{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T00:54:39Z","timestamp":1793408079876,"version":"4.5.0"},"reference-count":104,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2022,6,1]],"date-time":"2022-06-01T00:00:00Z","timestamp":1654041600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,6,1]],"date-time":"2022-06-01T00:00:00Z","timestamp":1654041600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Auris Nasus Larynx"],"published-print":{"date-parts":[[2022,6]]},"DOI":"10.1016\/j.anl.2021.10.001","type":"journal-article","created":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T18:18:04Z","timestamp":1635790684000},"page":"421-430","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":18,"title":["Systematic review and updated meta-analysis of multi-level surgery for patients with OSA"],"prefix":"10.1016","volume":"49","author":[{"given":"Yan-Ye","family":"Su","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pei-Wen","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8822-0619","authenticated-orcid":false,"given":"Hsin-Ching","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8538-4602","authenticated-orcid":false,"given":"Chun-Tuan","family":"Chang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chih-Yun","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5626-1603","authenticated-orcid":false,"given":"Michael","family":"Friedman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna M.","family":"Salapatas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"2","key":"10.1016\/j.anl.2021.10.001_bib0001","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1016\/j.otohns.2006.08.007","article-title":"Treatment compliance in patients lost to follow-up after polysomnography","volume":"136","author":"Lin","year":"2007","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"5","key":"10.1016\/j.anl.2021.10.001_bib0002","doi-asserted-by":"crossref","first-page":"902","DOI":"10.1097\/MLG.0b013e31816422ea","article-title":"The efficacy of multilevel surgery of the upper airway in adults with obstructive sleep apnea\/hypopnea syndrome","volume":"118","author":"Lin","year":"2008","journal-title":"Laryngoscope"},{"issue":"6","key":"10.1016\/j.anl.2021.10.001_bib0003","doi-asserted-by":"crossref","first-page":"923","DOI":"10.1177\/019459988108900609","article-title":"Surgical correction of anatomic azbnormalities in obstructive sleep apnea syndrome: uvulopalatopharyngoplasty","volume":"89","author":"Fujita","year":"1981","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"5","key":"10.1016\/j.anl.2021.10.001_bib0004","first-page":"227","article-title":"UPPP for sleep apnea and snoring","volume":"63","author":"Fujita","year":"1984","journal-title":"Ear Nose Throat J"},{"issue":"2","key":"10.1016\/j.anl.2021.10.001_bib0005","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1177\/019459989310800203","article-title":"Obstructive sleep apnea syndrome: a review of 306 consecutively treated surgical patients","volume":"108","author":"Riley","year":"1993","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"2","key":"10.1016\/j.anl.2021.10.001_bib0006","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1093\/sleep\/19.2.156","article-title":"The efficacy of surgical modifications of the upper airway in adults with obstructive sleep apnea syndrome","volume":"19","author":"Sher","year":"1996","journal-title":"Sleep"},{"issue":"5","key":"10.1016\/j.anl.2021.10.001_bib0007","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1111\/j.1365-2273.1991.tb01050.x","article-title":"Sleep nasendoscopy: a technique of assessment in snoring and obstructive sleep apnoea","volume":"16","author":"Croft","year":"1991","journal-title":"Clin Otolaryngol Allied Sci"},{"issue":"3","key":"10.1016\/j.anl.2021.10.001_bib0008","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1016\/S0030-6665(02)00176-7","article-title":"Video sleep nasendoscopy: the Hong Kong experience","volume":"36","author":"Abdullah","year":"2003","journal-title":"Otolaryngol Clin North Am"},{"issue":"1","key":"10.1016\/j.anl.2021.10.001_bib0009","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1186\/s40463-020-00405-w","article-title":"Can drug-induced sleep endoscopy improve the success rates of tongue base surgery?","volume":"49","author":"Ha","year":"2020","journal-title":"J Otolaryngol Head Neck Surg"},{"issue":"2","key":"10.1016\/j.anl.2021.10.001_bib0010","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1002\/lary.27987","article-title":"Does drug-induced sleep endoscopy affect surgical outcome? A multicenter study of 326 obstructive sleep apnea patients","volume":"130","author":"Pang","year":"2020","journal-title":"Laryngoscope"},{"issue":"6","key":"10.1016\/j.anl.2021.10.001_bib0011","doi-asserted-by":"crossref","first-page":"478","DOI":"10.1177\/0003489417703408","article-title":"Preoperative