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Tonsillectomy and muscle manipulation should be managed with careful attention due to the risk of muscle fibers rupture and surgical failure. We describe the coblator assisted BRP. The aim of this paper is to report the use and advantages of coblator technology in tonsillectomy and the velo\u2010pharyngeal dissection before the PPM relocation with barbed sutures. In this operative technique study 100 OSA patients underwent Co\u2010barbed technique. The CO\u2010BRP technique has been considered fast, safe and minimally invasive with a low postoperative pain (mean value 3.63\u2009\u00b1\u20090.7). Postoperatively, a significant decrease in mean AHI from 35.63\u2009\u00b1\u200910.57 to 17.06\u2009\u00b1\u20095.92 (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.005) emerged.<\/jats:p>","DOI":"10.1002\/oto2.70019","type":"journal-article","created":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T05:47:36Z","timestamp":1736747256000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Coblator Assisted\u2010Barbed Relocation Pharyngoplasty (Co\u2010BRP) in Obstructive Sleep Apnea Surgical Treatment"],"prefix":"10.1002","volume":"9","author":[{"given":"Ahmed","family":"Bahgat","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head &amp; Neck Surgery Alexandria University Alexandria Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudio","family":"Vicini","sequence":"additional","affiliation":[{"name":"Department ENT &amp; Audiology University of Ferrara Ferrara Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yassin","family":"Bahgat","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head &amp; Neck Surgery Alexandria University Alexandria Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Magliulo","sequence":"additional","affiliation":[{"name":"Department of \u2018Organi di Senso\u2019 University \u201cSapienza\u201d Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Greco","sequence":"additional","affiliation":[{"name":"Department of \u2018Organi di Senso\u2019 University \u201cSapienza\u201d Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Armando","family":"De Virgilio","sequence":"additional","affiliation":[{"name":"Department of \u2018Organi di Senso\u2019 University \u201cSapienza\u201d Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annalisa","family":"Pace","sequence":"additional","affiliation":[{"name":"Department of \u2018Organi di Senso\u2019 University \u201cSapienza\u201d Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonino","family":"Maniaci","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Kore University Enna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerome","family":"Lechien","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Elsan Polyclinic of Poitiers Poitiers France"},{"name":"Department of Laryngology and Bronchoesophagology, Mons School of Medicine, UMONS. Research Institute for Health Sciences and Technology, EpiCURA Hospital University of Mons (UMons) Mons Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"De Vito","sequence":"additional","affiliation":[{"name":"Department of Head\u2010Neck Surgery, Otolaryngology, Head\u2010Neck and Oral Surgery Unit Morgagni Pierantoni Hospital Forl\u00ec Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Cammaroto","sequence":"additional","affiliation":[{"name":"Department of Head\u2010Neck Surgery, Otolaryngology, Head\u2010Neck and Oral Surgery Unit Morgagni Pierantoni Hospital Forl\u00ec Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Caranti","sequence":"additional","affiliation":[{"name":"Department ENT &amp; Audiology University of Ferrara Ferrara Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuele","family":"Casale","sequence":"additional","affiliation":[{"name":"Integrated Therapies in Otolaryngology University Campus Bio\u2010Medico Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Moffa","sequence":"additional","affiliation":[{"name":"Integrated Therapies in Otolaryngology University Campus Bio\u2010Medico Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salvatore","family":"Cocuzza","sequence":"additional","affiliation":[{"name":"Department of Medical, Surgical Sciences and Advanced Technologies G.F. Ingrassia University of Catania Catania Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ewa","family":"Olszewska","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Medical University of Bialystok Bialystok Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiziano","family":"Perrone","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology Unit Civil Hospital of Alghero Alghero Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1781-2809","authenticated-orcid":false,"given":"Giannicola","family":"Iannella","sequence":"additional","affiliation":[{"name":"Department ENT &amp; Audiology University of Ferrara Ferrara Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,13]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-015-3628-3"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-021-02520-y"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11226749"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12216773"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-020-05883-2"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2021.102994"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2021.103197"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.13213"}],"container-title":["OTO Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/oto2.70019","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T09:28:22Z","timestamp":1760952502000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1002\/oto2.70019"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1002\/oto2.70019"],"URL":"https:\/\/doi.org\/10.1002\/oto2.70019","archive":["Portico"],"relation":{},"ISSN":["2473-974X","2473-974X"],"issn-type":[{"value":"2473-974X","type":"print"},{"value":"2473-974X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2024-06-11","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":"2025-01-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70019"}}