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ted by the increase of anterior motion of pharyngeal wall during THS. It also became clear that the degree of tongue protrusion did not linearly correlate with the movement of PPW during THS. There was no relationship between PPW motion and the MTP-L, suggesting that the effect of tongue protrusion is better determined in each subject by analyzing the motion of PPW using imaging tools. This study demonstrated that the expanded pharyngeal cavity due to the tongue protrusion was completely obliterated by the increase of anterior motion of