{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T23:51:30Z","timestamp":1791157890694,"version":"4.1.0"},"reference-count":33,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T00:00:00Z","timestamp":1791072000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T00:00:00Z","timestamp":1791072000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective and Design<\/jats:title>\n                    <jats:p>Modified Uvulopalatopharyngoplasty (mUPPP) is a standard surgical intervention for Obstructive Sleep Apnea Hypopnea Syndrome (OSAHS), but postoperative dysphagia remains an underdiagnosed and poorly managed complication due to the lack of standardised assessment protocols. This prospective mixed\u2010methods observational study aimed to investigate the clinical characteristics, independent risk factors, and long\u2010term outcomes of dysphagia following mUPPP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>A prospective observational study was conducted on 120 OSAHS patients undergoing mUPPP. A mixed\u2010methods assessment (EAT\u201010, interviews, and FEES) was performed at 2\u2009weeks, 1, 6, and 12\u2009months postoperatively. Univariate and multivariate logistic regression analyses were used to identify independent risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The rate of patients screening positive for clinically significant dysphagia symptoms (EAT\u201010\u2009\u2265\u20093, patient\u2010reported screening threshold) was 63.3% at 2\u2009weeks postoperatively. FEES confirmed pathological swallowing abnormalities, such as delayed pharyngeal response and aspiration risk, in over 94% of EAT\u201010\u2010positive patients. Four independent risk factors were identified: female gender, gastroesophageal reflux disease (GERD), anxiety\/depression, and excessive daytime sleepiness (ESS \u2265\u200910). Symptoms persisted in approximately 19.2% of patients at 6\u2009months and 9.2% at 12\u2009months, with patients having multiple risk factors showing a significantly higher risk of long\u2010term persistence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Dysphagia is a common and persistent sequela following mUPPP. The combination of EAT\u201010 and FEES is recommended for comprehensive postoperative monitoring. Preoperative identification and management of risk factors (gender, GERD, psychological status, and sleepiness) are crucial for risk stratification and implementing personalised interventions to reduce the burden of persistent dysphagia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/coa.70173","type":"journal-article","created":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T22:56:40Z","timestamp":1791154600000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Characteristics, Risk Factors, and Long\u2010Term Outcomes of Dysphagia Following Modified Uvulopalatopharyngoplasty: A Mixed\u2010Methods Study"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-1031-5843","authenticated-orcid":false,"given":"Yujie","family":"Yan","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology The First Affiliated Hospital With Nanjing Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ran","family":"Shi","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology The First Affiliated Hospital With Nanjing Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qi","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology The First Affiliated Hospital With Nanjing Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renyu","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology The First Affiliated Hospital With Nanjing Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui","family":"Yao","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology The First Affiliated Hospital With Nanjing Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology The First Affiliated Hospital With Nanjing Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-4233-1725","authenticated-orcid":false,"given":"Rui","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology The First Affiliated Hospital With Nanjing Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,4]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.smrv.2023.101847","article-title":"A Review of Supine Position Related Obstructive Sleep Apnea: Classification, Epidemiology, Pathogenesis and Treatment","volume":"72","author":"Landry S. 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