Document Detail

Genioglossus advancement and hyoid myotomy: short-term and long-term results.
MedLine Citation:
PMID:  12818058     Owner:  NLM     Status:  MEDLINE    
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 +/-, <0.05). 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.
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    
Department of Otolaryngology, Faculty of Medicine, Srinakharinwirot University, Vajira Hospital, Bangkok, Thailand.
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MeSH Terms
Body Mass Index
Follow-Up Studies
Hyoid Bone / surgery*
Middle Aged
Osteotomy / methods
Otorhinolaryngologic Surgical Procedures / methods*
Sleep Apnea, Obstructive / surgery*
Treatment Outcome

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