{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T21:10:32Z","timestamp":1760130632370,"version":"build-2065373602"},"reference-count":12,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T00:00:00Z","timestamp":1693180800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JPM"],"abstract":"<jats:p>Obstructive sleep apnea (OSA) surgery is now a viable solution in selected patients and the \u201cremodeling\u201d palatopharyngeal surgery is the most common one. Recently, it has become less invasive with the introduction of barbed sutures (BS). An optimization of surgical techniques is represented by barbed pharyngoplasty (BP), which requires surgical precision and needs efficient and precise oropharyngeal visualization. Consequently, the lighting system is of pivotal importance in BP. The aim of this work is to describe the first experience on the use of a new lighting system, called KLAROTM in BP for OSA. We evaluated the KLARO\u2122 system in 15 consecutives BP for OSA in comparison with conventional headlamp illumination. The visualization of palatopharyngeal muscle in the bottom of the tonsillar fossa, entry and exit needle, such as needle tip, were statistically better with KLAROTM than headlamp illumination for both the surgeon and resident (p &lt; 0.05). No significant differences for the visualization of the posterior pharyngeal wall and uvula were reported. The KLAROTM lighting system allows a satisfied illumination of oral cavity and oropharynx in the majority of cases. We encourage the use of KLAROTM not only in BP for OSA, but in all oral and pharyngeal surgeries, including tonsillectomy and oncological surgery.<\/jats:p>","DOI":"10.3390\/jpm13091320","type":"journal-article","created":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T10:46:00Z","timestamp":1693305960000},"page":"1320","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A New Lighting System for Surgical Vision Optimization in Barbed Pharyngoplasty for OSA"],"prefix":"10.3390","volume":"13","author":[{"given":"Lorenzo","family":"Sabatino","sequence":"first","affiliation":[{"name":"Integrated Therapies in Otolaryngology, Fondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Moffa","sequence":"additional","affiliation":[{"name":"Integrated Therapies in Otolaryngology, Fondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy"},{"name":"School of Medicine, Universit\u00e0 Campus Bio-Medico di Roma, 00128 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7944-6707","authenticated-orcid":false,"given":"Francesco","family":"Iafrati","sequence":"additional","affiliation":[{"name":"Integrated Therapies in Otolaryngology, Fondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy"},{"name":"School of Medicine, Universit\u00e0 Campus Bio-Medico di Roma, 00128 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simone","family":"Di Giovanni","sequence":"additional","affiliation":[{"name":"Integrated Therapies in Otolaryngology, Fondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy"},{"name":"School of Medicine, Universit\u00e0 Campus Bio-Medico di Roma, 00128 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luigi","family":"De Benedetto","sequence":"additional","affiliation":[{"name":"Integrated Therapies in Otolaryngology, Fondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2568-3237","authenticated-orcid":false,"given":"Lucrezia","family":"Giorgi","sequence":"additional","affiliation":[{"name":"Integrated Therapies in Otolaryngology, Fondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy"},{"name":"Unit of Measurements and Biomedical Instrumentation, Universit\u00e0 Campus Bio-Medico di Roma, 00128 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6601-5331","authenticated-orcid":false,"given":"Peter","family":"Baptista","sequence":"additional","affiliation":[{"name":"ENT Department, Al Zahra Private Hospital Dubai, Dubai 23614, United Arab Emirates"},{"name":"Department of Otorhinolaryngology, Clinica Universidad de Navarra, 31008 Pamplona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudio","family":"Vicini","sequence":"additional","affiliation":[{"name":"ENT Department, Morgagni Pierantoni Hospital, 47121 Forli, Italy"},{"name":"ENT Department, University of Ferrara, 44121 Ferrara, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9802-7716","authenticated-orcid":false,"given":"Andrea","family":"De Vito","sequence":"additional","affiliation":[{"name":"Otolaryngology and Head-Neck Surgery Unit, Department of Surgery, Ravenna & Lugo Hospitals, Health Local Agency of Romagna, 48121 Ravenna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuele","family":"Casale","sequence":"additional","affiliation":[{"name":"Integrated Therapies in Otolaryngology, Fondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy"},{"name":"School of Medicine, Universit\u00e0 Campus Bio-Medico di Roma, 00128 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,8,28]]},"reference":[{"key":"ref_1","first-page":"128","article-title":"The \u201cBarbed Roman Blinds\u201d technique: A step forward","volume":"33","author":"Mantovani","year":"2013","journal-title":"Acta Otorhinolaryngol. Ital."