Genioplasty for genioglossus muscle advancement in patients with obstructive sleep apnea-hypopnea syndrome and mandibular retrognathia

Santos, João Ferreira dos; Abrahão, Márcio; Gregório, Luiz Carlos; Zonato, Adriane Iurck; Gumieiro, Emne Hammoud

doi:10.1016/s1808-8694(15)30099-9

Cited by 46 publications

(21 citation statements)

References 20 publications

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“…Of the total of the selected articles, there were 3 prospective case series studies representing 30 % (Riley et al, 1993;Dos Santos Junior et al ., 2007;Anchlia et al ., 2018), 3 prospective cohort studies corresponding to 30 % (Yin et al ., 2007;Frapier et al ., 2010;Du et al . ), 2 retrospective series studies of cases of 20 % (Miller et al, 2004;Cillo et al), 1 case report (Riley et al, 1984) and 1 case control study (Bedoucha et al, 2015), which represents 10 % respectively (Table II).…”

Section: Resultsmentioning

confidence: 99%

“…In term of skeletal diagnosis, 4 articles showed the dento-facial and / or Angle classification (Riley et al, 1984;Frapier et al;Bedoucha et al;Du et al), with Class II being predominant with 72 patients, followed by Class I in 1 patient. On other hand, some articles showed patients under facial asymmetry (Anchlia et al .…”

Section: Resultsmentioning

confidence: 99%

“…On other hand, some articles showed patients under facial asymmetry (Anchlia et al . ) (1 patient), retrognathism or mandibular deficiency (Riley et al, 1986;Dos Santos Junior et al;Yin et al) (3 patients) and in 2 cases they do not specify (Cillo et al; Miller et al) (Table III). From 10 included articles, 4 papers presented the airway obstruction classification: 2 articles take into account the Fujita classification, one classifies patients as type II (Yin et al) and another article studies type II and type III patients (Dos Santos Junior et al .).…”

Section: Resultsmentioning

confidence: 99%

“…These parts include the palatopharyngeal part, the oropharyngeal part, the glossopharyngeal part, and the laryngeal part. Regarding bone tissue, the three-dimensional location of the hyoid bone is frequently evaluated by comparing the relative position change between point N and point H (Du et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

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Changes in the Airway after Mentoplasty (Genioplasty). Systematic Review

González¹,

Garcia-Guevara

Viamonte

et al. 2022

Int. J. Morphol.

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The aim of this research was to evaluate the changes obtained with the mentoplasty technique in the increase of the airway imaging. A systemic review was performed using the parameters of the prism matrix, in the PubMed, Science Direct, Redalyc database, covering the years 1984 to 2019 with the use of defined inclusion criteria. The authors independently applied the selected parameter of data extraction, study selection and risk-to-bias assessment. A total of 1,251 articles were obtained among the 3 databases, of which 10 met the inclusion criteria. The variables studied were: type of research, sample size, sex, age, dento-skeletal diagnosis, airway classification, diagnosis of obstructive sleep apnea syndrome (OSAS), type of imaging evaluation, variables evaluated in the image, pre and post-operative values, surgical technique and type of fixation used, other surgical procedures applied, and complications. In the cases of linear evaluation with cephalometric analysis (9 articles) they used PAS (posterior airspace), MP-H (mandibular plane to the hyoid) and SNB (saddle-nasion-point B), and SCSA (section area as the most relevant points, smallest cross section) and VT (total volume) in the volumetric evaluations (2 articles). The average change in posterior airspace achieved by the cited authors is 4.2 mm with standard deviation of 1.4 mm with the use of advancement mentoplasty. The most widely used technique was mentoplasty with a horizontal osteotomy by 5 authors. Based on the research there is a positive relationship between the increase in the airway and the advancement mentoplasty procedure, however, more standardized studies associated with the way of measuring and evaluating the relationship between advancement and the airway are necessary.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Changes in the Airway after Mentoplasty (Genioplasty). Systematic Review

González¹,

Garcia-Guevara

Viamonte

et al. 2022

Int. J. Morphol.