drug induced sleep endoscopy improves the surgical approach to treatment of obstructive sleep apnea","volume":"126","author":"Huntley","year":"2017","journal-title":"Ann Otol Rhinol Laryngol"},{"issue":"2","key":"10.1016\/j.anl.2021.10.001_bib0012","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1001\/jamaoto.2016.3103","article-title":"Minimally invasive, single-stage, multilevel surgery for obstructive sleep apnea in asian patients","volume":"143","author":"Lin","year":"2017","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"issue":"4","key":"10.1016\/j.anl.2021.10.001_bib0013","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1177\/0194599816651240","article-title":"Impact of minimally invasive multilevel surgery on mild\/moderate OSA","volume":"155","author":"Salapatas","year":"2016","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"3","key":"10.1016\/j.anl.2021.10.001_bib0014","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1177\/019459988910100309","article-title":"Maxillofacial surgery and obstructive sleep apnea: a review of 80 patients","volume":"101","author":"Riley","year":"1989","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"12","key":"10.1016\/j.anl.2021.10.001_bib0015","doi-asserted-by":"crossref","first-page":"1256","DOI":"10.1016\/0278-2391(89)90719-2","article-title":"Maxillomandibular advancement surgery in 23 patients with obstructive sleep apnea syndrome","volume":"47","author":"Waite","year":"1989","journal-title":"J Oral Maxillofac Surg."},{"issue":"1","key":"10.1016\/j.anl.2021.10.001_bib0016","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1016\/0278-2391(90)90174-Z","article-title":"Maxillary, mandibular, and hyoid advancement for treatment of obstructive sleep apnea: a review of 40 patients","volume":"48","author":"Riley","year":"1990","journal-title":"J Oral Maxillofac Surg"},{"key":"10.1016\/j.anl.2021.10.001_bib0017","doi-asserted-by":"crossref","first-page":"50","DOI":"10.3109\/00016489209136809","article-title":"Palatopharyngoglossoplasty in the treatment of patients with obstructive sleep apnea syndrome","volume":"492","author":"Djupesland","year":"1992","journal-title":"Acta Otolaryngol Suppl"},{"issue":"1","key":"10.1016\/j.anl.2021.10.001_bib0018","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1378\/chest.105.1.278","article-title":"Uvulopalatopharyngoplasty and inferior sagittal mandibular osteotomy with genioglossus advancement for treatment of obstructive sleep apnea","volume":"105","author":"Johnson","year":"1994","journal-title":"CHEST"},{"issue":"9","key":"10.1016\/j.anl.2021.10.001_bib0019","doi-asserted-by":"crossref","first-page":"953","DOI":"10.1001\/archotol.1996.01890210031008","article-title":"Inferior sagittal osteotomy with hyoid bone suspension for obese patients with sleep apnea","volume":"122","author":"Ramirez","year":"1996","journal-title":"Arch Otolaryngol Head Neck Surg"},{"issue":"3","key":"10.1016\/j.anl.2021.10.001_bib0020","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1097\/00006534-199703000-00002","article-title":"Surgical maxillofacial treatment of obstructive sleep apnea","volume":"99","author":"Hochban","year":"1997","journal-title":"Plast Reconstr Surg"},{"issue":"5","key":"10.1016\/j.anl.2021.10.001_bib0021","doi-asserted-by":"crossref","first-page":"614","DOI":"10.1097\/00005537-199705000-00011","article-title":"Midline glossectomy and epiglottidectomy for obstructive sleep apnea syndrome","volume":"107","author":"Mickelson","year":"1997","journal-title":"Laryngoscope"},{"key":"10.1016\/j.anl.2021.10.001_bib0022","first-page":"52","article-title":"Evaluation of uvulopalatopharyngoplasty in treatment of obstructive sleep apnea syndrome","volume":"537","author":"Elasfour","year":"1998","journal-title":"Acta Otolaryngol"},{"issue":"8","key":"10.1016\/j.anl.2021.10.001_bib0023","doi-asserted-by":"crossref","first-page":"1273","DOI":"10.1097\/00005537-199908000-00017","article-title":"Tongue base reduction with hyoepiglottoplasty: a treatment for severe obstructive sleep apnea","volume":"109","author":"Chabolle","year":"1999","journal-title":"Laryngoscope"},{"issue":"4","key":"10.1016\/j.anl.2021.10.001_bib0024","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1016\/S0278-2391(99)90272-0","article-title":"Staged surgical treatment of obstructive sleep apnea syndrome: a review of 35 patients","volume":"57","author":"Lee","year":"1999","journal-title":"J Oral Maxillofac Surg"},{"issue":"11","key":"10.1016\/j.anl.2021.10.001_bib0025","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1177\/014556139907801109","article-title":"Overview of phase II surgery for obstructive sleep apnea syndrome","volume":"78","author":"Li","year":"1999","journal-title":"Ear Nose Throat