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Problem neck, hyoid bone, and submental myotomy.

¹Division of Plastic Surgery, Mt. Sinai Medical Center, Cleveland, Ohio.

Plastic and Reconstructive Surgery

|November 1, 1992

Summary

This summary is machine-generated.

This study reviews the hyoid bone

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Area of Science:

Anatomy
Plastic Surgery
Craniofacial Morphology

Background:

The hyoid bone's role in cervicomental morphology is often overlooked.
Suprahyoid muscles significantly influence hyoid bone position.

Purpose of the Study:

To review the anatomy and function of the hyoid bone and suprahyoid muscles.
To evaluate a surgical technique for correcting caudal and anterior hyoid positions to improve neck contour.

Main Methods:

Analysis of cephalometric radiographs (cephaloxerograms) from 54 patients.
Surgical transection of specific suprahyoid muscles (anterior belly of digastric, geniohyoid, mylohyoid) in 16 patients.
Assessment of cervicomental contour improvement post-surgery.

Main Results:

A balanced neck typically has the hyoid bone at or above the Frankfort horizontal line passing through the menton.
Surgical correction resulted in cervicomental contour improvement in all 16 patients.
Improvement scores ranged from 1 to 5, with most patients showing significant positive outcomes.

Conclusions:

The position of the hyoid bone is crucial for cervicomental aesthetics.
Surgical relocation of the hyoid bone by transecting specific suprahyoid muscles is an effective method for improving neck contour.
The procedure demonstrates a high success rate with minimal complications.