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Authors’ response to letter to the editor concerning our SKUP3 trial
  1. Nanna Browaldh,
  2. Danielle Friberg
  1. ORL Department, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden
  1. Correspondence to Dr Nanna Browaldh, ENT-dept B 53, Karolinska University Hospital Huddinge Stockholm, SE-141 86, Sweden; nanna.browaldh{at}

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We thank Stradling and Kohler1 for their comments on our publication, SKUP3 RCT. The authors of this correspondence report their worries concerning (a) which part of the uvulopalatopharyngoplasty (UPPP) contributed most to the improvements in nocturnal respiration, tonsillectomy or uvulopalatoplasty (UPP), and (b) if that UPPP adversely influences the future use of continuous positive airway pressure (CPAP).

The first worry (a) we agree concerning the difficulties when evaluating a two-stage treatment. However, the aim of SKUP3 was to evaluate the …

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  • Competing interests None.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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    John Stradling Malcolm Kohler