J"},{"key":"10.1016\/j.anl.2021.10.001_bib0026","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1080\/000164800454323","article-title":"Eight years of follow-up-uvulopalatopharyngoplasty combined with midline glossectomy as a treatment for obstructive sleep apnoea syndrome","volume":"543","author":"Andsberg","year":"2000","journal-title":"Acta Otolaryngol"},{"issue":"2","key":"10.1016\/j.anl.2021.10.001_bib0027","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1164\/ajrccm.162.2.9904058","article-title":"Obstructive sleep apnea syndrome. fifty-one consecutive patients treated by maxillofacial surgery","volume":"162","author":"Bettega","year":"2000","journal-title":"Am J Respir Crit Care Med"},{"issue":"10","key":"10.1016\/j.anl.2021.10.001_bib0028","doi-asserted-by":"crossref","first-page":"1684","DOI":"10.1097\/00005537-200010000-00021","article-title":"Maxillomandibular advancement for persistent obstructive sleep apnea after phase I surgery in patients without maxillomandibular deficiency","volume":"110","author":"Li","year":"2000","journal-title":"Laryngoscope"},{"issue":"3","key":"10.1016\/j.anl.2021.10.001_bib0029","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1067\/mhn.2000.102117","article-title":"Surgery and obstructive sleep apnea: long-term clinical outcomes","volume":"122","author":"Riley","year":"2000","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"8","key":"10.1016\/j.anl.2021.10.001_bib0030","doi-asserted-by":"crossref","first-page":"892","DOI":"10.1053\/joms.2001.25275","article-title":"A protocol for uvulopalatopharyngoplasty, mortised genioplasty, and maxillomandibular advancement in patients with obstructive sleep apnea: an analysis of 40 cases","volume":"59","author":"Hendler","year":"2001","journal-title":"J Oral Maxillofac Surg"},{"issue":"4","key":"10.1016\/j.anl.2021.10.001_bib0031","first-page":"160","article-title":"Multiple level pharyngeal surgery for obstructive sleep apnoea","volume":"42","author":"Hsu","year":"2001","journal-title":"Singapore Med J"},{"issue":"9","key":"10.1016\/j.anl.2021.10.001_bib0032","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1177\/014556130108000909","article-title":"Combined temperature-controlled radiofrequency tongue reduction and UPPP in apnea surgery","volume":"80","author":"Nelson","year":"2001","journal-title":"Ear Nose Throat J"},{"issue":"4","key":"10.1016\/j.anl.2021.10.001_bib0033","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1067\/mhn.2002.123548","article-title":"Role of the tongue base suspension suture with the repose system bone screw in the multilevel surgical management of obstructive sleep apnea","volume":"126","author":"Miller","year":"2002","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"9","key":"10.1016\/j.anl.2021.10.001_bib0034","doi-asserted-by":"crossref","first-page":"716","DOI":"10.1258\/002221502760238028","article-title":"Minimally invasive tongue base surgery for obstructive sleep apnoea","volume":"116","author":"Terris","year":"2002","journal-title":"J Laryngol Otol"},{"issue":"10","key":"10.1016\/j.anl.2021.10.001_bib0035","doi-asserted-by":"crossref","first-page":"1786","DOI":"10.1097\/00005537-200310000-00024","article-title":"Multilevel temperature-controlled radiofrequency therapy of soft palate, base of tongue, and tonsils in adults with obstructive sleep apnea","volume":"113","author":"Fischer","year":"2003","journal-title":"Laryngoscope"},{"issue":"6","key":"10.1016\/j.anl.2021.10.001_bib0036","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1016\/j.otohns.2003.07.004","article-title":"Combined uvulopalatopharyngoplasty and radiofrequency tongue base reduction for treatment of obstructive sleep apnea\/hypopnea syndrome","volume":"129","author":"Friedman","year":"2003","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"4","key":"10.1016\/j.anl.2021.10.001_bib0037","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1016\/S0194-59980300711-3","article-title":"The efficacy of anatomically based multilevel surgery for obstructive sleep apnea","volume":"129","author":"Kao","year":"2003","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"1","key":"10.1016\/j.anl.2021.10.001_bib0038","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/S0194-59980300094-9","article-title":"Genioglossus advancement and hyoid myotomy under local anesthesia","volume":"129","author":"Neruntarat","year":"2003","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"6","key":"10.1016\/j.anl.2021.10.001_bib0039","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1258\/002221503321892343","article-title":"Genioglossus advancement and hyoid myotomy: short-term and long-term results","volume":"117","author":"Neruntarat","year":"2003","journal-title":"J Laryngol Otol"},{"issue":"5","key":"10.1016\/j.anl.2021.10.001_bib0040","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1007\/s00405-002-0560-0","article-title":"Hyoid