{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T04:19:04Z","timestamp":1781497144244,"version":"3.54.1"},"reference-count":15,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2009,1,2]],"date-time":"2009-01-02T00:00:00Z","timestamp":1230854400000},"content-version":"vor","delay-in-days":642,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2007,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Objectives<\/jats:bold>: Sleep\u2010related breathing disorders (SRBD) that cannot be treated conservatively are commonly treated using uvulopalatopharyngoplasty, although success rates are generally less than 70%. The purpose of this study was to assess a plasma\u2010mediated radiofrequency (RF)\u2010based coblation assisted upper airway procedure (CAUP) to treat SRBD patients determined to have obstruction localized to the upper (mid)\u2010pharyngeal region.<\/jats:p><jats:p><jats:bold>Study Design<\/jats:bold>: Prospective case series (n = 40).<\/jats:p><jats:p><jats:bold>Methods<\/jats:bold>: Six patients had socially bothersome snoring, and 34 patients had mild to moderate sleep apnea (apnea\/hypopnea index [AHI] &lt;20), with the primary level of obstruction (&gt;50%) within the upper pharyngeal region as determined using whole night recordings, including airway pressure fluctuation monitoring (ApneaGraph, MRA\u2010Medical Ltd, Gloucestershire, UK). CAUP consisted of making a lateral palatal incision, ablating three upward channels on each side of the midline (fan\u2010shaped) into the soft palate using a plasma mediated RF\u2010based device (ArthroCare Corporation, Austin, TX), and performing a partial uvulectomy. Clinical outcomes included the Epworth Sleepiness Scale (ESS), partner rating of snoring using a visual analogue scale (VAS), and night\u2010time apnea and hypopnea events (AHI, hypopnea index [HI], apnea index [AI]).<\/jats:p><jats:p><jats:bold>Results<\/jats:bold>: Patients were 28 to 68 (46 \u00b1 12) years old; 28 (70%) were male. Preoperatively, clinical assessment scores (median \u00b1 interquartile range) were as follows: ESS (11.0 \u00b1 3.0), VAS (8.15 \u00b1 1.00), AHI (9.58 \u00b1 5.58), HI (9.00 \u00b1 5.29), AI (0.333 \u00b1 0.625). After CAUP, no postoperative scarring, fibrosis, or any other clinically significant side effects were observed. Postoperatively (9.1 \u00b1 1.5; 7\u201315 mo), ESS (4.0 \u00b1 1.0), VAS (2.70 \u00b1 1.38), AHI (3.75 \u00b1 2.92), HI (3.58 \u00b1 2.50), and AI (0.167 \u00b1 0.167) were significantly improved (<jats:italic>P<\/jats:italic> &lt; .001).<\/jats:p><jats:p><jats:bold>Conclusion<\/jats:bold>: CAUP preceded by site\u2010specific obstruction diagnosis using pressure recording is a well\u2010tolerated outpatient treatment that is well suited for treating SRBD.<\/jats:p>","DOI":"10.1097\/mlg.0b013e31803250f0","type":"journal-article","created":{"date-parts":[[2007,3,30]],"date-time":"2007-03-30T09:10:10Z","timestamp":1175245810000},"page":"731-736","source":"Crossref","is-referenced-by-count":24,"title":["Plasma Radiofrequency Preceded by Pressure Recording Enhances Success for Treating Sleep\u2010Related Breathing Disorders"],"prefix":"10.1002","volume":"117","author":[{"given":"Magne","family":"Tvinnereim","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Svetislav","family":"Mitic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rolf K.","family":"Hansen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2009,1,2]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp012849"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/20.9.705"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.27.3.401"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200005113421901"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/18.6.501"},{"key":"e_1_2_6_7_2","first-page":"CD003531","article-title":"Interventions to improve compliance with continuous positive airway pressure for obstructive sleep apnoea.","volume":"4","author":"Haniffa M","year":"2004","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-001-0428-8"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-59980300711-3"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.128.4.429"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/19.2.156"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.128.6.672"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2000.102117"},{"key":"e_1_2_6_14_2","volume-title":"Statistical Methods in Medical Research","year":"2002"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200312000-00023"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-2391(10)80412-4"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1097%2FMLG.0b013e31803250f0","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1097\/MLG.0b013e31803250f0","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,15]],"date-time":"2023-11-15T13:11:19Z","timestamp":1700053879000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1097\/MLG.0b013e31803250f0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,4]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2007,4]]}},"alternative-id":["10.1097\/MLG.0b013e31803250f0"],"URL":"https:\/\/doi.org\/10.1097\/mlg.0b013e31803250f0","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,4]]}}}