Outcomes of Hyoid Myotomy and Suspension Using a Mandibular Screw Suspension System

Abstract

Hyoid myotomy and suspension with a mandibular screw anchor is an effective method with which to address hypopharyngeal collapse in multilevel surgery for OSA. The procedure can be performed with a small-incision, minimally invasive approach with minimal complications and patient morbidity.

Hyoid surgery alone for obstructive sleep apnea: A systematic review and meta-analysis

“…Fifty‐nine studies were reviewed in full‐text version, with the addition of five others after reviewing the references (64 total). Nine studies met inclusion criteria (Fig. ).…”

“…The nine included studies were comprised of two case reports and seven case series studies . Most studies met between four and seven of the eight criteria evaluated using the NICE quality assessment tool (Table ).…”

Upper airway obstruction in a patient with Ehlers–Danlos syndrome

“…Thyrohyoidopexy, in which the hyoid bone and thyroid cartilage are closely approximated, is a technique used for the surgical management of obstructive sleep apnoea 3 and also for reconstruction following an open supraglottic partial laryngectomy. 4 A secondary consequence of the procedure is elevation of the larynx and an overall craniocaudal tightening effect of the laryngotracheal complex from its suspension from the skull base.…”

Heterotopic Ossification and Delayed Foreign Body Reaction after Hyoid Suspension for Obstructive Sleep Apnea

“…1,2 Surgical treatment of OSA includes the hyoid suspension procedure, which has relatively few complications. 3,4 Infection unresponsive to antibiotics can occur after thyrohyoid or hyomandibular suspension, 3 HO has not been reported after hyoid suspension; however, HO in the head and neck has been described in the trachea post-tracheostomy in a mechanically ventilated patient 5 and in the setting of stylohyoid ossification (Eagle's Syndrome). HO can occur in soft tissues without obligate proximity of bony structures, although in this case, typical for traumatic HO, proximity to bone supports the seeding theory regarding bone formation.…”