myotomy with suspension under local anesthesia for obstructive sleep apnea syndrome","volume":"260","author":"Neruntarat","year":"2003","journal-title":"Eur Arch Oto Rhino L"},{"issue":"5","key":"10.1016\/j.anl.2021.10.001_bib0041","first-page":"539","article-title":"Preliminary findings from a prospective, randomized trial of two tongue-base surgeries for sleep-disordered breathing","volume":"129","author":"Thomas","year":"2003","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"2","key":"10.1016\/j.anl.2021.10.001_bib0042","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1016\/j.joms.2003.03.002","article-title":"Outcome assessment of patients undergoing maxillofacial procedures for the treatment of sleep apnea: comparison of subjective and objective results","volume":"62","author":"Dattilo","year":"2004","journal-title":"J Oral Maxillofac Surg"},{"issue":"7","key":"10.1016\/j.anl.2021.10.001_bib0043","doi-asserted-by":"crossref","first-page":"820","DOI":"10.1080\/00016480410018034","article-title":"Same-stage palatopharyngeal and hypopharyngeal surgery for severe obstructive sleep apnea","volume":"124","author":"Li","year":"2004","journal-title":"Acta Otolaryngol"},{"issue":"1","key":"10.1016\/j.anl.2021.10.001_bib0044","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/j.otohns.2003.09.015","article-title":"The role of the genial bone advancement Trephine system in conjunction with uvulopalatopharyngoplasty in the multilevel management of obstructive sleep apnea","volume":"130","author":"Miller","year":"2004","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"12","key":"10.1016\/j.anl.2021.10.001_bib0045","doi-asserted-by":"crossref","first-page":"2073","DOI":"10.1097\/01.mlg.0000149438.35855.af","article-title":"Effectiveness of multilevel (tongue and palate) radiofrequency tissue ablation for patients with obstructive sleep apnea syndrome","volume":"114","author":"Steward","year":"2004","journal-title":"Laryngoscope"},{"issue":"7","key":"10.1016\/j.anl.2021.10.001_bib0046","doi-asserted-by":"crossref","first-page":"827","DOI":"10.1080\/00016480410017378","article-title":"Combined radiofrequency surgery of the tongue base and soft palate in obstructive sleep apnoea","volume":"124","author":"Stuck","year":"2004","journal-title":"Acta Otolaryngol"},{"issue":"5","key":"10.1016\/j.anl.2021.10.001_bib0047","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1001\/archotol.131.5.440","article-title":"Outcomes of hyoid suspension for the treatment of obstructive sleep apnea","volume":"131","author":"Bowden","year":"2005","journal-title":"Arch Otolaryngol Head Neck Surg"},{"issue":"3","key":"10.1016\/j.anl.2021.10.001_bib0048","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1080\/00016480410022831","article-title":"Combined nasal-palatopharyngeal surgery for obstructive sleep apnea: simultaneous or staged?","volume":"125","author":"Li","year":"2005","journal-title":"Acta Otolaryngol"},{"issue":"11","key":"10.1016\/j.anl.2021.10.001_bib0049","doi-asserted-by":"crossref","first-page":"2046","DOI":"10.1097\/01.MLG.0000181464.11943.C4","article-title":"Associated factors to predict outcomes of uvulopharyngopalatoplasty plus genioglossal advancement for obstructive sleep apnea","volume":"115","author":"Liu","year":"2005","journal-title":"Laryngoscope"},{"issue":"2","key":"10.1016\/j.anl.2021.10.001_bib0050","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1016\/j.otohns.2005.02.009","article-title":"Tongue base suspension combined with UPPP in severe OSA patients","volume":"133","author":"Omur","year":"2005","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"4","key":"10.1016\/j.anl.2021.10.001_bib0051","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1258\/0022215054020467","article-title":"One-stage nasal and multi-level pharyngeal surgery for obstructive sleep apnoea: safety and efficacy","volume":"119","author":"Pang","year":"2005","journal-title":"J Laryngol Otol"},{"issue":"2","key":"10.1016\/j.anl.2021.10.001_bib0052","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1016\/j.otohns.2005.10.032","article-title":"Patient selection and efficacy of pillar implant technique for treatment of snoring and obstructive sleep apnea\/hypopnea syndrome","volume":"134","author":"Friedman","year":"2006","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"2","key":"10.1016\/j.anl.2021.10.001_bib0053","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1016\/j.otohns.2006.03.029","article-title":"Palatal and tongue base surgery for surgical treatment of obstructive sleep apnea: a prospective study","volume":"135","author":"Jacobowitz","year":"2006","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"6","key":"10.1016\/j.anl.2021.10.001_bib0054","doi-asserted-by":"crossref","first-page":"906","DOI":"10.1016\/j.otohns.2006.06.1253","article-title":"One-phase