| Genioglossus advancement and hyoid myotomy: short-term and long-term results. | |
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MedLine Citation:
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PMID: 12818058 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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/m(2). 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/m(2), <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. |
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Authors:
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C Neruntarat |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of laryngology and otology Volume: 117 ISSN: 0022-2151 ISO Abbreviation: J Laryngol Otol Publication Date: 2003 Jun |
Date Detail:
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Created Date: 2003-06-23 Completed Date: 2003-07-30 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8706896 Medline TA: J Laryngol Otol Country: England |
Other Details:
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Languages: eng Pagination: 482-6 Citation Subset: AIM; IM |
Affiliation:
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Department of Otolaryngology, Faculty of Medicine, Srinakharinwirot University, Vajira Hospital, Bangkok, Thailand. xyratana@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Body Mass Index Female Follow-Up Studies Humans Hyoid Bone / surgery* Male Middle Aged Osteotomy / methods Otorhinolaryngologic Surgical Procedures / methods* Sleep Apnea, Obstructive / surgery* Treatment Outcome |
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