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"335","DOI":"10.5664\/jcsm.7640","article-title":"Treatment of Adult Obstructive Sleep Apnea with Positive Airway Pressure: An American Academy of Sleep Medicine Clinical Practice Guideline","volume":"15","author":"Patil","year":"2019","journal-title":"J. Clin. Sleep Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"773","DOI":"10.5664\/jcsm.4858","article-title":"Clinical Practice Guideline for the Treatment of Obstructive Sleep Apnea and Snoring with Oral Appliance Therapy: An Update for 2015","volume":"11","author":"Ramar","year":"2015","journal-title":"J. Clin. Sleep Med."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"11","DOI":"10.2147\/NSS.S286203","article-title":"Effect of Modified Uvulopalatopharyngoplasty without Tonsillectomy on Obstructive Sleep Apnea: Polysomnographic Outcome and Correlation with Drug-Induced Sleep Endoscopy","volume":"13","author":"Chiu","year":"2021","journal-title":"Nat. Sci. Sleep"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"2499","DOI":"10.5664\/jcsm.9592","article-title":"Referral of adults with obstructive sleep apnea for surgical consultation: An American Academy of Sleep Medicine clinical practice guideline","volume":"17","author":"Kent","year":"2021","journal-title":"J. Clin. Sleep Med."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1016\/j.coms.2021.01.001","article-title":"Uvulopalatopharyngoplasty","volume":"33","author":"Sheen","year":"2021","journal-title":"Oral. Maxillofac. Surg. Clin. North Am."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1007\/s11325-019-01956-7","article-title":"Effectiveness of barbed repositioning pharyngoplasty for the treatment of obstructive sleep apnea (OSA): A prospective randomized trial","volume":"24","author":"Vicini","year":"2020","journal-title":"Sleep Breath."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"5039","DOI":"10.1007\/s00405-022-07261-6","article-title":"No-cutting remodelling intra-pharyngeal surgery can avoid CPAP in selected OSA patients: Myth or reality?","volume":"279","author":"Casale","year":"2022","journal-title":"Eur. Arch. Otorhinolaryngol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"102994","DOI":"10.1016\/j.amjoto.2021.102994","article-title":"Barbed suture Extrusion and Exposure in palatoplasty for OSA: What does it mean?","volume":"42","author":"Gulotta","year":"2021","journal-title":"Am. J. Otolaryngol."},{"key":"ref_10","first-page":"5","article-title":"Is there an Increased Incidence of Cervical Degenerative Disease in Surgeons who use Loupes and a Headlight?","volume":"4","author":"Sahni","year":"2015","journal-title":"J. Spine Surg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"103674","DOI":"10.1016\/j.amjoto.2022.103674","article-title":"High-definition 3D exoscope-assisted tonsillectomy","volume":"44","author":"Festa","year":"2022","journal-title":"Am. J. Otolaryngol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1115","DOI":"10.1007\/s11325-020-02088-z","article-title":"Different barbed pharyngoplasty techniques for retropalatal collapse in obstructive sleep apnea patients: A systematic review","volume":"24","author":"Moffa","year":"2020","journal-title":"Sleep Breath."}],"container-title":["Journal of Personalized Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4426\/13\/9\/1320\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T20:41:06Z","timestamp":1760128866000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4426\/13\/9\/1320"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,28]]},"references-count":12,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2023,9]]}},"alternative-id":["jpm13091320"],"URL":"https:\/\/doi.org\/10.3390\/jpm13091320","relation":{},"ISSN":["2075-4426"],"issn-type":[{"type":"electronic","value":"2075-4426"}],"subject":[],"published":{"date-parts":[[2023,8,28]]}}}