management of severe obstructive sleep apnea: tongue base reduction with hyoepiglottoplasty plus uvulopalatopharyngoplasty","volume":"135","author":"Sorrenti","year":"2006","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"7","key":"10.1016\/j.anl.2021.10.001_bib0055","doi-asserted-by":"crossref","first-page":"1223","DOI":"10.1097\/01.mlg.0000224498.09015.d9","article-title":"Tongue-base suspension in conjunction with uvulopalatopharyngoplasty for treatment of severe obstructive sleep apnea: long-term follow-up results","volume":"116","author":"Vicente","year":"2006","journal-title":"Laryngoscope"},{"issue":"10","key":"10.1016\/j.anl.2021.10.001_bib0056","doi-asserted-by":"crossref","first-page":"1859","DOI":"10.1097\/MLG.0b013e3180f62b4d","article-title":"Minimally invasive single-stage multilevel treatment for obstructive sleep apnea\/hypopnea syndrome","volume":"117","author":"Friedman","year":"2007","journal-title":"Laryngoscope"},{"issue":"4","key":"10.1016\/j.anl.2021.10.001_bib0057","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1007\/s00405-006-0182-z","article-title":"One stage multilevel surgery (uvulopalatopharyngoplasty, hyoid suspension, radiofrequent ablation of the tongue base with\/without genioglossus advancement), in obstructive sleep apnea syndrome","volume":"264","author":"Richard","year":"2007","journal-title":"Eur Arch Oto Rhino L"},{"issue":"4","key":"10.1016\/j.anl.2021.10.001_bib0058","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1016\/j.otohns.2006.01.028","article-title":"Genioglossus advancement and hyoid suspension plus uvulopalatopharyngoplasty for severe OSAHS","volume":"136","author":"Yin","year":"2007","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"12","key":"10.1016\/j.anl.2021.10.001_bib0059","doi-asserted-by":"crossref","first-page":"1495","DOI":"10.1007\/s00405-008-0688-7","article-title":"Single-session radiofrequency tongue base reduction combined with uvulopalatopharyngoplasty for obstructive sleep apnea syndrome","volume":"265","author":"Eun","year":"2008","journal-title":"Eur Arch Oto Rhino L"},{"issue":"3","key":"10.1016\/j.anl.2021.10.001_bib0060","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1016\/j.otohns.2008.06.011","article-title":"Evaluation of submucosal minimally invasive lingual excision technique for treatment of obstructive sleep apnea\/hypopnea syndrome","volume":"139","author":"Friedman","year":"2008","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"5","key":"10.1016\/j.anl.2021.10.001_bib0061","doi-asserted-by":"crossref","first-page":"968","DOI":"10.1016\/j.joms.2007.11.031","article-title":"Quality of life evaluation of maxillomandibular advancement surgery for treatment of obstructive sleep apnea","volume":"66","author":"Lye","year":"2008","journal-title":"J Oral Maxillofac Surg"},{"issue":"11","key":"10.1016\/j.anl.2021.10.001_bib0062","doi-asserted-by":"crossref","first-page":"1361","DOI":"10.1007\/s00405-008-0640-x","article-title":"UPPP combined with radiofrequency thermotherapy of the tongue base for the treatment of obstructive sleep apnea syndrome","volume":"265","author":"van den Broek","year":"2008","journal-title":"Eur Arch Oto Rhino L"},{"issue":"9","key":"10.1016\/j.anl.2021.10.001_bib0063","doi-asserted-by":"crossref","first-page":"915","DOI":"10.1001\/archoto.2009.117","article-title":"First-choice treatment in mild to moderate obstructive sleep apnea: single-stage, multilevel, temperature-controlled radiofrequency tissue volume reduction or nasal continuous positive airway pressure","volume":"135","author":"Ceylan","year":"2009","journal-title":"Arch Otolaryngol Head Neck Surg"},{"issue":"4","key":"10.1016\/j.anl.2021.10.001_bib0064","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1016\/j.otohns.2009.01.006","article-title":"Multilevel surgery in patients with rapid eye movement-related obstructive sleep apnea","volume":"140","author":"Eun","year":"2009","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"6","key":"10.1016\/j.anl.2021.10.001_bib0065","doi-asserted-by":"crossref","first-page":"722","DOI":"10.1016\/j.otohns.2009.09.028","article-title":"Radiofrequency surgery for the treatment of obstructive sleep apnea: short-term and long-term results","volume":"141","author":"Neruntarat","year":"2009","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"1","key":"10.1016\/j.anl.2021.10.001_bib0066","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1159\/000298945","article-title":"Low-temperature bipolar radiofrequency ablation (coblation) of the tongue base for supine-position-associated obstructive sleep apnea","volume":"72","author":"Babademez","year":"2010","journal-title":"ORL J Otorhinolaryngol Relat