{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T15:36:47Z","timestamp":1783093007849,"version":"3.54.6"},"reference-count":14,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2019,8,13]],"date-time":"2019-08-13T00:00:00Z","timestamp":1565654400000},"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":[[2020,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Transpalatal advancement (TPA) is a procedure that is used when modern variants of uvulopharyn-gopalatoplasty are unable to provide enough anterior traction. Although successful in reduction of obstructive sleep apnea (OSA) parameters, it also comes with procedure-specific risks. Formation of an oro-nasal fistula (ONF) is a complication that results in significant morbidity and a protracted treatment course.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>After approval from the University of Wollongong Health Research Ethics Committee, a retrospective chart review of all cases undergoing TPA performed by a single surgeon over a 10-year period from 2008 to 2018 was performed. Patients underwent pre- and postoperative level 1 or 2 polysomnography. Factors potentially contributing to palatal complications, as well as pre- and postoperative polysomnographic parameters, subjective sleep questionnaires, and body mass index (BMI) were statistically analyzed where a P value &lt;.05 was considered a significant result.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 59 patients were included. Overall palatal complication rate was 25.4% (15\/59), with the most common being transient velo-palatal insufficiency (VPI) (8\/59, 13.6%). ONF developed in 4\/59 (6.8%) of patients. None of the analyzed contributing factors for palatal complications were statistically significant, except the presence of a high-arched palate and development of ONF. All analyzed sleep parameters, as well as BMI, were significantly different when comparing pre- to postoperative results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study suggests that TPA has a role in current sleep surgery paradigms and can significantly improve both objective and subjective outcome measures of OSA. Surgeons contemplating TPA on patients with high-arched hard palates should do so with caution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0003489419867969","type":"journal-article","created":{"date-parts":[[2019,8,14]],"date-time":"2019-08-14T01:13:13Z","timestamp":1565745193000},"page":"18-22","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Causative Factors for Complications in Transpalatal Advancement"],"prefix":"10.1177","volume":"129","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2059-6983","authenticated-orcid":false,"given":"Lyndon","family":"Chan","sequence":"first","affiliation":[{"name":"Illawarra ENT Head and Neck Clinic, Wollongong, NSW, Australia"},{"name":"University of Wollongong, Wollongong, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leon","family":"Kitpornchai","sequence":"additional","affiliation":[{"name":"Illawarra ENT Head and Neck Clinic, Wollongong, NSW, Australia"},{"name":"University of Queensland, Brisbane, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stuart","family":"Mackay","sequence":"additional","affiliation":[{"name":"Illawarra ENT Head and Neck Clinic, Wollongong, NSW, Australia"},{"name":"University of Wollongong, Wollongong, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,8,13]]},"reference":[{"key":"bibr1-0003489419867969","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199303000-00006"},{"key":"bibr2-0003489419867969","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsmc.2016.04.003"},{"key":"bibr3-0003489419867969","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2009.03.022"},{"key":"bibr4-0003489419867969","doi-asserted-by":"publisher","DOI":"10.1001\/archoto.2009.45"},{"key":"bibr5-0003489419867969","first-page":"339","volume-title":"Rhinologic and Sleep Apnea Surgical Techniques","volume":"2007","author":"Woodson BT"},{"key":"bibr6-0003489419867969","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24510"},{"key":"bibr7-0003489419867969","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2007.09.001"},{"key":"bibr8-0003489419867969","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-016-4121-3"},{"issue":"2","key":"bibr9-0003489419867969","doi-asserted-by":"crossref","first-page":"117","DOI":"10.5664\/jcsm.2402","volume":"9","author":"MacKay SG","year":"2013","journal-title":"J Clin Sleep Med"},{"key":"bibr10-0003489419867969","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200306000-00011"},{"issue":"5","key":"bibr11-0003489419867969","first-page":"648","volume":"74","author":"Johal A","year":"2004","journal-title":"Angle Orthod"},{"key":"bibr12-0003489419867969","doi-asserted-by":"publisher","DOI":"10.1177\/0194599811434256"},{"key":"bibr13-0003489419867969","doi-asserted-by":"publisher","DOI":"10.1177\/0194599819838262"},{"key":"bibr14-0003489419867969","first-page":"109","volume-title":"Sleep-Related Breathing Disorders","volume":"2017","author":"Lin H-C"}],"container-title":["Annals of Otology, Rhinology &amp; Laryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0003489419867969","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0003489419867969","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0003489419867969","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:32:50Z","timestamp":1777375970000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0003489419867969"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8,13]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,1]]}},"alternative-id":["10.1177\/0003489419867969"],"URL":"https:\/\/doi.org\/10.1177\/0003489419867969","relation":{},"ISSN":["0003-4894","1943-572X"],"issn-type":[{"value":"0003-4894","type":"print"},{"value":"1943-572X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,8,13]]}}}