eating Assessment Tool (EAT\u201010) scores was conducted among adult patients undergoing surgery for OSA at a tertiary sleep surgery center. Preoperative and 1, 3, and 6\u2010month postoperative time points were assessed. Patients were subdivided into two groups based on the degree of upper airway reconstruction performed. All patients underwent uvulopalatopharyngoplasty +\/\u2212tonsillectomy and tongue\u2010base reduction. Patients undergoing Phase 1 reconstructive surgery additionally underwent tongue\u2010base advancement procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total 100 patients underwent airway reconstructive surgery. Forty\u2010one patients underwent Phase 1 surgery; 59 patients underwent Mini\u2010Phase 1 surgery. Neither group demonstrated preoperative dysphagia. Both groups experienced significant subjective dysphagia at 1\u2010month postoperatively, which was greater among Phase 1 patients (mean EAT\u201010 14.8; SD 10.4) versus Mini\u2010Phase 1 patients (mean EAT\u201010 6.7; SD 7.5) (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Swallowing function among both groups normalized by 3 and 6 months postoperatively. Phase 1 patients with pre\u2010operative dysphagia (mean EAT\u201010 9.6; SD 5) demonstrated initial worsening of their swallowing postoperatively; however, reported improved swallowing versus pre\u2010operative levels by 6\u2009months postoperatively (mean EAT\u201010 3.6; SD 4.3) (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.03).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Pharyngeal surgery resulted in no significant, persistent adverse change in swallowing function. Among both groups, significant subjective dysphagia was reported at 1\u2009month postoperatively, yet returned to preoperative levels by 6\u2009months postoperatively. OSA patients with pre\u2010existing dysphagia undergoing Phase 1 surgery trended towards improved swallowing function postoperatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>2 <jats:italic>Laryngoscope<\/jats:italic>, 133:199\u2013204, 2023<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.30336","type":"journal-article","created":{"date-parts":[[2022,9,16]],"date-time":"2022-09-16T12:25:17Z","timestamp":1663331117000},"page":"199-204","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Functional Outcomes of Swallowing Following Surgery for Obstructive Sleep Apnea"],"prefix":"10.1002","volume":"133","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3838-1067","authenticated-orcid":false,"given":"Alysha","family":"Rasool","sequence":"first","affiliation":[{"name":"Section of Otolaryngology\u2010Head and Neck Surgery, Department of Surgery Cumming School of Medicine, University of Calgary  Calgary Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5542-1916","authenticated-orcid":false,"given":"Derrick R.","family":"Randall","sequence":"additional","affiliation":[{"name":"Section of Otolaryngology\u2010Head and Neck Surgery, Department of Surgery Cumming School of Medicine, University of Calgary  Calgary Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason K. M.","family":"Chau","sequence":"additional","affiliation":[{"name":"Section of Otolaryngology\u2010Head and Neck Surgery, Department of Surgery Cumming School of Medicine, University of Calgary  Calgary Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,9,16]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27364"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.6898"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199304293281704"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.2109080"},{"issue":"8","key":"e_1_2_7_6_1","first-page":"1311","article-title":"Obstructive sleep apnea is a common disorder in the population\u2014a review on the epidemiology of sleep apnea","volume":"7","author":"Franklin KA","year":"2015","journal-title":"J Thoracic Dis"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.16.1709"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.290.14.1906"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199304293281704"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)71141-7"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.27497"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201602-0361ST"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/33.10.1408"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2005-864201"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940811701210"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/nmo.13277"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-018-4898-3"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(00)70058-1"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsmc.2018.10.013"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988609400610"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/32.3.373"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-020-02037-w"},{"issue":"1","key":"e_1_2_7_23_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 KA","year":"2009","journal-title":"Sleep"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1053\/hn.1999.v120.a91292"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599816688646"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.30336","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lary.30336","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.30336","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,20]],"date-time":"2023-08-20T15:22:04Z","timestamp":1692544924000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.30336"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,16]]},"references-count":24,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,1]]}},"alternative-id":["10.1002\/lary.30336"],"URL":"https:\/\/doi.org\/10.1002\/lary.30336","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,16]]},"assertion":[{"value":"2022-02-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-07-19","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-09-16","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}