{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T14:49:16Z","timestamp":1788274156175,"version":"build-2803163510"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,8,15]],"date-time":"2024-08-15T00:00:00Z","timestamp":1723680000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To study the efficiency of lingual tonsillectomy (LT) as part of multilevel surgery in children with complex obstructive sleep apnea (OSA). To evaluate the safety and the outcomes of LT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Retrospective case series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Pediatric tertiary care academic center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We included all children operated for LT to treat complex OSA, from January 2018 to June 2022. All patients underwent a protocolized drug\u2010induced sleep endoscopy (DISE) followed by a coblation LT, associated with the treatment of all other obstructive sites. Patient demographics, medical history, surgery, and outcomes were reviewed. The efficiency of LT was analyzed exclusively in patients with a preoperative and postoperative sleep study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      One hundred twenty\u2010three patients were included. Median age was 8 years (interquartile range, IQR [3\u201012]). Sixty\u2010five (53%) patients had Down syndrome, 22 (18%) had a craniofacial malformation, and 8 (7%) were obese. LT was associated with adenoidectomy (n\u2009=\u200978, 63%), partial tonsillectomy (n\u2009=\u200970, 57%), inferior turbinoplasty\/turbinectomy (n\u2009=\u200959, 48%), epiglottoplasty (n\u2009=\u200992, 75%), and\/or expansion pharyngoplasty (n\u2009=\u20092, 2%). Eighty\u2010nine patients underwent a sleep study before and after surgery. The median apnea\u2010hypopnea index (AHI) decreased from 18\u2009events\/h (IQR [9\u201036]) before surgery to 3\u2009events\/h (IQR [1\u20105]) after surgery (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001) (patients with a postoperative AHI\u2009&lt;1.5\u2009events\/h, n\u2009=\u200931, 35%, and an AHI\u2009&lt;5\u2009events\/h, n\u2009=\u200932, 36%). Seventeen out of 30 (57%) patients could be weaned from continuous positive airway pressure after surgery. Two patients had a postoperative hemorrhage and 2 patients required a transient postoperative reintubation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In children with complex OSA, LT as part of a DISE\u2010directed multilevel upper airway surgery, was a very efficient and safe procedure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.947","type":"journal-article","created":{"date-parts":[[2024,8,16]],"date-time":"2024-08-16T01:24:06Z","timestamp":1723771446000},"page":"292-298","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Lingual Tonsillectomy as Part of a DISE\u2010Directed Multilevel Upper Airway Surgery to Treat Complex Pediatric OSA: A Safe and Appropriate Procedure"],"prefix":"10.1002","volume":"172","author":[{"given":"Cornelia","family":"Trandafir","sequence":"first","affiliation":[{"name":"Department of Paediatric Otolaryngology AP\u2010HP, H\u00f4pital Necker\u2010Enfants Malades Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Couloigner","sequence":"additional","affiliation":[{"name":"Department of Paediatric Otolaryngology AP\u2010HP, H\u00f4pital Necker\u2010Enfants Malades Paris France"},{"name":"Facult\u00e9 de M\u00e9decine Universit\u00e9 Paris Cit\u00e9 Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florian","family":"Chatelet","sequence":"additional","affiliation":[{"name":"Facult\u00e9 de M\u00e9decine Universit\u00e9 Paris Cit\u00e9 Paris France"},{"name":"Department of Otolaryngology AP\u2010HP, H\u00f4pital Lariboisi\u00e8re Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brigitte","family":"Fauroux","sequence":"additional","affiliation":[{"name":"Pediatric Sleep and Noninvasive Ventilation Unit AP\u2010HP, H\u00f4pital Necker\u2010Enfants Malades Paris France"},{"name":"EA 7330 VIFASOM (Vigilance Fatigue Sommeil et Sant\u00e9 Publique) Paris Cit\u00e9 University Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1219-727X","authenticated-orcid":false,"given":"Romain","family":"Luscan","sequence":"additional","affiliation":[{"name":"Department of Paediatric Otolaryngology AP\u2010HP, H\u00f4pital Necker\u2010Enfants Malades Paris France"},{"name":"Facult\u00e9 de M\u00e9decine Universit\u00e9 Paris Cit\u00e9 Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,8,15]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.2147\/NSS.S51907"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-1671"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599818807917"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200912-1930OC"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ohn.159"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2009.01.043"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2020.101273"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599820985000"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/00034894211045645"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2018.01.029"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2020.110289"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2016.4274"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599817725708"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2016.09.037"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/01945998221094211"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.10816"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2018.02.019"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.2172"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2023.111627"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anorl.2019.05.016"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2014.1329"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26202"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.2147\/NSS.S154723"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2020.4548"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2014.01.032"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ohn.947","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T13:30:12Z","timestamp":1760967012000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1002\/ohn.947"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,15]]},"references-count":25,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1002\/ohn.947"],"URL":"https:\/\/doi.org\/10.1002\/ohn.947","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,15]]},"assertion":[{"value":"2024-01-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}