{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T06:49:00Z","timestamp":1767941340136,"version":"3.49.0"},"reference-count":23,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T00:00:00Z","timestamp":1767830400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["World j. otorhinolaryngol.-head neck surg."],"abstract":"ABSTRACT<\/jats:title>\n \n Purpose<\/jats:title>\n To explore the differences in drug\u2010induced sleep endoscopy (DISE) and M\u00fcller Maneuver (MM) results and study the impact of body mass index (BMI) on these differences.<\/jats:p>\n <\/jats:sec>\n \n Study Design<\/jats:title>\n Prospective observational study.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Forty patients with OSAHS were included in this study. All enrolled patients were evaluated for MM and DISE using the Velum, Oropharynx lateral walls, Tongue Base, and Epiglottis (VOTE) classification to describe the type, site, and degree of upper airway collapse.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The differences between MM and DISE were statistically significant at the tongue base (\n p<\/jats:italic>\n \u2009<\u20090.001) and epiglottis levels (\n p<\/jats:italic>\n \u2009<\u20090.001). At the epiglottis level, the differences of identifying severe obstruction between DISE and MM were statistically significant in the BMI\u2009<\u200925\u2009kg\/m\u00b2 (\n p<\/jats:italic>\n \u2009=\u20090.033) and BMI 25\u201330\u2009kg\/m\u00b2 groups (\n p<\/jats:italic>\n \u2009=\u20090.049). But for the BMI\u2009\u2265\u200930\u2009kg\/m\u00b2 group, the difference was not statistically significant (\n p<\/jats:italic>\n \u2009=\u20090.077).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n DISE is more sensitive in detecting obstructions of OSAHS at the tongue base and epiglottis levels, especially in non\u2010obese patients. MM could be a reasonable alternative in obese OSAHS patients when DISE is not available.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/wjo2.70085","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T05:12:11Z","timestamp":1767935531000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Impact of BMI on the Differences Between Drug\u2010Induced Sleep Endoscopy and M\u00fcller Maneuver"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-3114-4769","authenticated-orcid":false,"given":"Jun\u2010Fang","family":"Xue","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology Head and Neck Surgery Peking University International Hospital Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hong\u2010Guang","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Head and Neck Surgery Peking University International Hospital Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Su\u2010Jeong","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Head and Neck Surgery Peking University International Hospital Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xue\u2010Sheng","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Head and Neck Surgery Peking University International Hospital Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kun\u2010Peng","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Peking University International Hospital Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li\u2010Bin","family":"Suo","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Peking University International Hospital Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jian\u2010Jun","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Head and Neck Surgery Peking University International Hospital Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,8]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resinv.2021.08.010"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198512000-00009"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1991.tb01050.x"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-011-1633-8"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-017-1521-6"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-002-0511-9"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2019.1437"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24479"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.22369"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjorl.2016.05.009"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000008421"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25722"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2016.10.012"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.28391"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599812460505"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.28777"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.2658"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-016-1426-9"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-020-02035-y"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2022.12.015"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-014-0989-6"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.13213"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2023.111627"}],"container-title":["World Journal of Otorhinolaryngology - 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