{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:10:37Z","timestamp":1787019037354,"version":"build-2736575974"},"reference-count":8,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2018,4,4]],"date-time":"2018-04-04T00:00:00Z","timestamp":1522800000000},"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":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To determine if sphincter pharyngoplasty changes sleep study parameters on patients undergoing surgery for velopharyngeal insufficiency (VPI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Retrospective chart review on patients undergoing sphincter pharyngoplasty for VPI with pre- and postoperative polysomnography completed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Institutional study at a tertiary pediatric hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients:<\/jats:title>\n                    <jats:p>All patients who underwent sphincter pharyngoplasty over a 20-year period were reviewed; all patients with both pre- and postoperative sleep studies were collected for evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions:<\/jats:title>\n                    <jats:p>Sphincter pharyngoplasty for patients with VPI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure:<\/jats:title>\n                    <jats:p>Sleep study parameters collected include apnea\u2013hypopnea index (AHI), obstructive and central apneas, hypopneas, and mixed events. The preoperative values were compared to postoperative values.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There were 98 patients collected with sleep studies for review. Of these, 32 patients had both pre- and postoperative sleep studies. The AHI increased from 1.8 preoperatively to a postoperative value of 4.8 ( P = .004). The number of obstructive events per night went from 4.6 to 17.6 postoperatively ( P = .04). The number of hypopneas increased from 4.0 to 13.6 ( P = .003). The other parameters were not statistically different, central events decreased from 4.8 to 2.1 ( P = .086), and mixed events were essentially unchanged from 0.2 to 0.5 ( P = .17) events per night.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Patients undergoing sphincter pharyngoplasty for VPI may experience an increase in their postoperative AHI, obstructive events per night, and hypopneas. Sleep studies should be performed both pre- and postoperatively to assess the need for intervention or change in management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1055665618766060","type":"journal-article","created":{"date-parts":[[2018,4,4]],"date-time":"2018-04-04T12:35:09Z","timestamp":1522845309000},"page":"1447-1449","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Comparison of Pre- and Postoperative Sleep Studies in Patients Undergoing Sphincter Pharyngoplasty"],"prefix":"10.1177","volume":"55","author":[{"given":"Christina M.","family":"Busuito","sequence":"first","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Detroit Medical Center\/Wayne State University, Detroit, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan","family":"Vandjelovic","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Detroit Medical Center\/Michigan State University, Detroit, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana M.","family":"Flis","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Detroit Medical Center\/Wayne State University, Detroit, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arlene","family":"Rozzelle","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery, Children\u2019s Hospital of Michigan, Detroit, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,4,4]]},"reference":[{"issue":"7","key":"bibr1-1055665618766060","doi-asserted-by":"crossref","first-page":"1974","DOI":"10.1097\/SCS.0b013e31825b3ba9","volume":"23","author":"Ettinger RE","year":"2012","journal-title":"J Craniofac Surg"},{"key":"bibr2-1055665618766060","doi-asserted-by":"publisher","DOI":"10.1016\/j.cps.2013.12.010"},{"key":"bibr3-1055665618766060","first-page":"615","volume-title":"Plastic Surgery","volume":"3","author":"Kirschner RE","year":"2013","edition":"3"},{"key":"bibr4-1055665618766060","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_2003_040_0269_lfoosa_2.0.co_2"},{"key":"bibr5-1055665618766060","doi-asserted-by":"publisher","DOI":"10.1597\/12-049"},{"key":"bibr6-1055665618766060","doi-asserted-by":"publisher","DOI":"10.1378\/chest.125.3.864"},{"key":"bibr7-1055665618766060","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2012.03.005"},{"key":"bibr8-1055665618766060","doi-asserted-by":"publisher","DOI":"10.1097\/00004691-199605000-00003"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1055665618766060","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1055665618766060","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1055665618766060","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:18:56Z","timestamp":1777393136000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1055665618766060"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,4]]},"references-count":8,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2018,11]]}},"alternative-id":["10.1177\/1055665618766060"],"URL":"https:\/\/doi.org\/10.1177\/1055665618766060","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4,4]]}}}