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Published on: December 6, 2016
Modified Genioglossal Advancement for Isolated Treatment of Obstructive Sleep Apnea
James D Vargo1, W Scott Ogan, Neil Tanna
1*Department of Plastic Surgery, University of Kansas Medical Center, Kansas City, KS †Division of Plastic and Reconstructive Surgery, North Shore-Long Island Jewish Health System, Hofstra NSLIJ-School of Medicine, New York, NY ‡Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS.
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.
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