{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T05:26:12Z","timestamp":1787808372678,"version":"build-2784847793"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,12,3]],"date-time":"2017-12-03T00:00:00Z","timestamp":1512259200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To compare the results of tissue preservation techniques of soft palate surgeries including expansion sphincter pharyngoplasty (<jats:styled-content style=\"fixed-case\">ESP<\/jats:styled-content>) and barbed reposition pharyngoplasty (<jats:styled-content style=\"fixed-case\">BRP<\/jats:styled-content>) for patients suffering from obstructive sleep apnoea (<jats:styled-content style=\"fixed-case\">OSA<\/jats:styled-content>) with the traditional uvulopalatopharyngoplasty (<jats:styled-content style=\"fixed-case\">UPPP<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Interventional comparative study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Morgagni\u2010Pierantoni Hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Seventy\u2010five patients were included in the study, divided into three groups with 25 patients per group: <jats:styled-content style=\"fixed-case\">UPPP<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> ESP<\/jats:styled-content> or <jats:styled-content style=\"fixed-case\">BRP<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcomes measures<\/jats:title><jats:p>Polysomnography was carried out for all patients pre\u2010 and postoperatively; the postoperative results were recorded at least 6\u00a0months after surgery. All patients were assessed preoperatively using drug\u2010induced sleep endoscopy. Epworth Sleepiness Scale and body mass index (BMI) were registered for all patients before and after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean of pre\u2010 and postoperative differences of apnoea\u2010hypopnoea index values was higher in <jats:styled-content style=\"fixed-case\">BRP<\/jats:styled-content> group than <jats:styled-content style=\"fixed-case\">ESP<\/jats:styled-content>: 15.76\u00a0\u00b1\u00a014.5 Vs 10.13\u00a0\u00b1\u00a05.3; <jats:italic>P\u00a0&lt;\u00a0<\/jats:italic>.05 and <jats:styled-content style=\"fixed-case\">UPPP<\/jats:styled-content> groups: 15.76\u00a0\u00b1\u00a014.5 vs 6.08\u00a0\u00b1\u00a05.5; <jats:italic>P\u00a0&lt;\u00a0<\/jats:italic>.0005. The mean of differences of oxygen desaturation index values was higher in <jats:styled-content style=\"fixed-case\">BRP<\/jats:styled-content> group than <jats:styled-content style=\"fixed-case\">UPPP<\/jats:styled-content> group: 15.09\u00a0\u00b1\u00a017.6 vs 7.13\u00a0\u00b1\u00a06.8; <jats:italic>P\u00a0&lt;\u00a0<\/jats:italic>.0005, but not significantly higher than <jats:styled-content style=\"fixed-case\">ESP<\/jats:styled-content> group: 15.09\u00a0\u00b1\u00a017.6 vs 6.48\u00a0\u00b1\u00a07.9; <jats:italic>P\u00a0&gt;\u00a0<\/jats:italic>.05. The mean of differences of <jats:styled-content style=\"fixed-case\">ESS<\/jats:styled-content> values was higher in <jats:styled-content style=\"fixed-case\">BRP<\/jats:styled-content> group than <jats:styled-content style=\"fixed-case\">ESP<\/jats:styled-content> group: 5.52\u00a0\u00b1\u00a04.1 vs 4.84\u00a0\u00b1\u00a03.3; <jats:italic>P\u00a0&lt;\u00a0<\/jats:italic>.005 and <jats:styled-content style=\"fixed-case\">UPPP<\/jats:styled-content> groups: 5.52\u00a0\u00b1\u00a04.1 vs 1.36\u00a0\u00b1\u00a01.9; <jats:italic>P\u00a0&lt;\u00a0<\/jats:italic>.005. Finally, the pre\u2010 and postoperative means of differences of lowest oxygen saturation values were not statistically significant among the three groups (<jats:italic>P\u00a0<\/jats:italic>&gt;\u00a0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Barbed reposition pharyngoplasty (<jats:styled-content style=\"fixed-case\">BRP<\/jats:styled-content>) can be considered an effective procedure on the basis of the postoperative outcomes. <jats:styled-content style=\"fixed-case\">ESP<\/jats:styled-content> still proves to be a good technique especially when performed by experienced surgeons. Both techniques proved to be superior to <jats:styled-content style=\"fixed-case\">UPPP<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.13027","type":"journal-article","created":{"date-parts":[[2017,11,6]],"date-time":"2017-11-06T14:36:39Z","timestamp":1509978999000},"page":"584-590","source":"Crossref","is-referenced-by-count":52,"title":["Evolution of soft palate surgery techniques for obstructive sleep apnea patients: A comparative study for single\u2010level palatal surgeries"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8233-196X","authenticated-orcid":false,"given":"Mohamed S.","family":"Rashwan","sequence":"first","affiliation":[{"name":"Faculty of Medicine Department of Otorhinolaryngology Suez Canal University Teaching Hospitals Ismailia Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Filippo","family":"Montevecchi","sequence":"additional","affiliation":[{"name":"Head and Neck Department \u2013 ENT &amp; Oral Surgery Unit G.B. Morgagni \u2010 L. Pierantoni Hospital Forl\u00ec \u2010 ASL of Romagna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Cammaroto","sequence":"additional","affiliation":[{"name":"Head and Neck Department \u2013 ENT &amp; Oral Surgery Unit G.B. Morgagni \u2010 L. Pierantoni Hospital Forl\u00ec \u2010 ASL of Romagna Italy"},{"name":"Department of Otorhinolaryngology University of Messina