Genioglossus muscle advancement and simultaneous sliding genioplasty in the management of sleep apnoea

Rojas, R.; Chateau, R; Gaete, C; Torres, Carla Muñoz

doi:10.1016/j.ijom.2017.10.008

Cited by 11 publications

(6 citation statements)

References 9 publications

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“…On the other hand, surgery may have variable efficacy but is independent of compliance. Deterioration after surgery due to increasing age and body weight necessitates long-term follow-up independent of the modality of treatment chosen [77][78][79][80][81][82][83][84][85][86][87][88] .…”

Section: Discussionmentioning

confidence: 99%

“…Conservative therapy remains the first-line treatment for patients with OSAS. Surgery of the upper airway, on the other hand, remains controversial because of the low success rates (35-62%) observed in various studies 52,[81][82][83][84] . Because there are many surgical modalities for treatment of OSAS patients, a stepwise approach should be used.…”

Section: Discussionmentioning

confidence: 99%

“…The generator has an electrical lead that senses diaphragmatic contraction and simultaneously sends an impulse down a second lead that activates the genioglossus muscle through the hypoglossal nerve. This stimulation causes contraction of pharyngeal structures during inspiration and prevents the collapse of the airway 59,60,[80][81][82][83] . The sustained success rate is 74%, with a significant reduction in AHI 36 months after the intervention 61 .…”

Section: Stimulation Of Hypoglossal Nervementioning

confidence: 99%

See 2 more Smart Citations

Surgical approaches in obstructive sleep apnea syndrome: A review of techniques

Spyropoulou¹,

Spiropoulos²,

Spiropoulou³

et al. 2022

Pneumon

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Obstructive sleep apnea syndrome (OSAS) is a highly prevalent problem of public health, which is characterized by intermittent and repetitive narrowing of the airway while sleeping. Approximately half of the patients with OSAS therapy fail to comply with continuous positive airway pressure (CPAP) because of mask-related problems, treatment-related side effects, patient attitude, or perceived lack of benefit. The aim of the surgical therapies for the treatment of OSAS is to improve airway patency by operating on selected sites of obstruction. Different surgical modalities have been developed, since different anatomical locations may be responsible for a narrow upper airway. Consequently, the surgical approach needs to be individualized for each patient. Surgical treatment of OSAS presents variable efficacy but is capable of improving mortality and morbidity rates in selected patients. However, the surgery for OSAS is not a substitute for CPAP but is a salvage treatment option for patients who have failed CPAP and other conservative treatments, or had significant side effects of device use, or have a favorable anatomy such as tonsillar hypertrophy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Stimulation Of Hypoglossal Nervementioning

confidence: 99%

See 1 more Smart Citation

Surgical approaches in obstructive sleep apnea syndrome: A review of techniques

Spyropoulou¹,

Spiropoulos²,

Spiropoulou³

et al. 2022

Pneumon

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“…gira 90° para fijarla al remanente óseo mediante miniplacas o tornillos. Se consiguen avances de la lengua de 8-18 mm, aumentando considerablemente el espacio aéreo posterior [13,14]. Gracias a las técnicas de imagen (OPG), pero especialmente las 3D (ConeBeam), podemos definir de forma precisa el lugar donde se localizan los tubérculos en la cara interna mandibular y por lo tanto asegurar que la pastilla ósea contiene los músculos genioglosos para un correcto avance de los mismos (Figura 4).…”

Section: Osteotomía Mandibular Con Avance De Geniogloso (Agg)unclassified

Tratamiento quirúrgico de la apnea obstructiva del sueño: cirugía maxilofacial

Plaza-Mayor,

Maniegas-Lozano,

O’Connor-Reina

et al. 2023

ORL

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Introducción y objetivo: En la cirugía esquelética para tratamiento de la apnea obstructiva del sueño destacan dos técnicas principalmente: el avance maxilomandibular (MMA), asociado o no al avance geniogloso, y las técnicas de expansión maxilar, como la distracción osteogénica. Síntesis: Presentamos un resumen de las técnicas y resultados de cirugía maxilofacial en la apnea obstructiva de sueño. Conclusiones: Al actuar sobre el marco óseo, el ensanchamiento de la vía aérea superior de la cirugía esquelética ha demostrado ser estable y duradero en el tiempo, retrasando o dificultando el colapso de las partes blandas asociadas. Esta efectividad contrastada en el tratamiento de la AOS, con reducciones sostenidas del índice de apnea-hipopnea a largo plazo, han logrado su incorporación al consenso terapéutico.

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“…( Fig.1) Genioglossus muscle advancement (GA) GA was reported in 1993 as an option for the surgical treatment of OSA, in the context of phase I of the Stanford University (Powell-Riley) protocol [6]. The rationale for this technique is the placement of tension on the base of the tongue, thus preventing the tongue from falling back into the posterior airway space [7].…”

Section: сеул миллий университетининг стоматологик клиникасида уйқудаmentioning

confidence: 99%

Surgical Treatments of Obstructive Sleep Apnea in Seoul National University of Dental Hospital

Choi¹

2018

JBP

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Obstructive sleep apnea (OSA) is a common disorder caused by upper airway collapsibility during sleep. This article describes surgical procedures of OSA performed in the Seoul national university of dental hospital (SNUDH). A treatment OSA varies according to the severity of clinical symptom. In SNUDH, we performed surgical procedures used uvulopalatopharyngoplasty and tonsillectomy, genioglossus muscle advancement, maxillomandibular advancement, tongue base reduction, distraction osteogenesis. If surgeons identify and apply indications of OSA patients, surgical approach is the appropriate alternative for the failure of conservative treatments.

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Genioglossus muscle advancement and simultaneous sliding genioplasty in the management of sleep apnoea

Cited by 11 publications

References 9 publications

Surgical approaches in obstructive sleep apnea syndrome: A review of techniques

Surgical approaches in obstructive sleep apnea syndrome: A review of techniques

Tratamiento quirúrgico de la apnea obstructiva del sueño: cirugía maxilofacial

Surgical Treatments of Obstructive Sleep Apnea in Seoul National University of Dental Hospital

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