Genioglossus Advancement and Hyoid Surgery

Goh, Yau Hong; Abdullah, Victor; Kim, Sung Wan

doi:10.1016/j.jsmc.2018.10.009

Cited by 11 publications

(5 citation statements)

References 38 publications

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“…We used a different type of distractor because of regulatory approval in Japan. The OSA improvement effect of GA is not particularly high [3], so several devices have been reported to move the hyoid bone forward and promote more effective GA [4,5]. This study used Gore-Tex threads to connect the hyoid bone with a bone transport segment, increasing the forward movement of the hyoid bone and improving the efficiency of airway expansion.…”

Section: Discussionmentioning

confidence: 99%

Genioplasty and Hyoid Advancement by Distraction Osteogenesis for the Correction of Obstructive Sleep Apnea in a Pediatric Patient

Omori,

Iwatani,

Fukuoka

2024

Cureus

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Advancement genioplasty is one variation of genioglossus advancement (GA) and GA is a surgical intervention that can be applied for obstructive sleep apnea (OSA) caused by hypopharyngeal collapse. The genioglossus muscle originates from the posterior surface of the midline mandible and inserts into the entire tongue mass and the body of the hyoid bone. Placing horizontal tension on the genioglossus muscle enlarges the posterior airway space. We use a modified GA that applies distraction osteogenesis to increase forward movement of the genioglossus muscle and also connects the bone transport segment to the hyoid bone with a thread to maximize the anterior movement of the hyoid bone. We used this technique on a young patient and obtained good results.

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Section: Discussionmentioning

confidence: 99%

Genioplasty and Hyoid Advancement by Distraction Osteogenesis for the Correction of Obstructive Sleep Apnea in a Pediatric Patient

Omori,

Iwatani,

Fukuoka

2024

Cureus

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“… 127 In fact, the hyoid bone supports the insertion of the mylohyoid muscle, which contributes to the mandibular position and affects tongue posture. 128 Notably, surgical suspension of the hyoid bone is a treatment option for OSA. 128 In addition, genioglossus advancement may be considered, 129 as the genioglossus muscle connects the tongue to the genial tubercle of the mandible, which can be localized with CBCT imaging for surgical planning.…”

Section: Upper Airway Analysis On Cbct Scansmentioning

confidence: 99%

“… 128 Notably, surgical suspension of the hyoid bone is a treatment option for OSA. 128 In addition, genioglossus advancement may be considered, 129 as the genioglossus muscle connects the tongue to the genial tubercle of the mandible, which can be localized with CBCT imaging for surgical planning. 130 Overall, from a practical perspective, multiple anatomical structures may be relevant during upper airway assessment and not all CBCT units can provide the appropriate FOV size.…”

Section: Upper Airway Analysis On Cbct Scansmentioning

confidence: 99%

The use of CBCT in orthodontics with special focus on upper airway analysis in patients with sleep-disordered breathing

Savoldi,

Dagassan-Berndt,

Patcas

et al. 2024

Dentomaxillofacial Radiology

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Applications of cone-beam computed tomography (CBCT) in orthodontics have been increasingly discussed and evaluated in science and practice over the last two decades. The present work provides a comprehensive summary of current consolidated practice guidelines, cutting-edge innovative applications, and future outlooks about potential use of CBCT in orthodontics with a special focus on upper airway analysis in patients with sleep-disordered breathing (SDB). The present scoping review reveals that clinical applications of CBCT in orthodontics are broadly supported by evidence for the diagnosis of dental anomalies, temporomandibular joint disorders, and craniofacial malformations. On the other hand, CBCT imaging for upper airway analysis—including soft tissue diagnosis and airway morphology—needs further validation in order to provide better understanding regarding which diagnostic questions it can be expected to answer. Internationally recognised guidelines for CBCT use in orthodontics are existent, and similar ones should be developed to provide clear indications about the appropriate use of CBCT for upper airway assessment, including a list of specific clinical questions justifying its prescription.

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“…The osteotomy extends over the mandible to incorporate the genioglossus attachment while also leaving the dentoalveolar process intact. The main disadvantages of this procedure were the possibility of mandibular fracture, bony segment necrosis, and a risk of lower incisor teeth damage, so several variations were proposed to improve results and reduce complications [ 100 , 101 , 102 , 103 ]. They include diverse forms of osteotomies and minor modifications in the transposition of the bony segment.…”

Section: Surgical Therapy For Obstructive Sleep Apneamentioning

confidence: 99%

Oromaxillofacial Surgery: Both a Treatment and a Possible Cause of Obstructive Sleep Apnea—A Narrative Review

Martinović

Tokic

Puizina-Mladinic

et al. 2023

Life

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Obstructive sleep apnea (OSA) is a chronic, sleep-related breathing disorder. It is characterized by a nocturnal periodic decrease or complete stop in airflow due to partial or total collapse of the oropharyngeal tract. Surgical treatment of OSA is constantly evolving and improving, especially with the implementation of new technologies, and this is needed because of the very heterogeneous reasons for OSA due to the multiple sites of potential airway obstruction. Moreover, all of these surgical methods have advantages and disadvantages; hence, patients should be approached individually, and surgical therapies should be chosen carefully. Furthermore, while it is well-established that oromaxillofacial surgery (OMFS) provides various surgical modalities for treating OSA both in adults and children, a new aspect is emerging regarding the possibility that some of the surgeries from the OMFS domain are also causing OSA. The latest studies are suggesting that surgical treatment in the head and neck region for causes other than OSA could possibly have a major impact on the emergence of newly developed OSA, and this issue is still very scarcely mentioned in the literature. Both oncology, traumatology, and orthognathic surgeries could be potential risk factors for developing OSA. This is an important subject, and this review will focus on both the possibilities of OMFS treatments for OSA and on the OMFS treatments for other causes that could possibly be triggering OSA.

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Genioglossus Advancement and Hyoid Surgery

Cited by 11 publications

References 38 publications

Genioplasty and Hyoid Advancement by Distraction Osteogenesis for the Correction of Obstructive Sleep Apnea in a Pediatric Patient

Genioplasty and Hyoid Advancement by Distraction Osteogenesis for the Correction of Obstructive Sleep Apnea in a Pediatric Patient

The use of CBCT in orthodontics with special focus on upper airway analysis in patients with sleep-disordered breathing

Oromaxillofacial Surgery: Both a Treatment and a Possible Cause of Obstructive Sleep Apnea—A Narrative Review

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