Spec"},{"issue":"7","key":"10.1016\/j.anl.2021.10.001_bib0067","doi-asserted-by":"crossref","first-page":"1481","DOI":"10.1002\/lary.20946","article-title":"Changes in obstructive sleep apnea severity, biomarkers, and quality of life after multilevel surgery","volume":"120","author":"Kezirian","year":"2010","journal-title":"Laryngoscope"},{"issue":"1","key":"10.1016\/j.anl.2021.10.001_bib0068","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1159\/000284352","article-title":"Transoral robotic tongue base resection in obstructive sleep apnoea-hypopnoea syndrome: a preliminary report","volume":"72","author":"Vicini","year":"2010","journal-title":"ORL J Otorhinolaryngol Relat Spec"},{"issue":"5","key":"10.1016\/j.anl.2021.10.001_bib0069","doi-asserted-by":"crossref","first-page":"865","DOI":"10.1177\/0194599811416745","article-title":"Modified genioglossus advancement and uvulopalatopharyngoplasty in patients with obstructive sleep apnea","volume":"145","author":"Emara","year":"2011","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"7","key":"10.1016\/j.anl.2021.10.001_bib0070","doi-asserted-by":"crossref","first-page":"1590","DOI":"10.1002\/lary.21823","article-title":"Change in Epworth Sleepiness Scale after surgical treatment of obstructive sleep apnea","volume":"121","author":"Yaremchuk","year":"2011","journal-title":"Laryngoscope"},{"issue":"5","key":"10.1016\/j.anl.2021.10.001_bib0071","doi-asserted-by":"crossref","first-page":"854","DOI":"10.1177\/0194599811434262","article-title":"Transoral robotic glossectomy for the treatment of obstructive sleep apnea-hypopnea syndrome","volume":"146","author":"Friedman","year":"2012","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"8","key":"10.1016\/j.anl.2021.10.001_bib0072","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1177\/014556131209100810","article-title":"Hyoid suspension surgery with UPPP for the treatment of hypopharyngeal airway obstruction in obstructive sleep apnea","volume":"91","author":"Karatayli-Ozgursoy","year":"2012","journal-title":"Ear Nose Throat J"},{"issue":"6","key":"10.1016\/j.anl.2021.10.001_bib0073","doi-asserted-by":"crossref","first-page":"1404","DOI":"10.1016\/j.joms.2011.03.016","article-title":"Cephalometric predictors of therapeutic response to multilevel surgery in patients with obstructive sleep apnea","volume":"70","author":"Kim","year":"2012","journal-title":"J Oral Maxillofac Surg"},{"issue":"11","key":"10.1016\/j.anl.2021.10.001_bib0074","doi-asserted-by":"crossref","first-page":"2587","DOI":"10.1002\/lary.23462","article-title":"Surgery for obstructive sleep apnea: sleep endoscopy determinants of outcome","volume":"122","author":"Koutsourelakis","year":"2012","journal-title":"Laryngoscope"},{"issue":"10","key":"10.1016\/j.anl.2021.10.001_bib0075","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1177\/000348941212101002","article-title":"Transoral robot-assisted lingual tonsillectomy and uvulopalatopharyngoplasty for obstructive sleep apnea","volume":"121","author":"Lee","year":"2012","journal-title":"Ann Otol Rhinol Laryngol"},{"issue":"2","key":"10.1016\/j.anl.2021.10.001_bib0076","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1177\/0194599812444256","article-title":"Simultaneous tonsillectomy and nasal surgery in adult obstructive sleep apnea: a pilot study","volume":"147","author":"Stow","year":"2012","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"1","key":"10.1016\/j.anl.2021.10.001_bib0077","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1002\/hed.21691","article-title":"Transoral robotic surgery of the tongue base in obstructive sleep apnea-hypopnea syndrome: anatomic considerations and clinical experience","volume":"34","author":"Vicini","year":"2012","journal-title":"Head Neck"},{"issue":"1","key":"10.1016\/j.anl.2021.10.001_bib0078","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1177\/0194599812461750","article-title":"Submucosal lingualplasty for adult obstructive sleep apnea","volume":"148","author":"Gunawardena","year":"2013","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"7","key":"10.1016\/j.anl.2021.10.001_bib0079","doi-asserted-by":"crossref","first-page":"1811","DOI":"10.1002\/lary.23913","article-title":"Transoral robotic surgery for treatment of obstructive sleep apnea-hypopnea syndrome","volume":"123","author":"Lin","year":"2013","journal-title":"Laryngoscope"},{"issue":"2","key":"10.1016\/j.anl.2021.10.001_bib0080","doi-asserted-by":"crossref","first-page":"117","DOI":"10.5664\/jcsm.2402","article-title":"Modified uvulopalatopharyngoplasty and coblation channeling of the tongue for obstructive sleep apnea: a multi-centre Australian trial","volume":"9","author":"MacKay","year":"2013","journal-title":"J Clin Sleep Med"},{"issue":"12","key":"10.1016\/j.anl.2021.10.001_bib0081","doi-asserted-by":"crossref","first-page":"1222","DOI":"10.1017\/S0022215113002971","article-title":"Coblation-assisted