Document Detail


Genioglossus advancement and hyoid myotomy: short-term and long-term results.
MedLine Citation:
PMID:  12818058     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
C Neruntarat
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of laryngology and otology     Volume:  117     ISSN:  0022-2151     ISO Abbreviation:  J Laryngol Otol     Publication Date:  2003 Jun 
Date Detail:
Created Date:  2003-06-23     Completed Date:  2003-07-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8706896     Medline TA:  J Laryngol Otol     Country:  England    
Other Details:
Languages:  eng     Pagination:  482-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Otolaryngology, Faculty of Medicine, Srinakharinwirot University, Vajira Hospital, Bangkok, Thailand. xyratana@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
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

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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