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“…Surgical procedures on soft tissue are generally defined as “first phase interventions” (IP) and aim to debulk soft tissues while maintaining the same skeletal volume [ 1 – 6 ].…”

Section: Introductionmentioning

confidence: 99%

OSAS Surgery and Postoperative Discomfort: Phase I Surgery versus Phase II Surgery

Gasparini

Torroni²,

Nardo

et al. 2015

BioMed Research International

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Introduction. This study aims to investigate the reasons that discourage the patients affected by OSAS to undergo orthognathic surgery and compares the postoperative discomfort of phase I (soft tissue surgery) and phase II (orthognathic surgery) procedures for treatment of OSAS. Material and Methods. A pool of 46 patients affected by OSAS was divided into two groups: “surgery patients” who accepted surgical treatments of their condition and “no surgery patients” who refused surgical procedures. The “surgery patients” group was further subdivided into two arms: patients who accepted phase I procedures (IP) and those who accepted phase II (IIP). To better understand the motivations behind the refusal of II phase procedures, we asked the patients belonging to both the IP group and “no surgery” group to indicate the main reason that influenced their decision to avoid II phase procedures. We also monitored and compared five parameters of postoperative discomfort: pain, painkiller assumption, length of hospitalization, foreign body sensation, and diet assumption following IP and IIP procedures. Results. The main reason to avoid IIP procedures was the concern of a more severe postoperative discomfort. Comparison of the postoperative discomfort following IP versus IIP procedures showed that the former scored worse in 4 out of 5 parameters analyzed. Conclusion. IIP procedures produce less postoperative discomfort. IIP procedures, namely, orthognathic surgery, should be the first choice intervention in patients affected by OSAS and dentoskeletal malformation.

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A Simplified, Reliable Approach for Advancement Genioplasty

Chan

Ducic

2016

JAMA Facial Plast Surg

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A dvancement genioplasty, compared with alloplastic implantation, can provide both functional and aesthetic benefits for the patient. 1-5 Yet, despite numerous modifications and progress in advancement genioplasty, 6-11 facial plastic and plastic surgeons, unlike oral maxillofacial surgeons, seldom use this technique. 12,13 Much of the present literature about advancement genioplasty is found in oral surgery journals. It is likely that facial plastic surgeons' comfort and familiarity with alloplastic implants contributes to their more widespread use of these implants than of advancement genioplasty. Although an alloplastic chin implant is faster and easier to perform than an advancement genioplasty, it can produce complications, including infection, chronic inflammation, extrusion, variable bone resorption, capsular contraction, displacement, and chin ptosis. 3,14 Some have reported that advancement genioplasty allows for the correction of more complicated deformities, provides greater patient satisfaction, permits heightened predictability, and provides greater stability than alloplas-tic implantation. 3,5,13 We believe that advancement genioplasty is a valuable tool for the facial plastic surgeon in offering both aesthetic and functional benefits for the patient. In the present study, we describe a safe, reliable, and effective method for the osteotomy performed in advancement genioplasty and our results using this technique during the past 17 years. Methods The John Peter Smith Hospital Institutional Review Board approved this retrospective study of medical records of patients who had undergone advancement genioplasty. Patients were included in the review if they underwent an advancement genioplasty from September 1997 to September 2014, using the technique described below. Patient medical records were reviewed between January and March 2015. Patient demographic data, indications for advancement genioplasty, and IMPORTANCE Advancement genioplasty is a versatile procedure able to address both functional and cosmetic issues. It is commonly performed by oral surgeons and less so by facial plastic and plastic surgeons, presumably because of its inherent risks. OBJECTIVES To present our technique for advancement genioplasty and our aesthetic and functional outcomes. DESIGN, SETTING, AND PARTICIPANTS A retrospective review was conducted of the medical records of 126 patients who had undergone advancement genioplasty with our modified technique in a private practice setting from September 1997, through September 2014. Our analysis was performed between January and March 2015. MAIN OUTCOMES AND MEASURES Description of technique and evaluation of complication rates, improvement in sleep apnea symptoms, and patient satisfaction. RESULTS The 126 patients had a mean age of 39.8 years. There were 81 male and 45 female patients. The overall complication rate was 6.3% (8 of the 126 patients). Complications included plate extrusion in 2 patients, infection in 2 patients, mental nerve injury in 3 patients, and tooth root injur...

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Genioplasty for genioglossus muscle advancement in patients with obstructive sleep apnea-hypopnea syndrome and mandibular retrognathia

Cited by 46 publications

References 20 publications

Changes in the Airway after Mentoplasty (Genioplasty). Systematic Review

Changes in the Airway after Mentoplasty (Genioplasty). Systematic Review

OSAS Surgery and Postoperative Discomfort: Phase I Surgery versus Phase II Surgery

A Simplified, Reliable Approach for Advancement Genioplasty

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