{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T08:04:32Z","timestamp":1769587472140,"version":"3.49.0"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,10,3]],"date-time":"2016-10-03T00:00:00Z","timestamp":1475452800000},"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":[[2016,12]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>(1) Determine the rate of postoperative complications, reoperation, readmission, and death after uvulopalatopharyngoplasty (UPPP) for sleep apnea through multi\u2010institutional clinical data. (2) Compare outcomes of UPPP between multilevel and single\u2010level procedures for the treatment of sleep apnea.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective database analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The American College of Surgeons National Surgical Quality Improvement Program\u2014a nationally validated, prospective, multi\u2010institutional database from 2005 to 2013\u2014was analyzed for patients who underwent UPPP, per corresponding <jats:italic>Current Procedural Terminology<\/jats:italic> codes. Patients were categorized into 3\u00a0groups: UPPP alone, UPPP + nasal cavity (NC), and UPPP + base of tongue (BOT). Perioperative outcome measures of interest include surgical\/medical complications, reoperation, readmission, and death. Comparisons were made among surgical groups through univariate cross\u2010sectional analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 1079 patients underwent UPPP; 413 patients had UPPP + NC; and 200 patients had UPPP + BOT procedures. One death was reported for the entire cohort of patients. Among all 3\u00a0groups (UPPP, UPPP + NC, and UPPP + BOT), no differences were noted in the rates of medical complications (<jats:italic>P<\/jats:italic> =. 445), surgical complications (<jats:italic>P<\/jats:italic> =. 396), reoperation (<jats:italic>P<\/jats:italic> =. 332), and readmission (<jats:italic>P<\/jats:italic> =. 447). However, the length of hospital stay in days was greatest for the UPPP + BOT group (UPPP, 0.81 \u00b1 0.69; UPPP + NC, 0.87 \u00b1 0.90; UPPP + BOT, 1.50 \u00b1 2.70; <jats:italic>P<\/jats:italic> &lt;. 001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These national data demonstrate no significant increase in risk when UPPP is performed as a single\u2010 or multilevel procedure. When indicated, UPPP with multilevel procedures may be safely performed for treatment of sleep apnea. These data set a benchmark for perioperative risk in UPPP surgery and will prove useful for counseling patients.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599816663180","type":"journal-article","created":{"date-parts":[[2016,8,23]],"date-time":"2016-08-23T21:48:20Z","timestamp":1471988900000},"page":"1053-1058","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Uvulopalatopharyngoplasty"],"prefix":"10.1002","volume":"155","author":[{"given":"Andrew B.","family":"Baker","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Medical University of South Carolina Charleston South Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher C.","family":"Xiao","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Medical University of South Carolina Charleston South Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brendan P.","family":"O\u2019Connell","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Medical University of South Carolina Charleston South Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jay M.","family":"Cline","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Medical University of South Carolina Charleston South Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. Boyd","family":"Gillespie","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Medical University of South Carolina Charleston South Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,10,3]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2010.05.009"},{"key":"e_1_2_8_3_1","first-page":"1071","article-title":"Sleep disordered breathing and mortality: eighteen\u2010year follow\u2010up of the Wisconsin sleep cohort","volume":"31","author":"Young T","year":"2008","journal-title":"Sleep"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1513\/pats.200708-119MG"},{"key":"e_1_2_8_5_1","first-page":"A208","article-title":"Mortality of veterans with sleep apnea: untreated versus treated","volume":"27","author":"Weaver EM","year":"2004","journal-title":"Sleep"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.02.00306502"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24131"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599815594347"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjorl.2015.01.007"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-011-1633-8"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25722"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489414525587"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(98)70077-4"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.132.10.1091"},{"key":"e_1_2_8_15_1","unstructured":"American College of Surgeons National Surgical Quality Improvement Program.User guide for the 2013 ACS NSQIP participant user file.https:\/\/www.facs.org\/~\/media\/files\/quality%20programs\/nsqip\/acs_nsqip_puf_user_guide_2013.ashx. 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