{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T03:39:41Z","timestamp":1778816381771,"version":"3.51.4"},"reference-count":12,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,1,12]],"date-time":"2016-01-12T00:00:00Z","timestamp":1452556800000},"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":[[2016,3]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the role of tension on the genioglossus muscle in the performance of genioglossus advancement on sleep\u2010disordered breathing in patients undergoing multilevel obstructive sleep apnea (OSA) surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Prospective study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Academic practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>Twenty\u2010three subjects underwent genioglossus advancement with uvulopalatopharyngoplasty for OSA. Subjects underwent pre\u2010 and postoperative polysomnography, cephalometry, and subjective assessment questionnaires. Eighteen subjects completed the study. The tension force of the mandible and the bicortical width of the genial tubercle were measured and surgical response determined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Improvement in apnea\u2010hypopnea index (AHI) was seen in 15 of 18 subjects (83.3%). Eleven subjects were classified as responders and 7 as nonresponders (61.1% success), with responders exhibiting a statistically significant reduction in mean delta AHI as compared with nonresponders: 28.3 \u00b1 26.2 versus 2.0 \u00b1 22.0 events per hour (95% confidence interval, 1.8\u201050.8; <jats:italic>P<\/jats:italic> =. 037). The Epworth Sleepiness Scale improved from 13.2 \u00b1 4.5 to 7.6 \u00b1 3.4 (<jats:italic>P<\/jats:italic> =. 002). There was no significant difference in body mass index, neck circumference, overall tension, or mandibular width between responders and nonresponders. However, there was a significant difference in the tension:width ratio between responders (53.9 \u00b1 6.38\u00a0g\/mm) and nonresponders (65.4 \u00b1 11.2\u00a0g\/mm; 95% confidence interval, 0.92\u201022.1; <jats:italic>P<\/jats:italic> =. 036).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This article describes a novel approach to determine the force applied to the genioglossus during advancement and its correlation to postoperative outcomes. The tension:width ratio may be an indicator for postoperative success and delta AHI improvement in OSA patients.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599815625210","type":"journal-article","created":{"date-parts":[[2016,1,13]],"date-time":"2016-01-13T04:24:06Z","timestamp":1452659046000},"page":"558-563","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Predicting Surgical Response Using Tensiometry in OSA Patients after Genioglossus Advancement with Uvulopalatopharyngoplasty"],"prefix":"10.1002","volume":"154","author":[{"given":"Jos\u00e9 E.","family":"Barrera","sequence":"first","affiliation":[{"name":"San Antonio Military Medical Center Fort Sam Houston Texas USA"},{"name":"Uniformed Services University Bethesda Maryland USA"},{"name":"University of Texas Health Sciences Center San Antonio Texas USA"},{"name":"Texas Facial Plastic Surgery and ENT San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory R.","family":"Dion","sequence":"additional","affiliation":[{"name":"San Antonio Military Medical Center Fort Sam Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,1,12]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/7.1.79"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.2310\/7070.2003.40315"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cps.2007.04.010"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599811416745"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988609400610"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1988.01860230074028"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2006.10.052"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-097X.2007.00714.x"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459989310800203"},{"key":"e_1_2_9_11_1","first-page":"1297","volume-title":"Peterson\u2019s Principles of Oral Maxillofacial Surgery","author":"Tiner BD","year":"2004"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.132.2.206"},{"key":"e_1_2_9_13_1","first-page":"758","article-title":"Geniotubercle advancement with a uvulopalatal flap and its effect on swallow function in obstructive sleep apnea","volume":"25","author":"Rohrer JW","year":"2014","journal-title":"Laryngoscope"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599815625210","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1177\/0194599815625210","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599815625210","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T14:24:11Z","timestamp":1760970251000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0194599815625210"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,1,12]]},"references-count":12,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2016,3]]}},"alternative-id":["10.1177\/0194599815625210"],"URL":"https:\/\/doi.org\/10.1177\/0194599815625210","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,1,12]]},"assertion":[{"value":"2015-09-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-12-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-01-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}