Evidence map›Paper›PMID 41759003›Full record

ArticleOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2026

Preservation Palatopharyngoplasty for Obstructive Sleep Apnea: Predictors and Clinical Outcomes.

Mohamed Abdelwahab, Ahmed Alhussien, Mohamed F Kassir, Hank Butehorn, Claire Munhall, Shaun A Nguyen

Abstract read
In one paragraph

Article in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Mohamed AbdelwahabDivision of Sleep and Facial Skeletal Surgery, Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.ORCID https://orcid.org/0000-0002-2588-8355
Ahmed AlhussienDivision of Sleep and Facial Skeletal Surgery, Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.ORCID https://orcid.org/0000-0003-4754-0293
Mohamed F KassirDivision of Sleep and Facial Skeletal Surgery, Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.ORCID https://orcid.org/0000-0003-3501-1802
Hank ButehornDivision of Sleep and Facial Skeletal Surgery, Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.
Claire MunhallDivision of Sleep and Facial Skeletal Surgery, Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.
Shaun A NguyenDivision of Sleep and Facial Skeletal Surgery, Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.ORCID https://orcid.org/0000-0003-0664-4571

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate clinical outcomes of Preservation Palatopharyngoplasty (PPPP), in a broader cohort, and identify predictors significantly associated with improved surgical outcomes in patients with moderate to severe obstructive sleep apnea (OSA). STUDY

designA retrospective cohort study. SETTINGS: A tertiary care center.

methodsThe study was conducted on adult patients with moderate to severe OSA who underwent PPPP. Objective sleep parameters and subjective symptom scores including the Epworth Sleepiness Scale (ESS), Standardized List Evaluating Apnea (SLEAP), and Nasal Obstruction Symptom Evaluation (NOSE) scale were compared pre- and postoperatively. Linear regression was performed to identify predictors of AHI reduction.

resultsA total of 53 patients (mean age 49.8 ± 12.7 years, mean BMI 35.6 ± 7.8) were included. Surgical success and cure were achieved in 88.9% and 37% of patients, respectively. Significant postoperative improvements were observed in AHI, RDI, and ODI (all P < .001), as well as in ESS, SLEAP, and NOSE scores (all P < .05). Linear regression identified higher baseline BMI, higher preoperative AHI, larger palatine tonsils, lower NOSE scores, and lateral pharyngeal wall collapse on Müller's maneuver emerged as significant predictors of AHI reduction.

conclusionThe PPPP is a is a tissue-preserving, safe, and effective palatal surgical technique that significantly improves both objective and subjective outcomes in patients with moderate to severe OSA. Its effectiveness extends across a wide range of BMI and baseline disease severity.

Indexed as

PalatePharynxPlastic Surgery ProceduresSleep Apnea, ObstructiveAdultFemaleHumansMaleMiddle AgedPolysomnographyRetrospective StudiesSeverity of Illness IndexTreatment Outcomepalate surgerypreservation palatopharyngoplastysleep apnea

Identifiers

PMID41759003
PMCPMC13035009

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.