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However, the postoperative recovery was complicated by severe obstructive sleep apnea, which warranted division and subsequent takedown of the flap. Despite flap takedown, our patient\u2019s obstructive sleep apnea persisted. The patient\u2019s clinical course suggests that donor site closure, and not the actual pharyngeal flap, caused the persistent obstructive sleep apnea.<\/jats:p>","DOI":"10.1177\/1055665620919326","type":"journal-article","created":{"date-parts":[[2020,4,15]],"date-time":"2020-04-15T06:35:23Z","timestamp":1586932523000},"page":"1140-1145","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Obstructive Sleep Apnea Secondary to Pharyngeal Narrowing From Horizontal Donor Site Closure During Posterior Pharyngeal Flap Surgery"],"prefix":"10.1177","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5954-4748","authenticated-orcid":false,"given":"Shamit S.","family":"Prabhu","sequence":"first","affiliation":[{"name":"Wake Forest School of Medicine, Winston-Salem, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eleanor P.","family":"Kiell","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Wake Forest School of Medicine, Winston-Salem, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa R.","family":"David","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Wake Forest School of Medicine, Winston-Salem, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher Michael","family":"Runyan","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Wake Forest School of Medicine, Winston-Salem, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,4,15]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000004295"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1597\/03-148.1"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001665-200309000-00006"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1071-0949(06)80037-5"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2018.09.015"},{"issue":"11","key":"e_1_3_2_7_1","first-page":"688","article-title":"Frequency of pharyngoplasty after primary repair of cleft palate","volume":"68","author":"Bicknell S","year":"2002","unstructured":"Bicknell S, McFadden LR, Curran JB. 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