Please use this identifier to cite or link to this item: http://ir.swu.ac.th/jspui/handle/123456789/15185
Title: Genioglossus advancement and hyoid myotomy: Short-term and long-term results
Authors: Neruntarat C.
Keywords: adult
article
body mass
genioglossus advancement
human
hyoid bone
hypopharynx
major clinical study
myotomy
polysomnography
positive end expiratory pressure
preoperative evaluation
sleep apnea syndrome
snoring
surgical technique
treatment outcome
visual analog scale
Adult
Body Mass Index
Female
Follow-Up Studies
Humans
Hyoid Bone
Male
Middle Aged
Osteotomy
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.
URI: https://www.scopus.com/inward/record.uri?eid=2-s2.0-0038509904&doi=10.1258%2f002221503321892343&partnerID=40&md5=8264d4c8e12a9d7ff065552c72b394a0
http://ir.swu.ac.th/jspui/handle/123456789/15185
ISSN: 222151
Appears in Collections:Scopus 1983-2021

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