{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T01:41:04Z","timestamp":1774921264172,"version":"3.50.1"},"reference-count":30,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2007,6,29]],"date-time":"2007-06-29T00:00:00Z","timestamp":1183075200000},"content-version":"unspecified","delay-in-days":4503,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[1995,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Polysomnography is currently used for diagnosis, evaluation and selection of therapy in patients with obstructive sleep apnoea (OSA), but clinically successful uvulopalatopharyngoplasty (UPPP) is not necessarily reflected by post-operative improvement of polysomnographic recordings. Post-operative polysomnography may suggest deterioration of pre-existing OSA or, in snorers,<jats:italic>de-novo<\/jats:italic>precipitation of OSA. Thus, if polysomnography is a reliable indicator of OSA, then OSA may be a post-operative risk of UPPP. The aims of our study were: (i) to assess the possible deleterious effect of UPPP on sleep patterns; (ii) to further define the role of cardioisotope scanning in the evaluation of OSA; (iii) to assess the reliability of polysomnography given the clinical and cardioisotope scan findings. Symptoms, polysomnography and radionuclide ventriculography were prospectively compared pre- and post-operatively in 41 patients undergoing UPPP. In 12 patients (29 per cent), there were disparate results between pre- or post-operative polysomnography and the clinical and\/or radionuclide ventriculography, as follows: In four of 16 patients with abnormal pre-operative ventricular performance, there was pre-operative symptomatology of severe OSA and a bedmate's reports of apnoeic episodes. This was in contrast to normal or near normal sleep apnoea recordings. In eight patients, post-operative improvement of symptoms was reported, despite deterioration of post-operative polysomnographic recordings. In these patients the post-operative improvement of symptoms was also reflected by improved ventricular performance. Worsening of ventricular performance was not demonstrated in any patient. In conclusion, UPPP does not induce OSA. Polysomnography may underestimate or even misdiagnose cases of OSA. The diagnostic importance of patient symptomatology should be stressed particularly in those patients with only mildly abnormal or even completely normal sleep studies. A combination of polysomnographic and cardiovascular evaluation in patients with symptomatology consistent with OSA is recommended.<\/jats:p>","DOI":"10.1017\/s002221510012972x","type":"journal-article","created":{"date-parts":[[2007,11,30]],"date-time":"2007-11-30T10:15:26Z","timestamp":1196417726000},"page":"212-217","source":"Crossref","is-referenced-by-count":9,"title":["Can obstructive sleep apnoea be a complication of uvulopalatopharyngoplasty?"],"prefix":"10.1017","volume":"109","author":[{"given":"Yehuda","family":"Finkelstein","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoav P.","family":"Talmi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eyal","family":"Raveh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jerome","family":"Orlin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"Rudnicki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Menachem","family":"Fried","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yzhar","family":"Zahavi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2007,6,29]]},"reference":[{"key":"S002221510012972X_ref018","doi-asserted-by":"publisher","DOI":"10.1378\/chest.103.3.756"},{"key":"S002221510012972X_ref024","doi-asserted-by":"publisher","DOI":"10.1177\/019459988609500107"},{"key":"S002221510012972X_ref009","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198709000-00011"},{"key":"S002221510012972X_ref028","first-page":"600","article-title":"Effects of uvulopalatopharyngoplasty on the daytime sleepiness associated with sleep aponea syndrome","volume":"19","author":"Zorick","year":"1983","journal-title":"European Respiratory Journal (Formerly: Bull Eur Physiopathol Respir)"},{"key":"S002221510012972X_ref022","unstructured":"Rey M. , Philip-Joet F. , Triglia J. M. , Arnold P. A. (1989) Effects of uvulopalatopharyngoplasty on polysomnographic data in snorers with sleep apnea syndrome. 2nd World Congress on Chronic Ronchopathy. Barcelona May 22\u201324."