Modified Genioglossal Advancement for Isolated Treatment of Obstructive Sleep Apnea.

Modified Genioglossal Advancement for Isolated Treatment of Obstructive Sleep Apnea.

J Craniofac Surg. 2017 Jun 02;:

Authors: Vargo JD, Ogan WS, Tanna N, Stevens D, Andrews BT

Abstract
INTRODUCTION: Genioglossal advancement is a surgical procedure for obstructive sleep apnea (OSA) that has lost favor as a primary treatment strategy. The authors describe utilization of a modified genioglossal advancement (MGA), combining a geniotubercle advancement via sliding genioplasty and a glossopexy.
METHODS: A retrospective review was performed. Preoperative and postoperative apnea-hypopnea indices (AHIs) were compared to determine OSA treatment success.
RESULTS: Five patients underwent MGA. Three subjects had preoperative and postoperative AHI scores which improved from 61, 28, and 19 (mean = 36) to 4.5, 2, and 6.3 (mean = 4.3), respectively. Two subjects had incomplete data for comparison. All subjects had an acceptable esthetic outcome.
DISCUSSION: In properly selected subjects, MGA can alleviate OSA and provide improved esthetic outcomes.

PMID: 28582308 [PubMed - as supplied by publisher]

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