ISSN: 1305-3876
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Treatment Of Obstructive Sleep Apnea Syndrome: Other Surgical Treatments (genioglossal Advancement And Hyoid Suspension)
Dr. Tamer ERDEMa
aKulak Burun Boğaz AD, İnönü Üniversitesi Tıp Fakültesi, MALATYA
Obstructive sleep apnea is caused by repetitive collapse and blockage of the upper airway, usually behind the tongue base and sometimes the soft palate while asleep. Comprehensive evaluation of and treatment planning for OSAS (obstructive sleep apnea syndrome) cases require a multidisciplinary team approach.
Craniomaxillar abnormalies are important as underlying contributors. It is well known that in addition to having a decreased airway dimension patients with OSA have abnormalities in airway dynamics: a “floppy airway” due to increased collapsibility of the tongue and pharyngeal walls.
Genioglossal advancement and hyoid suspension tecniques are used for the therapy of collapse in the retrolingual area. These techniques are more conservative options when compared with the tongue base resection. It has been reported that, the success rates of genioglossal advancement and hyoid suspension are 75 % and 40% in mild to moderate and severe cases with obstructive sleep apnea syndrome respectively.Keywords: Genioglossal advancement, hyoid suspension, obstructive sleep apnea syndromeTurkiye Klinikleri J Surg Med Sci 2007, 3(23):111-113
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