{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T11:05:18Z","timestamp":1782126318009,"version":"3.54.5"},"reference-count":16,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2012,10,1]],"date-time":"2012-10-01T00:00:00Z","timestamp":1349049600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2012,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>We assessed the use of transoral robot-assisted lingual tonsillectomy and uvulopalatopharyngoplasty for the surgical management of tongue base obstruction in patients with obstructive sleep apnea.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In a prospective, nonrandomized trial using historical controls, patients underwent drug-induced sleep endoscopy, transoral robot-assisted lingual tonsillectomy with uvulopalatopharyngoplasty, and preoperative and postoperative polysomnography.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Twenty patients have completed the study to date. The rate of surgical success was 45%, and the rate of surgical response was 65%. The mean preoperative apnea-hypopnea index of 55.6 decreased by 56.7%, to a mean postoperative value of 24.1 (p &lt; 0.001), and the minimum arterial oxygen saturation increased from the mean preoperative value of 75.8% to the mean postoperative value of 81.7% (p = 0.013). The mean Epworth Sleepiness Scale score improved from 13.4 to 5.9 (p = 0.003). One patient had postoperative bleeding that required cauterization, resulting in a major complication rate of 4.2%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Transoral robot-assisted lingual tonsillectomy with uvulopalatopharyngoplasty is a novel technique for the surgical management of obstructive sleep apnea that results in a significant decrease in the apnea-hypopnea index, a significant improvement in minimum arterial oxygen saturation, and a significant improvement in the Epworth Sleepiness Scale score and has an acceptable complication rate.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/000348941212101002","type":"journal-article","created":{"date-parts":[[2014,10,3]],"date-time":"2014-10-03T14:44:54Z","timestamp":1412347494000},"page":"635-639","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":63,"title":["Transoral Robot-Assisted Lingual Tonsillectomy and Uvulopalatopharyngoplasty for Obstructive Sleep Apnea"],"prefix":"10.1177","volume":"121","author":[{"given":"Jonathan M.","family":"Lee","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory S.","family":"Weinstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"Bert W.","family":"O'Malley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erica R.","family":"Thaler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2012,10,1]]},"reference":[{"key":"bibr1-000348941212101002","doi-asserted-by":"publisher","DOI":"10.1378\/chest.121.2.430"},{"key":"bibr2-000348941212101002","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/33.10.1396"},{"key":"bibr3-000348941212101002","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/28.4.499"},{"key":"bibr4-000348941212101002","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1991.tb01050.x"},{"key":"bibr5-000348941212101002","doi-asserted-by":"publisher","DOI":"10.1016\/j.otot.2006.10.005"},{"key":"bibr6-000348941212101002","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/33.10.1408"},{"key":"bibr7-000348941212101002","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199908000-00017"},{"key":"bibr8-000348941212101002","first-page":"204","volume":"24","author":"Sorrenti G","year":"2004","journal-title":"Acta Otorhinolaryngol Ital"},{"key":"bibr9-000348941212101002","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000227184.90514.1a"},{"key":"bibr10-000348941212101002","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.133.12.1220"},{"key":"bibr11-000348941212101002","doi-asserted-by":"publisher","DOI":"10.1001\/archoto.2010.191"},{"key":"bibr12-000348941212101002","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21691"},{"key":"bibr13-000348941212101002","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/14.6.540"},{"key":"bibr14-000348941212101002","doi-asserted-by":"publisher","DOI":"10.1097\/01.MLG.0000170848.76045.47"},{"key":"bibr15-000348941212101002","doi-asserted-by":"publisher","DOI":"10.1177\/019459988108900609"},{"key":"bibr16-000348941212101002","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/19.2.156"}],"container-title":["Annals of Otology, Rhinology &amp; Laryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/000348941212101002","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/000348941212101002","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:20:01Z","timestamp":1777375201000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/000348941212101002"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,10]]},"references-count":16,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2012,10]]}},"alternative-id":["10.1177\/000348941212101002"],"URL":"https:\/\/doi.org\/10.1177\/000348941212101002","relation":{},"ISSN":["0003-4894","1943-572X"],"issn-type":[{"value":"0003-4894","type":"print"},{"value":"1943-572X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,10]]}}}