Strategy for Optimizing Airway Volume With Genioglossal Advancement Using Cutting Guide in the Treatment of Obstructive Sleep Apnea
- PMID: 31856129
- DOI: 10.1097/SCS.0000000000006083
Strategy for Optimizing Airway Volume With Genioglossal Advancement Using Cutting Guide in the Treatment of Obstructive Sleep Apnea
Abstract
The genioglossus advancement muscle is a technique used to treat obstructive sleep apnea and depends on the precise location of the muscle insertion into the geniotubercle. The aim of this article was to present a case report about a 38-year-old male patient with obstructive sleep apnea even after undergoing uvulopalatopharyngoplasty and mentoplasty. A maxillo-mandibular advancement and genioglossus was proposed, for this a virtual planning of the surgical guide was done using a specialized software. The great advantage is to reduce the osteotomy by focusing precisely on the insertion of the muscle. The cutting guide facilitated the surgical procedure in all aspects and brought safety.
References
-
- Andrews BT, Lakin GE, Bradley JP, et al. Orthognathic surgery for obstructive sleep apnea: applying the principles to new horizons in craniofacial surgery. J Craniofac Surg 2012; 23:S96–S99.
-
- Senaratna CV, Perret JL, Lodge CJ, et al. Prevalence of obstructive sleep apnea in the general population: a systematic review. Sleep Med Rev 2017; 34:70–81.
-
- Tsara V, Amfilochiou A, Papagrigorakis MJ, et al. Guidelines for diagnosis and treatment of sleep–related breathing disorders in adults and children. Definition and classification of sleep related breathing disorders in adults: different types and indications for sleep studies (Part 1). Hippokratia 2009; 13:187–191.
-
- Kuscu O, Süslü A, Özer S, et al. Sole effect of genioglossus advancement on apnea hypopnea index of patients with obstructive sleep apnea. Acta Otolaryngol 2015; 138:835–839.
-
- Tanna N, Smith BD, Zapanta PE, et al. Surgical management of obstructive sleep apnea. Plast Reconstr Surg 2016; 137:1263–1272.
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