{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T21:02:08Z","timestamp":1768251728689,"version":"3.49.0"},"reference-count":12,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,5,18]],"date-time":"2016-05-18T00:00:00Z","timestamp":1463529600000},"content-version":"vor","delay-in-days":8904,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1992,1]]},"abstract":"<jats:p>A study was conducted to assess oxygenation and respiratory changes on the first and second postoperative nights after uvulopalatopharyngoplasty (UPPP) for obstructive sleep apnea (OSA). Twelve patients were postoperatively evaluated with 8\u2010hour nocturnal polysomnography on four occasions: (1) <jats:italic>PREOP<\/jats:italic>\u2014night before UPPP, (2) POPN1\u2014first postoperative night, (3) <jats:italic>POPN2<\/jats:italic>\u2014second postoperative night, and (4) <jats:italic>3MOS<\/jats:italic>\u20143\u2010month follow\u2010up study. Results demonstrate that apnea Index (Al) and respiratory disturbance Index (RDI) were significantly Improved at 3MOS from PREOP levels: Al (<jats:italic>p<\/jats:italic> &lt; 0.01) and RDI (<jats:italic>p<\/jats:italic> &lt; 0.05). There were no statistical differences from PREOP to POPN1 or POPN2 for Al, RDI, lowest oxyhemoglobin saturation (LSAT), or number of desaturations (#DESAT). One of twelve patients dropped LSAT &gt;10% from PREOP to POPN1 or POPN2 (82% PREOP to 71% POPN2). Patients were grouped by PREOP LSAT \u2a7e80% or &lt;80%, and the postoperative change In LSAT was evaluated by comparing PREOP to a value averaging POPN1 and POPN2. Patients with LSAT \u2a7d80% decreased by 2.6%; patients with LSAT &lt;80% Improved by 6.2%. This change in LSAT between groups was statistically different (<jats:italic>p<\/jats:italic> = 0.02). These data suggest that in the majority of patients, preoperative indices remain unchanged for at least 2 days after surgery, even for patients who demonstrated improvement at 3 months. However, worsening does occur in some patients. On the basis of the results of this study and clinical experience with the postoperative course, a selective management protocol is outlined.<\/jats:p>","DOI":"10.1177\/019459989210600132","type":"journal-article","created":{"date-parts":[[2017,1,25]],"date-time":"2017-01-25T19:39:32Z","timestamp":1485373172000},"page":"81-86","source":"Crossref","is-referenced-by-count":46,"title":["Postoperative Risk following Uvulopalatopharyngoplasty for Obstructive Sleep Apnea"],"prefix":"10.1002","volume":"106","author":[{"given":"Lawrence P. A.","family":"Burgess","sequence":"first","affiliation":[{"name":"Otolaryngology\u2013Head and Neck Surgery Service Honolulu Hawaii"},{"name":"Otolaryngology\u2013Head and Neck Surgery Service Moreno Valley California"},{"name":"Otolaryngology\u2013Head and Neck Surgery Service Bethesda and Potomac Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarkis S.","family":"Derderian","sequence":"additional","affiliation":[{"name":"Department of Clinical Investigation Walter Reed Army Medical Center Washington D.C."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Garrison V.","family":"Morin","sequence":"additional","affiliation":[{"name":"Otolaryngology\u2013Head and Neck Surgery Service Honolulu Hawaii"},{"name":"Otolaryngology\u2013Head and Neck Surgery Service Moreno Valley California"},{"name":"Otolaryngology\u2013Head and Neck Surgery Service Bethesda and Potomac Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"Gonzalez","sequence":"additional","affiliation":[{"name":"Otolaryngology\u2013Head and Neck Surgery Service Honolulu Hawaii"},{"name":"Otolaryngology\u2013Head and Neck Surgery Service Moreno Valley California"},{"name":"Otolaryngology\u2013Head and Neck Surgery Service Bethesda and Potomac Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joan T.","family":"Zajtchuk","sequence":"additional","affiliation":[{"name":"Otolaryngology\u2013Head and Neck Surgery Service Honolulu Hawaii"},{"name":"Otolaryngology\u2013Head and Neck Surgery Service Moreno Valley California"},{"name":"Otolaryngology\u2013Head and Neck Surgery Service Bethesda and Potomac Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1992,1]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459989010200306"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.1986.96.11.1236"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/11.1.75"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198911000-00004"},{"key":"e_1_2_1_6_1","volume-title":"A manual of standardized terminology: Techniques and scoring system for sleep stages of human subjects","author":"Rechtschaffen A","year":"1968"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM197903083001001"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988108900609"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198705000-00024"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988509300222"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348948909800703"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm\/140.3.711"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(83)90013-9"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989210600132","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989210600132","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T11:19:08Z","timestamp":1760959148000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/019459989210600132"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1992,1]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1992,1]]}},"alternative-id":["10.1177\/019459989210600132"],"URL":"https:\/\/doi.org\/10.1177\/019459989210600132","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[1992,1]]}}}