Abstract
Plain Language SummarySoft palate surgery is the most frequently performed procedure for sleep-disordered breathing. Predicting individualized outcomes is essential in counseling patients on their expected results after surgery. In this retrospective analysis, we examined preoperatively available predictors, such as head and neck examination, sleep study, and questionnaires, in a cohort of 247 patients. The apnea-hypopnea index, a measure of sleep-disordered breathing severity, showed a greater reduction in patients with large tonsils, heavy self-reported snoring, and a higher preoperative apnea-hypopnea index. Higher age and body weight negatively impacted results after soft palate surgery. The study highlights the importance of preoperative evaluation, especially regarding tonsil grade and upper airway anatomy. Despite the multifactorial nature of obstructive sleep apnea, surgical outcomes can be predicted with careful assessment.
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