Genioglossus muscle advancement: A modification of the conventional technique

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

“…After an initial review of the titles and abstracts for 1,207 studies, a total of 69 potentially relevant studies were downloaded in their entirety (Fig. ).…”

“…After detailed review of each downloaded article, a total of13 studies (119 patients) were included (Table ). Outcomes were reported by four studies (45 patients) in which genioplasty was performed, five studies (24 patients) in which GTA was performed, and four studies (50 patients) in which GTA with hyoid surgery was performed.…”

Genioglossus advancement for obstructive sleep apnea

“…A pressure dressing around the submentum is recommended for 48hrs. 9 Li also notes that exceptions can be made when making the superior osteotomy, because occasionally the genial tubercle is located only 1-2mm from the incisor root apex. 7 This would call for less clearance from the tooth root but is necessary to assure adequate genioglossus capture.…”

“…The bone that is removed should be morsalized and used to fill gaps around block. 4 Garcia et al 9 proposes a slight alternative to the rectangular window by introducing a longitudinal groove on the floor of the window after the bony block is freed. The segment is then brought anterior and displaced inferiorly to overlap intact mandible in order for the genial tubercle to rest in the created groove.…”

“…[4][5][6]9 The incidence of these complications appears to be very low but no systematic study has thoroughly evaluated this. The surgical technique discussion above addresses the various alterations surgeons have proposed to decrease complication rates.…”