{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T22:30:49Z","timestamp":1773354649294,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,5,17]],"date-time":"2016-05-17T00:00:00Z","timestamp":1463443200000},"content-version":"vor","delay-in-days":3881,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["D\/0204871"],"award-info":[{"award-number":["D\/0204871"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2005,10]]},"abstract":"<jats:sec><jats:title>OBJECTIVE:<\/jats:title><jats:p>To determine the safety and efficacy of the Pillar Palatal Implant System over a 1\u2010year follow\u2010up period.<\/jats:p><\/jats:sec><jats:sec><jats:title>STUDY DESIGN AND SETTING:<\/jats:title><jats:p>In this prospective study, 40 healthy adult patients with primary snoring due to palatal flutter were treated after clinical, polysomnographic, and endoscopic examination. Under local anesthesia 3 implants were placed into the soft palate. Postoperative morbidity and functional parameters were assessed. Snoring and daytime sleepiness were assessed before and 90, 180, and 360\u00a0days after surgery. Objective data were obtained by polysomnography and SNAP\u2010recording before and 90\u00a0days after treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS:<\/jats:title><jats:p>All implants were placed without complications. A total of 13 implants partially extruded uneventfully in 10 patients. Functional parameters remained unchanged. After 1 year, snoring was reduced from 7.1 \u00b1 1.9 to 4.8 \u00b1 2.5 (Visual\u2010Analogue\u2010Scale, <jats:italic>P<\/jats:italic> &lt; 0.05) and daytime sleepiness from 6.1 \u00b1 3.2 to 4.9 \u00b1 3.1 (Epworth\u2010Sleepiness\u2010Scale, <jats:italic>P<\/jats:italic> &lt; 0.05). SNAP data and polysomnography parameters showed clinically irrelevant changes.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION:<\/jats:title><jats:p>Our data demonstrate a significant decrease in snoring and daytime sleepiness over a period of one year.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.otohns.2005.07.027","type":"journal-article","created":{"date-parts":[[2005,10,18]],"date-time":"2005-10-18T16:49:23Z","timestamp":1129654163000},"page":"573-578","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":54,"title":["Long\u2010Term Results of Palatal Implants for Primary Snoring"],"prefix":"10.1002","volume":"133","author":[{"given":"Joachim T.","family":"Maurer","sequence":"first","affiliation":[{"name":"Sleep Disorders Center Department of Otorhinolaryngology, Head and Neck Surgery University Hospital Mannheim Mannheim Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerhard","family":"Hein","sequence":"additional","affiliation":[{"name":"Sleep Disorders Center Department of Otorhinolaryngology, Head and Neck Surgery University Hospital Mannheim Mannheim Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Verse","sequence":"additional","affiliation":[{"name":"Sleep Disorders Center Department of Otorhinolaryngology, Head and Neck Surgery University Hospital Mannheim Mannheim Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karl","family":"H\u00f6rmann","sequence":"additional","affiliation":[{"name":"Sleep Disorders Center Department of Otorhinolaryngology, Head and Neck Surgery University Hospital Mannheim Mannheim Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Boris A.","family":"Stuck","sequence":"additional","affiliation":[{"name":"Sleep Disorders Center Department of 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