{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T18:09:39Z","timestamp":1793383779040,"version":"4.5.0"},"reference-count":23,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,9,26]],"date-time":"2012-09-26T00:00:00Z","timestamp":1348617600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To measure quality\u2010of\u2010life outcomes, polysomnographic outcomes, and adverse effects for a new technique of tongue reduction in obstructive sleep apnea.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Case series.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>Consecutively treated adult patients (N = 27) with obstructive sleep apnea having submucosal lingualplasty in 2007 were studied. All had concurrent or previous uvulopalatoplasty \u00b1 palatal advancement. Full polysomnography preoperatively and 3.7 \u00b1 0.4\u00a0months postoperatively, scored using the American Academy of Sleep Medicine 2007 criteria, was recorded. Snoring severity score, Epworth Sleepiness Scale, and complication data were collected at a 2.61 \u00b1 0.08\u2010year follow\u2010up via questionnaire.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean snoring severity score fell from 7.1 \u00b1 0.4 to 2.3 \u00b1 0.6 (<jats:italic>P<\/jats:italic> &lt;. 05). Epworth Sleepiness Scale score fell from 8.3 \u00b1 1.1 to 5.8 \u00b1 1.0 (<jats:italic>P<\/jats:italic> &lt;. 05). The apnea\u2010hypopnea index (AHI) fell from 44.0 \u00b1 4.3 to 12.5 \u00b1 2.3 (<jats:italic>P<\/jats:italic> &lt;. 05). Success, defined as achieving an AHI &lt;15 postoperatively, was observed in 74% (20\/27), with each of these patients achieving a reduction in AHI &gt;50%. Lowest oxygen saturation improved from 84 \u00b1 1 to 88 \u00b1 1 (<jats:italic>P<\/jats:italic> &lt;. 05). Pain was mild to moderate. Short\u2010term postoperative complications included bleeding (3.7%) and infection (14.8%). Some minor long\u2010term (6\u00a0months) alteration in tongue function was reported with regard to speech (47%), swallow (33%), and taste (33%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Submucosal lingualplasty with concurrent palatal surgery is a promising treatment option in adult patients with obstructive sleep apnea with macroglossia.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599812461750","type":"journal-article","created":{"date-parts":[[2012,9,27]],"date-time":"2012-09-27T13:42:58Z","timestamp":1348753378000},"page":"157-165","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Submucosal Lingualplasty for Adult Obstructive Sleep Apnea"],"prefix":"10.1002","volume":"148","author":[{"given":"Indunil","family":"Gunawardena","sequence":"first","affiliation":[{"name":"Flinders ENT Department of Surgery Flinders Medical Centre and Flinders University South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sam","family":"Robinson","sequence":"additional","affiliation":[{"name":"Flinders ENT Department of Surgery Flinders Medical Centre and Flinders University South Australia Australia"},{"name":"Memorial Hospital North Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stuart","family":"MacKay","sequence":"additional","affiliation":[{"name":"Flinders ENT Department of Surgery Flinders Medical Centre and Flinders University South Australia Australia"},{"name":"Illawara ENT Clinic and University of Wollongong New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charmaine M.","family":"Woods","sequence":"additional","affiliation":[{"name":"Flinders ENT Department of Surgery Flinders Medical Centre and Flinders University South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"June","family":"Choo","sequence":"additional","affiliation":[{"name":"Flinders ENT Department of Surgery Flinders Medical Centre and Flinders University South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"Esterman","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery University of South Australia Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. 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