{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T10:18:33Z","timestamp":1787739513307,"version":"build-2784847793"},"reference-count":47,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Anterior cervical discectomy and fusion (ACDF) treats cervical disc herniation, cervical spondylosis, and spinal stenosis. Post\u2010operative complications may include dysphagia, pharyngeal edema, and muscle weakness. Recent studies have examined the interplay between ACDF and obstructive sleep apnea (OSA). This scoping review aimed to: (1) explore whether ACDF increases the risk of OSA onset or worsening; (2) summarize reported ACDF\u2010OSA outcomes; and (3) identify gaps to inform future research and clinical practices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>PubMed, MEDLINE via Ovid, CINAHL, Cochrane, Scopus, Web of Science, and Google Scholar.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Review Methods<\/jats:title>\n                    <jats:p>Following PRISMA\u2010ScR guidelines, English\u2010language studies of adults with pre\u2010 or postoperative OSA after ACDF were included; eligibility was independently assessed by two reviewers with consensus resolution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twelve of 619 studies met the inclusion criteria, reporting both new\u2010onset and worsening of pre\u2010existing OSA following ACDF. Patients with pre\u2010existing or newly diagnosed OSA demonstrated increased 144post\u2010operative respiratory complications and healthcare utilization, including a greater need for mechanical ventilation and longer hospital length of stay; dysphagia occurred in both groups. Proposed contributors to post\u2010ACDF OSA included pharyngeal narrowing, altered cervical alignment, edema, hardware\u2010related airway compromise, and post\u2010operative weight gain. The reviewed studies provided little to no information on perioperative OSA management, including the use or effectiveness of positive airway pressure therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>ACDF may be associated with structural, neuromuscular, and functional changes that increase the risk of OSA onset or severity. Prospective studies using validated measures are needed to determine whether interdisciplinary approaches, including OSA screening and individualized perioperative care, improve ACDF outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>N\/A.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70806","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T04:20:03Z","timestamp":1786594803000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["<scp>ACDF<\/scp>\n                    Impact on Aerodigestive Function and Obstructive Sleep Apnea: A Scoping Review"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-9901-6503","authenticated-orcid":false,"given":"Ekaterina","family":"Bruno","sequence":"first","affiliation":[{"name":"Department 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R.","family":"Patel","sequence":"additional","affiliation":[{"name":"Center for Sleep and Cardiovascular Outcomes Research University of Pittsburgh School of Medicine  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gail","family":"Kouame","sequence":"additional","affiliation":[{"name":"University of South Alabama  Mobile Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kendrea L.","family":"Garand","sequence":"additional","affiliation":[{"name":"Department of Communication Science and Disorders University of Pittsburgh  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,12]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12178\u2010016\u20109348\u20105"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.3171\/2009.3.SPINE08720"},{"key":"e_1_2_12_4_1","unstructured":"E.McKisson 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