},{"key":"S002221510012972X_ref007","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/7.2.110"},{"key":"S002221510012972X_ref026","doi-asserted-by":"publisher","DOI":"10.1016\/0034-5687(91)90058-Q"},{"key":"S002221510012972X_ref006","doi-asserted-by":"publisher","DOI":"10.1080\/03610738308258429"},{"key":"S002221510012972X_ref023","first-page":"135","volume-title":"Otolaryngologic Clinics of North America","author":"Rice","year":"1986"},{"key":"S002221510012972X_ref014","first-page":"252","article-title":"Night-to-night variability of disturbed breathing during sleep in elderly community sample","volume":"14","author":"Lord","year":"1991","journal-title":"Sleep"},{"key":"S002221510012972X_ref019","first-page":"340","article-title":"Night-to-night variability in sleep apnea and sleep-related periodic leg movements in the elderly","volume":"11","author":"Mosko","year":"1988","journal-title":"Sleep"},{"key":"S002221510012972X_ref001","doi-asserted-by":"publisher","DOI":"10.1378\/chest.96.4.747"},{"key":"S002221510012972X_ref002","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1989.00390090142031"},{"key":"S002221510012972X_ref003","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.60.6.1292"},{"key":"S002221510012972X_ref030","first-page":"244","article-title":"Night-to-night consistency of apneas during sleep","volume":"129","author":"Witting","year":"1984","journal-title":"American Revue of Respiratory Disease"},{"key":"S002221510012972X_ref004","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(79)90476-5"},{"key":"S002221510012972X_ref005","doi-asserted-by":"publisher","DOI":"10.1378\/chest.100.2.347"},{"key":"S002221510012972X_ref008","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/8.2.87"},{"key":"S002221510012972X_ref010","doi-asserted-by":"crossref","first-page":"1188","DOI":"10.1288\/00005537-198409000-00011","article-title":"Snoring: Surgical versus non surgical management","volume":"94","author":"Fairbanks","year":"1984","journal-title":"Larvngoscope"},{"key":"S002221510012972X_ref011","first-page":"525","article-title":"Long term cardiopulmonary sequelae in patients with sleep apnea and chronic lung disease","volume":"135","author":"Fletcher","year":"1987","journal-title":"American Review of Respiratory Disease"},{"key":"S002221510012972X_ref012","first-page":"13","article-title":"From obstructive sleep apnea syndrome to upper airway resistance syndrome: consistency of daytime sleepiness","volume":"15","author":"Guilleminault","year":"1992","journal-title":"Sleep"},{"key":"S002221510012972X_ref013","doi-asserted-by":"publisher","DOI":"10.3109\/00016489109138386"},{"key":"S002221510012972X_ref015","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1288\/00005537-198606000-00021","article-title":"Accurate measurement of soft palate resection during uvulopalatopharyngoplasty","volume":"96","author":"Lusk","year":"1986","journal-title":"Laryngoscope"},{"key":"S002221510012972X_ref016","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-95-3-283"},{"key":"S002221510012972X_ref017","first-page":"57","article-title":"Snoring, apnea and nasal resistance in men and women","volume":"20","author":"Metes","year":"1991","journal-title":"Journal of Otolargyngology"},{"key":"S002221510012972X_ref020","unstructured":"Pedro-Botet J. , Montaneri R. A. (1989) Commentaries on the diagnosis and treatment of the chronic ronchopathy with OSAS. 2nd World Congress on Chronic Ronchopathy. Barcelona May 22\u201324."},{"key":"S002221510012972X_ref025","doi-asserted-by":"publisher","DOI":"10.1177\/019459988409200401"},{"key":"S002221510012972X_ref027","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.1950040304"},{"key":"S002221510012972X_ref029","doi-asserted-by":"publisher","DOI":"10.1177\/019459989210700308"},{"key":"S002221510012972X_ref021","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198910000-00003"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S002221510012972X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,19]],"date-time":"2024-02-19T21:19:22Z","timestamp":1708377562000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S002221510012972X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1995,3]]},"references-count":30,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1995,3]]}},"alternative-id":["S002221510012972X"],"URL":"https:\/\/doi.org\/10.1017\/s002221510012972x","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[1995,3]]}}}