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Title: Genioglossus advancement and hyoid myotomy: Short-term and long-term results
Authors: Neruntarat C.
Keywords: adult
body mass
genioglossus advancement
hyoid bone
major clinical study
positive end expiratory pressure
preoperative evaluation
sleep apnea syndrome
surgical technique
treatment outcome
visual analog scale
Body Mass Index
Follow-Up Studies
Hyoid Bone
Middle Aged
Otorhinolaryngologic Surgical Procedures
Sleep Apnea, Obstructive
Treatment Outcome
Issue Date: 2003
Abstract: Successful results of genioglossus advancement and hyoid myotomy with suspension (GAHM) in the treatment of obstructive sleep apnoea (OSA) have been reported. However, there have been few studies of long-term results. Forty-six patients with hypopharyngeal obstruction underwent GAHM. Patients had a mean age of 40.1 ± 4.2 years and a mean body mass index (BMI) of 28.9 ± 2.1 kg/m2. The mean follow-up was 39.4 ± 5.7 months with a range of 37 to 46 months. The mean pre-operative RDI, short-term RDI, and long-term RDI were 47.9 ± 8.4, 14.2 ± 3.9, 18.6 ± 4.1, respectively. The mean post-operative LSAT, short-term LSAT, and long-term LSAT were 81.2 per cent ± 2.9 per cent, 88.8 per cent ± 2.7 per cent and 87.2 per cent ± 3.1 per cent, respectively. The change in BMI was significantly different in the patients with, and without, recurrence (2.1 ± 0.3 vs 0.4 ± 0.2 kg/m2, <0.05). Thirty (65.2 per cent) patients had long-term clinical success, and six (16.7 per cent) patients with short-term success failed long-term. GAHM appears to be an effective procedure and results in long-term success. However, patients with weight gain are at risk of recurrence.
ISSN: 222151
Appears in Collections:Scopus 1983-2021

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