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Patients were excluded if they did not have pre- and postoperative sleep study data. Change in AHI and ESS scores from preop to postop were estimated using paired t-tests. Data were analyzed using stratified analyses, simple linear regression models, and univariate logistic regression models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      43 patients underwent hyoid suspension from 2012 to 2023 with a mean (SD) age of 47.7 (9.5) years, mean (SD) BMI of 31.4 (6.9) kg\/m2, and mean preoperative AHI of 30.6 (21.1) events\/hr. Most patients had an adjuvant procedure performed concurrently, including palatal surgery (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200911), genioglossus advancement (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20093), or palatal surgery and genioglossus advancement (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200924). There was a statistically significant improvement in the pre- and post-surgery AHI (mean decrease of -9.4 events\/hr (95% CI \u2212\u200917.1 to \u2212\u20091.6,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.019)) and ESS score (mean decrease of \u2212\u20092.0 points (95% CI \u2212\u20093.7 to \u2212\u20090.3,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.025)). Thirteen (30.2%) patients achieved success based on Sher20 criteria.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Hyoid suspension with adjuvant OSA surgery results in statistically significant improvement in AHI and ESS scores, but additional research is needed to evaluate whether these results are clinically impactful.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>3.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11325-025-03370-8","type":"journal-article","created":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T08:30:48Z","timestamp":1751877048000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Evaluating outcomes of hyoid suspension combined with other upper airway surgery for obstructive sleep apnea"],"prefix":"10.1007","volume":"29","author":[{"given":"Christian","family":"Schaaff","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tejal H.","family":"Patel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dania","family":"Alazawi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evan","family":"Thomas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary H.","family":"Kress","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas R.","family":"Lenze","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey J.","family":"Stanley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5554-3123","authenticated-orcid":false,"given":"Paul T.","family":"Hoff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,7,7]]},"reference":[{"issue":"5","key":"3370_CR1","doi-asserted-by":"publisher","first-page":"273","DOI":"10.1177\/2040622315590318","volume":"6","author":"L Spicuzza","year":"2015","unstructured":"Spicuzza L, Caruso D, Di Maria G (2015) Obstructive sleep Apnoea syndrome and its management. 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