{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T13:43:14Z","timestamp":1778852594766,"version":"3.51.4"},"reference-count":17,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2015,11,6]],"date-time":"2015-11-06T00:00:00Z","timestamp":1446768000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2015,11,6]],"date-time":"2015-11-06T00:00:00Z","timestamp":1446768000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ORL"],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Background\/Aims:&lt;\/i&gt;&lt;\/b&gt; To stratify outcomes in patients with moderate to severe obstructive sleep apnea-hypopnea syndrome (OSAHS) undergoing transoral robotic surgery (TORS) \u00b1 multilevel procedures according to Friedman stage. &lt;b&gt;&lt;i&gt;Methods:&lt;\/i&gt;&lt;\/b&gt; A total of 118 patients with moderate to severe OSAHS between 2010 and 2013 were stratified preoperatively by Friedman stage. All patients had TORS-assisted lingual tonsillectomy, either stand-alone or in combination with palatal surgery. Apnea-hypopnea index (AHI) was measured preoperatively and 3 months postoperatively. Success was defined as a decrease in AHI by 50% and AHI &lt;20. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; The average pre- and postoperative AHI was 43.0 and 22.6, respectively, and the overall success rate was 63%. When stratifying by Friedman stage, success was seen in 75% of stage I, 70% of stage II, 66% of stage III, and 10% of stage IV patients. When stratifying by preoperative BMI, success was seen in 75% of stage II and 72% of stage III patients with BMI &lt;30, compared to 58% of stage II and 56% of stage III patients with BMI &gt;30. &lt;b&gt;&lt;i&gt;Conclusions:&lt;\/i&gt;&lt;\/b&gt; TORS-assisted lingual tonsillectomy \u00b1 multilevel procedures can be successful in treating patients with moderate to severe OSAHS with Friedman stage I-III anatomy. Success rates are even greater if patients are stratified according to preoperative BMI, as those with BMI &lt;30 are more likely to achieve success even with Friedman stage II-III anatomy.<\/jats:p>","DOI":"10.1159\/000441456","type":"journal-article","created":{"date-parts":[[2015,11,5]],"date-time":"2015-11-05T22:03:46Z","timestamp":1446761026000},"page":"1-8","source":"Crossref","is-referenced-by-count":12,"title":["Addressing the Retrolingual Space in Obstructive Sleep Apnea: Outcomes Stratified by Friedman Stage in Patients Undergoing Transoral Robotic Surgery"],"prefix":"10.1159","volume":"78","author":[{"given":"Matthew E.","family":"Spector","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tiffany A.","family":"Glazer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul T.","family":"Hoff","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2015,11,6]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200005113421901"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)71141-7"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa043104"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e31816422ea"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2002.126477"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199912000-00002"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200403000-00013"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1177\/0194599811434262"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2014.2299"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1159\/000368415"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1177\/000348941212101002"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2007.03.014"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2005.10.032"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1159\/000284352"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004435.pub3"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21691"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1159\/000360768"}],"container-title":["ORL"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/441456","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/441456","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T18:01:15Z","timestamp":1745431275000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000441456"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,11,6]]},"references-count":17,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2016,3,1]]},"published-print":{"date-parts":[[2016,3,8]]}},"URL":"https:\/\/doi.org\/10.1159\/000441456","archive":["Portico"],"relation":{},"ISSN":["0301-1569","1423-0275"],"issn-type":[{"value":"0301-1569","type":"print"},{"value":"1423-0275","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,11,6]]}}}