J Korean Assoc Oral Maxillofac Surg.  2001 Apr;27(2):162-166.

Genial Advancement, Infrahyoid Myotomy and Suspension in Treatment of Obstructive Sleep Apnea Syndrome

• Kim JJ
• Kim ES
• Kim TS

Abstract

Obstructive sleep apnea syndrome(OSAS) is a complex sleep disorder characterized by intermittent apnea secondary to sleep-induced obstruction of the upper airway. It occurs because of an airway obstruction anywhere between the trachea and the oronasal apparatus. The hallmark of OSAS is snoring, which is caused by vibration of the tissues of the pharynx as the airway narrows. The consequences of OSAS have focused on excessive daytime sleepiness resulting from sleep fragmentation and the cardiovascular derangements producing hypertension and arrhythmias. The primary method of controlling OSAS has been surgery. The current surgical procedures used for OSAS are tracheostomy, tonsillectomy, nasal septoplasty, uvulopalatopharyngoplasty, anterior mandibular osteotomy with hyoid myotomy and suspension, and maxillary, mandibular and hyoid advancement. We report a case of OSAS that was improved by genial advancement with infrahyoid myotomy and suspension. The patient was objectively documented by polysomnography, cephalometric analysis, and physical examination before the surgical procedure. The patient underwent genial advancement with infrahyoid myotomy and suspension. Patient had a good response from surgery.

Keyword

obstructive sleep apnea syndrome(OSAS); infrahyoid myotomy

MeSH Terms

Airway Obstruction
Apnea
Arrhythmias, Cardiac
Humans
Hypertension
Mandibular Osteotomy
Pharynx
Physical Examination
Polysomnography
Sleep Apnea, Obstructive*
Sleep Deprivation
Snoring
Tonsillectomy
Trachea
Tracheostomy
Vibration