Modified Genioglossal Advancement for Isolated Treatment of Obstructive Sleep Apnea

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Abstract

Introduction:

Genioglossal advancement is a surgical procedure for obstructive sleep apnea (OSA) that has lost favor as a primary treatment strategy. The authors describe utilization of a modified genioglossal advancement (MGA), combining a geniotubercle advancement via sliding genioplasty and a glossopexy.

Methods:

A retrospective review was performed. Preoperative and postoperative apnea–hypopnea indices (AHIs) were compared to determine OSA treatment success.

Results:

Five patients underwent MGA. Three subjects had preoperative and postoperative AHI scores which improved from 61, 28, and 19 (mean = 36) to 4.5, 2, and 6.3 (mean = 4.3), respectively. Two subjects had incomplete data for comparison. All subjects had an acceptable esthetic outcome.

Discussion:

In properly selected subjects, MGA can alleviate OSA and provide improved esthetic outcomes.

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