Genial tubercle advancement and genioplasty for obstructive sleep apnea: A systematic review and meta-analysis

Song, Sungjin A.; Chang, Edward T.; Certal, Victor; Do, Michael; Zaghi, Soroush; Liu, Stanley Yung‐Chuan; Capasso, Robson; Camacho, Macario

doi:10.1002/lary.26218

Cited by 32 publications

(19 citation statements)

References 72 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…4,14,15 Consequently, the tongue and hyoid bone are pulled by the muscles mentioned above, advancing from their preoperative position and augmenting the upper airway's dimensions. 19,20 As seen in this case, the pharyngeal area and volume presented postoperative increase, and the patient reported no more snoring after surgery. The minimal crosssectional area persisted in the oropharynx, possibly due to the mandible and tongue positions and dimensions.…”

Section: Discussionsupporting

confidence: 65%

“…The double‐step genioplasty promotes the simultaneous advancement of muscles ‐ geniohyoid, mylohyoid, genioglossus, and anterior belly of digastric ‐ and soft tissues present in the mental region 4,14,15 . Consequently, the tongue and hyoid bone are pulled by the muscles mentioned above, advancing from their preoperative position and augmenting the upper airway's dimensions 19,20 . As seen in this case, the pharyngeal area and volume presented postoperative increase, and the patient reported no more snoring after surgery.…”

Section: Discussionmentioning

confidence: 55%

“…The minimal cross‐sectional area persisted in the oropharynx, possibly due to the mandible and tongue positions and dimensions. According to Song et al, 20 genioplasty can improve the apnea‐hypopnea index and lower oxygen saturation. However, given the inexistence of studies in the NS population, the clinical value of this procedure for upper airway obstruction management needs to be confirmed in larger samples.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

The role of double‐step advancement genioplasty and bilateral coronoidectomy in Nager Syndrome: A case report

Trindade

Bueno

Scomparin

et al. 2021

Special Care in Dentistry

View full text Add to dashboard Cite

Aim To report the surgical management of bilateral mandibular coronoid processes hyperplasia and mandibular retrognathism associated with trismus and convex facial profile in an individual diagnosed with Nager syndrome (NS). Case report A 21 years old female was referred to the Department of Oral and Maxillofacial Surgery, presenting limited mouth opening and an unpleasant convex facial profile. The tomography exhibited hyperplasia of mandibular coronoid processes with no evidence of intracapsular ankylosis of the temporomandibular joint. The treatment objectives were to increase mouth opening through a bilateral coronoidectomy and gain chin projection using the double‐step advancement genioplasty technique. The 9‐month postoperative follow‐up revealed a 22.22% (6 mm) gain in jaw opening, improved masticatory function, and facial profile. Conclusions The NS is a complex craniofacial anomaly due to its clinical heterogeneity. Thus, treatment planning must be done individually, considering the patients' main complaints and respecting the limitations regarding anatomy and availability of proper surgical materials. In the present case, a bilateral coronoidectomy associated with immediate physiotherapy improved the patient's mouth opening, and the double‐step genioplasty promoted a much more significant chin advancement than would be obtained with the single‐step traditional osteotomy.

show abstract

Section: Discussionsupporting

confidence: 65%

Section: Discussionmentioning

confidence: 55%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The role of double‐step advancement genioplasty and bilateral coronoidectomy in Nager Syndrome: A case report

Trindade

Bueno

Scomparin

et al. 2021

Special Care in Dentistry

View full text Add to dashboard Cite

show abstract

“…Classic GA was designed by Powell and Riley as part of phase 1 algorithm. GA is usually performed in conjunction with other procedures (UPPP, MMA) [88]. The genioglossus muscle, a powerful dilator muscle of the upper airway, is attached to the genial tubercles.…”

Section: Tongue Muscle Strengthening: Genioglossus Advancementmentioning

confidence: 99%

Surgical Algorithm for Obstructive Sleep Apnea: An Update

Liu

Riley

2020

Clin Exp Otorhinolaryngol

View full text Add to dashboard Cite

Sleep surgery is part of a continuum of care for OSA that involves medical, pharmacologic, and behavioral therapy. Upper airway surgery for OSA can significantly improve stability by way of modulating the critical negative closing pressure. This is the same mechanism of action as PAP or oral appliance therapy (OAT). The updated surgical algorithm in this review adds precision in 3 areas: 1) patient selection, 2) identification of previously unaddressed anatomic phenotypes with associated treatment modality, and 3) improved techniques of previously established procedures. While the original Riley and Powell Phase 1 and 2 approach to sleep surgery has focused on individual surgical success rate, this algorithm strives for an overall treatment success with multi-modal and patient-centric treatments.

show abstract

“…However, the functional impact such as the correction of sleep apnea due to a receding chin cannot be underestimated. 1 …”

Section: Introductionmentioning

confidence: 99%

Minimally Invasive Genioplasty Procedure

Nadjmi¹,

Roy

Casteele³

2017

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

show abstract

Genial tubercle advancement and genioplasty for obstructive sleep apnea: A systematic review and meta-analysis

Abstract: Standard genioplasty, GTA and GTA-HS can improve OSA outcomes such as AHI and LSAT. Given the low number of studies, these procedures remain as an area for additional OSA research. Laryngoscope, 127:984-992, 2017.

Cited by 32 publications

References 72 publications

The role of double‐step advancement genioplasty and bilateral coronoidectomy in Nager Syndrome: A case report

The role of double‐step advancement genioplasty and bilateral coronoidectomy in Nager Syndrome: A case report

Surgical Algorithm for Obstructive Sleep Apnea: An Update

Minimally Invasive Genioplasty Procedure

Contact Info

Product

Resources

About