Useful Genioplasty for Repeated Recurrent Sleep Apnea of Congenital Anomalies and Its Evaluation
Background:. Congenital facial anomalies with hypoplasia of the midface or lower face are associated with obstructive apnea syndrome. Although such patients underwent bone advancement surgery and their sleep apnea improved in the short term, it often recurred several years after surgery. It is diffi...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2023-03-01
|
| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004858 |
| _version_ | 1797859635195019264 |
|---|---|
| author | Hiromi Kino, MD Koichi Ueda, MD, PhD Yuka Hirota, MD, PhD Toyoko Okamoto, MD, PhD |
| author_facet | Hiromi Kino, MD Koichi Ueda, MD, PhD Yuka Hirota, MD, PhD Toyoko Okamoto, MD, PhD |
| author_sort | Hiromi Kino, MD |
| collection | DOAJ |
| description | Background:. Congenital facial anomalies with hypoplasia of the midface or lower face are associated with obstructive apnea syndrome. Although such patients underwent bone advancement surgery and their sleep apnea improved in the short term, it often recurred several years after surgery. It is difficult to perform another major osteotomy because of impairment of the facial contour or prior orthodontic treatment. Genioplasty was performed for genioglossus muscle advancement in patients with congenital anomalies and repeated sleep apnea. In this study, we evaluated the usefulness of this procedure and the mechanism for the improvement of sleep apnea.
Methods:. Six patients were included: three with syndromic craniosynostosis, two with Treacher-Collins syndrome, and one with micrognathia by Goldenhar syndrome. Patients who had recurrence of sleep apnea after previous maxillomandibular osteotomies, or advancement and orthodontic treatment, received genioplasty for genioglossus muscle advancement. The patients were evaluated by body mass index, simple polysomnography, hyoid bone position on cephalogram, and the airway area on computed tomography images pre- and postoperatively.
Results:. Polysomnography showed a significant improvement in the apnea-hypopnea index. Cephalometric measurement showed significant results of the hyoid bone position from point B and the ramus plane. However, no significant results were obtained in the airway area assessment.
Conclusions:. Genioplasty for genioglossus muscle advancement can improve apnea-hypopnea index by moving the hyoid bone forward. Genioplasty was useful in patients with congenital anomalies who had a recurrence of sleep apnea after several procedures. |
| first_indexed | 2024-04-09T21:32:45Z |
| format | Article |
| id | doaj.art-9ba863b52c084c97bf7f62a32c920a1a |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-04-09T21:32:45Z |
| publishDate | 2023-03-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-9ba863b52c084c97bf7f62a32c920a1a2023-03-27T06:47:44ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742023-03-01113e485810.1097/GOX.0000000000004858202303000-00043Useful Genioplasty for Repeated Recurrent Sleep Apnea of Congenital Anomalies and Its EvaluationHiromi Kino, MD0Koichi Ueda, MD, PhD1Yuka Hirota, MD, PhD2Toyoko Okamoto, MD, PhD3From the Department of Plastic and Reconstructive Surgery, Osaka Medical and Pharmaceutical University, Osaka, Japan.From the Department of Plastic and Reconstructive Surgery, Osaka Medical and Pharmaceutical University, Osaka, Japan.From the Department of Plastic and Reconstructive Surgery, Osaka Medical and Pharmaceutical University, Osaka, Japan.From the Department of Plastic and Reconstructive Surgery, Osaka Medical and Pharmaceutical University, Osaka, Japan.Background:. Congenital facial anomalies with hypoplasia of the midface or lower face are associated with obstructive apnea syndrome. Although such patients underwent bone advancement surgery and their sleep apnea improved in the short term, it often recurred several years after surgery. It is difficult to perform another major osteotomy because of impairment of the facial contour or prior orthodontic treatment. Genioplasty was performed for genioglossus muscle advancement in patients with congenital anomalies and repeated sleep apnea. In this study, we evaluated the usefulness of this procedure and the mechanism for the improvement of sleep apnea. Methods:. Six patients were included: three with syndromic craniosynostosis, two with Treacher-Collins syndrome, and one with micrognathia by Goldenhar syndrome. Patients who had recurrence of sleep apnea after previous maxillomandibular osteotomies, or advancement and orthodontic treatment, received genioplasty for genioglossus muscle advancement. The patients were evaluated by body mass index, simple polysomnography, hyoid bone position on cephalogram, and the airway area on computed tomography images pre- and postoperatively. Results:. Polysomnography showed a significant improvement in the apnea-hypopnea index. Cephalometric measurement showed significant results of the hyoid bone position from point B and the ramus plane. However, no significant results were obtained in the airway area assessment. Conclusions:. Genioplasty for genioglossus muscle advancement can improve apnea-hypopnea index by moving the hyoid bone forward. Genioplasty was useful in patients with congenital anomalies who had a recurrence of sleep apnea after several procedures.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004858 |
| spellingShingle | Hiromi Kino, MD Koichi Ueda, MD, PhD Yuka Hirota, MD, PhD Toyoko Okamoto, MD, PhD Useful Genioplasty for Repeated Recurrent Sleep Apnea of Congenital Anomalies and Its Evaluation Plastic and Reconstructive Surgery, Global Open |
| title | Useful Genioplasty for Repeated Recurrent Sleep Apnea of Congenital Anomalies and Its Evaluation |
| title_full | Useful Genioplasty for Repeated Recurrent Sleep Apnea of Congenital Anomalies and Its Evaluation |
| title_fullStr | Useful Genioplasty for Repeated Recurrent Sleep Apnea of Congenital Anomalies and Its Evaluation |
| title_full_unstemmed | Useful Genioplasty for Repeated Recurrent Sleep Apnea of Congenital Anomalies and Its Evaluation |
| title_short | Useful Genioplasty for Repeated Recurrent Sleep Apnea of Congenital Anomalies and Its Evaluation |
| title_sort | useful genioplasty for repeated recurrent sleep apnea of congenital anomalies and its evaluation |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004858 |
| work_keys_str_mv | AT hiromikinomd usefulgenioplastyforrepeatedrecurrentsleepapneaofcongenitalanomaliesanditsevaluation AT koichiuedamdphd usefulgenioplastyforrepeatedrecurrentsleepapneaofcongenitalanomaliesanditsevaluation AT yukahirotamdphd usefulgenioplastyforrepeatedrecurrentsleepapneaofcongenitalanomaliesanditsevaluation AT toyokookamotomdphd usefulgenioplastyforrepeatedrecurrentsleepapneaofcongenitalanomaliesanditsevaluation |