Messina Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Badr el Deen","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Department of Otorhinolaryngology Suez Canal University Teaching Hospitals Ismailia Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nagi","family":"Iskander","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Department of Otorhinolaryngology Suez Canal University Teaching Hospitals Ismailia Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diaa","family":"El Hennawi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Department of Otorhinolaryngology Suez Canal University Teaching Hospitals Ismailia Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4207-9725","authenticated-orcid":false,"given":"Mohammed","family":"El Tabbakh","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Department of Otorhinolaryngology Suez Canal University Teaching Hospitals Ismailia Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Meccariello","sequence":"additional","affiliation":[{"name":"Head and Neck Department \u2013 ENT &amp; Oral Surgery Unit G.B. Morgagni \u2010 L. Pierantoni Hospital Forl\u00ec \u2010 ASL of Romagna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riccardo","family":"Gobbi","sequence":"additional","affiliation":[{"name":"Head and Neck Department \u2013 ENT &amp; Oral Surgery Unit G.B. Morgagni \u2010 L. Pierantoni Hospital Forl\u00ec \u2010 ASL of Romagna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Stomeo","sequence":"additional","affiliation":[{"name":"ENT &amp; Audiology Department University of Ferrara Ferrara Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudio","family":"Vicini","sequence":"additional","affiliation":[{"name":"Head and Neck Department \u2013 ENT &amp; Oral Surgery Unit G.B. Morgagni \u2010 L. Pierantoni Hospital Forl\u00ec \u2010 ASL of Romagna Italy"},{"name":"ENT &amp; Audiology Department University of Ferrara Ferrara Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,12,3]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2016.07.002"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-012-0647-9"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198709000-00011"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm\/148.5.1385"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23462"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200311000-00020"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2007.03.014"},{"key":"e_1_2_8_9_1","first-page":"48","article-title":"The velo\u2010uvulo\u2010pharyngeal lift or \u201croman blinds\u201d technique for treatment of snoring: a preliminary report","volume":"32","author":"Mantovani M","year":"2012","journal-title":"Acta Otorhinolaryngol Ital"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-015-3628-3"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s100720300004"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/29.7.903"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2002.126477"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24972"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200011000-00010"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-014-0989-6"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-012-1965-z"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/30.4.519"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1159\/000368415"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/290265"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2003.03.002"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.134.8.805"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/19.2.156"},{"key":"e_1_2_8_24_1","first-page":"CD001004","article-title":"Surgery for obstructive sleep apnoea","volume":"4","author":"Sundaram S","year":"2005","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_8_25_1","first-page":"27","article-title":"Effects and side\u2010effects of surgery for snoring and obstructive sleep apnea\u2013a systematic review","volume":"32","author":"Franklin KA","year":"2009","journal-title":"Sleep"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-015-3831-2"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23271"},{"key":"e_1_2_8_28_1","doi-asserted-by":"crossref","DOI":"10.14639\/0392-100X-1321","article-title":"Palatal surgery in a transoral robotic setting (TORS): preliminary results of a retrospective comparison between uvulopalatopharyngoplasty (UPPP), expansion sphincter pharyngoplasty (ESP) and barbed repositioning pharyngoplasty (BRP)","author":"Cammaroto G","year":"2017","journal-title":"Acta Otorhinolaryngol Italy"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198703000-00009"}],"container-title":["Clinical Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcoa.13027","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/coa.13027","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,16]],"date-time":"2023-09-16T23:26:17Z","timestamp":1694906777000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/coa.13027"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12,3]]},"references-count":28,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,4]]}},"alternative-id":["10.1111\/coa.13027"],"URL":"https:\/\/doi.org\/10.1111\/coa.13027","archive":["Portico"],"relation":{},"ISSN":["1749-4478","1749-4486"],"issn-type":[{"value":"1749-4478","type":"print"},{"value":"1749-4486","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,12,3]]}}}