{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T19:55:55Z","timestamp":1777319755560,"version":"3.51.4"},"reference-count":59,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T00:00:00Z","timestamp":1762905600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T00:00:00Z","timestamp":1762905600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To characterize drug\u2010induced sleep endoscopy as a method of evaluating the efficacy of sleep apnea surgical procedures at different airway sites.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>PubMed, Scopus, and CINAHL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Review Methods<\/jats:title>\n                    <jats:p>Two independent investigators selected studies on sleep apnea surgeries with presurgical and postsurgical drug\u2010induced sedation endoscopy (DISE) evaluations. Primary research studies were included, and data that overlapped with another study were excluded. Investigators performed data extraction, quality rating, and risk\u2010of\u2010bias assessment using the ROBINS\u2010I tool. Data were analyzed using a comparison of proportions and means.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Ultimately, 10 studies (N\u2009=\u2009320) were included, with 81.2% male (95% CI: 72.0\u201088.9), and an average age of 46.8. Significant reductions in VOTE (velum, oropharynx, tongue, and epiglottis) scoring were observed in postsurgical DISE findings at the level of the velum and oropharynx within the palate group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.05), and at the velum, oropharynx, and tongue within the maxillomandibular advancement (MMA) group. There were also accompanying reductions in traditional measures such as apnea\u2010hypopnea index (AHI) and Epworth sleepiness score (ESS). No significant reductions in VOTE scores at any level were observed within the nasal surgery group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>DISE allows clinicians a nuanced view in postoperative changes in upper airway collapse patterns and may provide a unique perspective in the evaluation of surgical outcomes in sleep apnea. Further research should be done to correlate these findings to existing outcome measures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.70028","type":"journal-article","created":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T11:28:56Z","timestamp":1762946936000},"page":"17-29","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Airway Changes After Sleep Apnea Surgery Using Drug\u2010Induced Sedation Endoscopy: A Systematic Review and Meta\u2010analysis"],"prefix":"10.1002","volume":"174","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-0627-5142","authenticated-orcid":false,"given":"Pranav A.","family":"Patel","sequence":"first","affiliation":[{"name":"Sleep Surgery Division, Department of Otolaryngology\u2013Head and Neck Surgery Medical University of South Carolina Charleston South Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. Cooper","family":"Munhall","sequence":"additional","affiliation":[{"name":"Sleep Surgery Division, Department of Otolaryngology\u2013Head and Neck Surgery Medical University of South Carolina Charleston South Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carter D.","family":"Smith","sequence":"additional","affiliation":[{"name":"Sleep Surgery Division, Department of Otolaryngology\u2013Head and Neck Surgery Medical University of South Carolina Charleston South Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed Faisal","family":"Kassir","sequence":"additional","affiliation":[{"name":"Sleep Surgery Division, Department of Otolaryngology\u2013Head and Neck Surgery Medical University of South Carolina Charleston South Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily A.","family":"Brennan","sequence":"additional","affiliation":[{"name":"MUSC Libraries Medical University of South Carolina Charleston South Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Badr","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"Department of Sleep Surgery Division, Department of Otolaryngology\u2013Head and Neck Surgery University of Montreal Montreal Quebec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shaun A.","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Sleep Surgery Division, Department of Otolaryngology\u2013Head and Neck Surgery Medical University of South Carolina Charleston South Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2588-8355","authenticated-orcid":false,"given":"Mohamed","family":"Abdelwahab","sequence":"additional","affiliation":[{"name":"Sleep Surgery Division, Department of Otolaryngology\u2013Head and Neck Surgery Medical University of South Carolina Charleston South Carolina USA"},{"name":"Department of Oral and Maxillofacial Surgery, School of Dentistry Medical University of South Carolina Charleston South Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,12]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13154360"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/resp.12913"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/6583216"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459989310800203"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599815611603"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.28595"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25722"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-017-1521-6"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27987"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-018-1730-7"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2023.103869"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-023-02931-z"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2018.07.007"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11226782"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-024-03197-9"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-015-3628-3"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/27.5.942"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-015-3831-2"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26487"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.2658"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(00)70147-1"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1089\/fpsam.2020.0005"},{"key":"e_1_2_8_24_1","unstructured":"Covidence Systematic Review Software Veritas Health Innovation Melbourne Australia[computer program]."},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-011-1633-8"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/bimj.201900036"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/bimj.201900036"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.315.7109.629"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(01)00377-8"},{"key":"e_1_2_8_30_1","unstructured":"JBI EBP Database. 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