Publication:
Genioglossus advancement and hyoid myotomy: Short-term and long-term results

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Issued Date

2003

Resource Type

Article

File Type

application/pdf

ISSN

222151

DOI

10.1258/002221503321892343

Other identifier(s)

2-s2.0-0038509904

Rights Holder(s)

Scopus

Bibliographic Citation

Journal of Laryngology and Otology. Vol 117, No.6 (2003), p.482-486

Suggested Citation

Neruntarat C. Genioglossus advancement and hyoid myotomy: Short-term and long-term results. Journal of Laryngology and Otology. Vol 117, No.6 (2003), p.482-486. doi:10.1258/002221503321892343 Retrieved from: https://hdl.handle.net/20.500.14740/6575

Title

Genioglossus advancement and hyoid myotomy: Short-term and long-term results

Author(s)

Neruntarat C.

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.

Subject(s)

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

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URI

https://hdl.handle.net/20.500.14740/6575

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Scopus: Year 1983-2021

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