Lewis and MacKay operation (CobLAMO): new technique for tongue reduction in sleep apnoea surgery","volume":"127","author":"MacKay","year":"2013","journal-title":"J Laryngol Otol"},{"issue":"6","key":"10.1016\/j.anl.2021.10.001_bib0082","doi-asserted-by":"crossref","first-page":"1097","DOI":"10.5114\/aoms.2013.39226","article-title":"Combined bipolar radiofrequency surgery of the tongue base and uvulopalatopharyngoplasty for obstructive sleep apnea","volume":"9","author":"Plzak","year":"2013","journal-title":"Arch Med Sci"},{"issue":"1","key":"10.1016\/j.anl.2021.10.001_bib0083","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1177\/0194599812464331","article-title":"Evaluation of open midline glossectomy in the multilevel surgical management of obstructive sleep apnea syndrome","volume":"148","author":"Suh","year":"2013","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"5","key":"10.1016\/j.anl.2021.10.001_bib0084","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1159\/000368415","article-title":"Body mass index predicts success in patients undergoing transoral robotic surgery for obstructive sleep apnea","volume":"76","author":"Hoff","year":"2014","journal-title":"ORL J Otorhinolaryngol Relat Spec"},{"issue":"6","key":"10.1016\/j.anl.2021.10.001_bib0085","doi-asserted-by":"crossref","first-page":"1078","DOI":"10.1177\/0194599814524722","article-title":"Z-palatopharyngoplasty combined with endoscopic coblator open tongue base resection for severe obstructive sleep apnea\/hypopnea syndrome","volume":"150","author":"Lin","year":"2014","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"7","key":"10.1016\/j.anl.2021.10.001_bib0086","doi-asserted-by":"crossref","first-page":"624","DOI":"10.1001\/jamaoto.2014.926","article-title":"Transoral robotic surgery for obstructive sleep apnea in Asian patients: a Singapore sleep centre experience","volume":"140","author":"Toh","year":"2014","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"issue":"2","key":"10.1016\/j.anl.2021.10.001_bib0087","first-page":"341","article-title":"Theoretical approach towards increasing effectiveness of palatal surgery in obstructive sleep apnea: role for concomitant positional therapy?","volume":"18","author":"van Maanen","year":"2014","journal-title":"Sleep Breath"},{"issue":"2","key":"10.1016\/j.anl.2021.10.001_bib0088","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1159\/000360768","article-title":"Clinical outcomes and complications associated with TORS for OSAHS: a benchmark for evaluating an emerging surgical technology in a targeted application for benign disease","volume":"76","author":"Vicini","year":"2014","journal-title":"ORL J Otorhinolaryngol Relat Spec"},{"issue":"1","key":"10.1016\/j.anl.2021.10.001_bib0089","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1002\/hed.23271","article-title":"Combined transoral robotic tongue base surgery and palate surgery in obstructive sleep apnea-hypopnea syndrome: expansion sphincter pharyngoplasty versus uvulopalatopharyngoplasty","volume":"36","author":"Vicini","year":"2014","journal-title":"Head Neck"},{"key":"10.1016\/j.anl.2021.10.001_bib0090","article-title":"A systematic review of tongue base suspension techniques as an isolated procedure or combined with uvulopalatopharyngoplasty in obstructive sleep apnea","author":"Bostanci","year":"2015","journal-title":"Eur Arch Oto Rhino L"},{"issue":"2","key":"10.1016\/j.anl.2021.10.001_bib0091","doi-asserted-by":"crossref","first-page":"136","DOI":"10.3342\/ceo.2015.8.2.136","article-title":"A prospective study of the surgical outcome of simple uvulopalatopharyngoplasty (UPPP), UPPP Combined With genioglossus advancement or tongue base advancement for obstructive sleep apnea hypopnea syndrome patients with multilevel obstruction","volume":"8","author":"Chen","year":"2015","journal-title":"Clin Exp Otorhinolaryngol"},{"issue":"8","key":"10.1016\/j.anl.2021.10.001_bib0092","doi-asserted-by":"crossref","first-page":"1988","DOI":"10.1002\/lary.25270","article-title":"Volumetric MRI analysis pre- and post-Transoral robotic surgery for obstructive sleep apnea","volume":"125","author":"Chiffer","year":"2015","journal-title":"Laryngoscope"},{"issue":"4","key":"10.1016\/j.anl.2021.10.001_bib0093","doi-asserted-by":"crossref","first-page":"1013","DOI":"10.1002\/lary.24970","article-title":"Transoral robotic surgery for treatment of obstructive sleep apnea: factors predicting surgical response","volume":"125","author":"Lin","year":"2015","journal-title":"Laryngoscope"},{"issue":"11","key":"10.1016\/j.anl.2021.10.001_bib0094","doi-asserted-by":"crossref","first-page":"3411","DOI":"10.1007\/s00405-014-3311-0","article-title":"Predicting the outcome of modified tongue base suspension combined with