{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T00:37:57Z","timestamp":1772930277025,"version":"3.50.1"},"reference-count":37,"publisher":"Index Copernicus","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Otolaryngol Pol"],"published-print":{"date-parts":[[2022,2,28]]},"abstract":"<b>Introduction: <\/b> Pharyngoplasty techniques for the treatment of obstructive sleep apnea syndrome (OSAS) have evolved, which improved the understanding of the anatomy, patient selection, and adoption of functional approaches. <\/br><\/br> <b>Aim:<\/b> To analyze long-term results of pharyngoplasty in OSAS patients. <\/br><\/br> <b>Material and methods:<\/b> Between 2007 and 2021, a total of 234 adult patients with OSAS who had previously failed positive airway pressure (PAP) therapy underwent sleep surgery. Of this group, 75 patients met the criteria of a minimum 5-year follow-up. To date, 25 patients completed the follow-up study protocol, including the medical history, visual analog scale (VAS) for snoring loudness, body mass index (BMI), endoscopy of the upper airways, type III sleep study, and standardized questionnaires including Epworth Sleepiness Scale (ESS) and EQ-5D-5L Euro \u2013 Quality of Life Questionnaire. <\/br><\/br> <b>Results:<\/b> The average period of follow-up was 96.80 \u00b1 30.20 months. The mean age of participants was 54.6 \u00b1 14.02 and the mean BMI 30.28 \u00b1 2.74. Patients underwent uvulopalatopharyngoplasty (n = 21) and expansion sphincterpharyngoplasty (n = 4) between 2008\u20132015. A long-term improvement in sleep parameters was observed for the mean AHI (29.84 \u00b1 20.06before and 19.45 \u00b1 18.53 after surgery, p = 0.0294), and the median VAS (8.13 before and 3.78 after surgery), mean oxygen saturation during sleep 94,5% (IQR 93.0\u201395.25), and the median ESS score was 6.17 \u00b1 4.57. The majority of patients reported subjective long-term improvement in sleep quality and a reduction of snoring. <\/br><\/br> <b>Conclusions:<\/b> In OSAS patients who failed PAP therapy, pharyngoplasty may provide a long-term improvement in upper airway obstruction during sleep.\n\n<\/jats:p>","DOI":"10.5604\/01.3001.0015.7672","type":"journal-article","created":{"date-parts":[[2022,6,9]],"date-time":"2022-06-09T10:21:30Z","timestamp":1654770090000},"page":"18-25","source":"Crossref","is-referenced-by-count":7,"title":["Long-term outcomes of pharyngoplasty for Obstructive Sleep Apnea Syndrome"],"prefix":"10.5604","volume":"76","author":[{"given":"Ewa","family":"Olszewska","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Medical University of Bialystok, Bialystok, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nataliya","family":"Vasilenok","sequence":"additional","affiliation":[{"name":"Doctoral School of the Medical University of Bialystok, Bialystok, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agnieszka","family":"Polecka","sequence":"additional","affiliation":[{"name":"Medical University of Bialystok, Bialystok, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Str\u00f3\u017cy\u0144ski","sequence":"additional","affiliation":[{"name":"Independent Public Healthcare Center in Gostyn, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalia","family":"Olszewska","sequence":"additional","affiliation":[{"name":"Medical University of Bialystok, Bialystok, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marek","family":"Rogowski","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Medical University of Bialystok, Bialystok, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Piotr","family":"Fiedorczuk","sequence":"additional","affiliation":[{"name":"Doctoral School of the Medical University of Bialystok, Bialystok, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3689","reference":[{"key":"227484r1","doi-asserted-by":"crossref","unstructured":"Cayir S., Yesildag K., Kayabasi S.: Long-term efficacy of expansion sphinc-ter pharyngoplasty in obstructive sleep apnea syndrome. 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