{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T10:45:56Z","timestamp":1782470756592,"version":"3.54.5"},"reference-count":38,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:00:00Z","timestamp":1780963200000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"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":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To identify anatomical factors predictive of moderate\/severe obstructive sleep apnea\u2010hypopnea syndrome (OSAHS) during routine ENT examinations in awake patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 110 patients who snore or are suspected to have OSAHS were prospectively included and underwent a standardized ENT examination coupled with recorded nasofibroscopy and sleep recording. Anatomical assessment of the upper airway was performed independently by two examiners using the recorded videos. The shape, size, and position of the epiglottis, the shape of the retro\u2010pharyngeal space, the modified Cormack\u2013Lehane score, and the tongue base were evaluated. An interexaminer agreement was calculated. A multivariate logistic regression model was used to assess independent predictors of moderate\/severe OSA, enabling the construction of a screening model. Thresholds were defined using the ROC curve.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Interobserver agreement was excellent for the assessment of epiglottis shape\/aspect (\n                      <jats:italic>\u03ba<\/jats:italic>\n                      \u2009=\u20090.95), contact with the posterior pharyngeal wall (\n                      <jats:italic>\u03ba<\/jats:italic>\n                      \u2009=\u20090.92), vallecula visibility (\n                      <jats:italic>\u03ba<\/jats:italic>\n                      \u2009=\u20090.89), epiglottis size (\n                      <jats:italic>\u03ba<\/jats:italic>\n                      \u2009=\u20090.86), and modified Cormack\u2013Lehane score (\n                      <jats:italic>\u03ba<\/jats:italic>\n                      \u2009=\u20090.86). Age\u2009&gt;\u200945\u2009years, male sex, retrovelar narrowing &lt;\u20091\u2009cm, presence of mega\u2010epiglottis and modified Cormack\u2013Lehane score were significantly associated with moderate\/severe OSA. Multivariate analyses revealed 3 predictive factors for moderate\/severe OSAHS: age\u2009&gt;\u200945\u2009years (aOR\u2009=\u20094, 95% CI [1.44\u201311.12],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.008), retrovelar narrowing &lt;\u20091\u2009cm (aOR\u2009=\u20092.8, 95% CI [1.05\u20137.6],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.04), and the presence of a mega\u2010epiglottis (aOR\u2009=\u20094.1, 95% CI [1.49\u201311.23],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.006).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Meticulous anatomic assessment of the upper airway during routine ENT consultations is a relevant tool for identifying patients at risk for moderate\/severe OSAHS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>2<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Trial Registration:<\/jats:bold>\n                      Clinical Trials: NCT05808868.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lio2.70454","type":"journal-article","created":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T06:07:18Z","timestamp":1781071638000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Identify Patients at Risk of Moderate or Severe\n                    <scp>OSAHS<\/scp>\n                    During\n                    <scp>ENT<\/scp>\n                    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