uvulopalatopharyngoplasty","volume":"272","author":"Turhan","year":"2015","journal-title":"Eur Arch Oto Rhino L"},{"issue":"4","key":"10.1016\/j.anl.2021.10.001_bib0095","doi-asserted-by":"crossref","first-page":"1361","DOI":"10.1007\/s11325-015-1241-8","article-title":"Multi-level surgery for obstructive sleep apnea. Lingual tonsillectomy vs. hyoid suspension in combination with radiofrequency of the tongue base","volume":"19","author":"Verse","year":"2015","journal-title":"Sleep Breath"},{"issue":"5","key":"10.1016\/j.anl.2021.10.001_bib0096","doi-asserted-by":"crossref","first-page":"1195","DOI":"10.1007\/s00405-015-3507-y","article-title":"A novel palatal implant surgery combined with uvulopalatopharyngoplasty and inferior turbinate radiofrequency for the treatment of moderate to severe obstructive sleep apnea: a pilot study","volume":"272","author":"Zhang","year":"2015","journal-title":"Eur Arch Oto Rhino L"},{"issue":"1","key":"10.1016\/j.anl.2021.10.001_bib0097","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1007\/s00405-014-3475-7","article-title":"Coblation endoscopic lingual lightening (CELL) for obstructive sleep apnea","volume":"273","author":"Li","year":"2016","journal-title":"Eur Arch Oto Rhino L"},{"issue":"1","key":"10.1016\/j.anl.2021.10.001_bib0098","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1002\/lary.25353","article-title":"Outcomes for multilevel surgery for sleep apnea: obstructive sleep apnea, transoral robotic surgery, and uvulopalatopharyngoplasty","volume":"126","author":"Thaler","year":"2016","journal-title":"Laryngoscope"},{"issue":"5","key":"10.1016\/j.anl.2021.10.001_bib0099","doi-asserted-by":"crossref","first-page":"1227","DOI":"10.1007\/s00405-015-3813-4","article-title":"Long-term results of one staged multilevel surgery with tongue suspension surgery or one level palatal surgery for treatment of moderate and severe obstructive sleep apnea","volume":"273","author":"Yuksel","year":"2016","journal-title":"Eur Arch Oto Rhino L"},{"issue":"10","key":"10.1016\/j.anl.2021.10.001_bib0100","doi-asserted-by":"crossref","first-page":"1396","DOI":"10.1093\/sleep\/33.10.1396","article-title":"Surgical modifications of the upper airway for obstructive sleep apnea in adults: a systematic review and meta-analysis","volume":"33","author":"Caples","year":"2010","journal-title":"Sleep"},{"issue":"5","key":"10.1016\/j.anl.2021.10.001_bib0101","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1016\/j.smrv.2009.11.003","article-title":"Maxillomandibular advancement for the treatment of obstructive sleep apnea: a systematic review and meta-analysis","volume":"14","author":"Holty","year":"2010","journal-title":"Sleep Med Rev"},{"issue":"1","key":"10.1016\/j.anl.2021.10.001_bib0102","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1067\/mhn.2002.126477","article-title":"Clinical staging for sleep-disordered breathing","volume":"127","author":"Friedman","year":"2002","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"12","key":"10.1016\/j.anl.2021.10.001_bib0103","doi-asserted-by":"crossref","first-page":"2109","DOI":"10.1097\/01.MLG.0000181505.11902.F7","article-title":"Does severity of obstructive sleep apnea\/hypopnea syndrome predict uvulopalatopharyngoplasty outcome?","volume":"115","author":"Friedman","year":"2005","journal-title":"Laryngoscope"},{"issue":"3","key":"10.1016\/j.anl.2021.10.001_bib0104","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1067\/mhn.2000.106707","article-title":"Efficacy of uvulopalatopharyngoplasty in unselected patients with mild obstructive sleep apnea","volume":"123","author":"Senior","year":"2000","journal-title":"Otolaryngol Head Neck Surg"}],"container-title":["Auris Nasus Larynx"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0385814621002479?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0385814621002479?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T19:39:04Z","timestamp":1759952344000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0385814621002479"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6]]},"references-count":104,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,6]]}},"alternative-id":["S0385814621002479"],"URL":"https:\/\/doi.org\/10.1016\/j.anl.2021.10.001","relation":{},"ISSN":["0385-8146"],"issn-type":[{"value":"0385-8146","type":"print"}],"subject":[],"published":{"date-parts":[[2022,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Systematic review and updated meta-analysis of multi-level surgery for patients with OSA","name":"articletitle","label":"Article Title"},{"value":"Auris Nasus Larynx","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.anl.2021.10.001","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 Japanese Society of Otorhinolaryngology-Head and Neck Surgery, Inc. Published by Elsevier B.V. All rights reserved.","name":"copyright","label":"Copyright"}]}}