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Hyoid myotomy without suspension: a surgical approach to obstructive sleep apnoea syndrome
The aim of this study was to verify if hyoid myotomy without hyoid suspension is effective in surgical treatment of obstructive sleep apnoea syndrome (OSAS). We recruited six patients with OSAS, aged between 34 to 60 years, with retropalatal and retrolingual upper airway obstruction, non-obese (BMI...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Pacini Editore SpA
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4299162/ https://www.ncbi.nlm.nih.gov/pubmed/25709152 |
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author | Scarano, E. Della Marca, G. De Corso, E. Dittoni, S. Di Nardo, W. Meucci, D. Bastanza, G. Gallus, R. Losurdo, A. Testani, E. Paludetti, G. |
author_facet | Scarano, E. Della Marca, G. De Corso, E. Dittoni, S. Di Nardo, W. Meucci, D. Bastanza, G. Gallus, R. Losurdo, A. Testani, E. Paludetti, G. |
author_sort | Scarano, E. |
collection | PubMed |
description | The aim of this study was to verify if hyoid myotomy without hyoid suspension is effective in surgical treatment of obstructive sleep apnoea syndrome (OSAS). We recruited six patients with OSAS, aged between 34 to 60 years, with retropalatal and retrolingual upper airway obstruction, non-obese (BMI < 27) and non-compliant to continuous positive airway pressure therapy. Pre-surgical clinical and instrumental evaluations included clinical examination, cephalometry, polysomnography (PSG) and sleep endoscopy. Surgical treatment included nasal surgery, uvulopalatopharyngoplasty, tonsillectomy and hyoid myotomy without hyoid suspension. Follow-up evaluations were performed with serial PSGs, performed early (one week after surgery), and at 1, 6 and 18 months after surgery. We observed that surgery was followed by immediate normalisation of breathing parameters evaluated by PSG that persisted after 18 months. Thus, hyoid myotomy without suspension combined with nasal and palatal surgery may be considered a valid treatment of non-obese OSAS patients with retrolingual and retropalatal collapse. Furthermore, we suggest that hyoid bone suspension, binding it to mandibular or to thyroid cartilage, might be unnecessary in selected cases. |
format | Online Article Text |
id | pubmed-4299162 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Pacini Editore SpA |
record_format | MEDLINE/PubMed |
spelling | pubmed-42991622015-02-23 Hyoid myotomy without suspension: a surgical approach to obstructive sleep apnoea syndrome Scarano, E. Della Marca, G. De Corso, E. Dittoni, S. Di Nardo, W. Meucci, D. Bastanza, G. Gallus, R. Losurdo, A. Testani, E. Paludetti, G. Acta Otorhinolaryngol Ital Clinical Techniques and Technology The aim of this study was to verify if hyoid myotomy without hyoid suspension is effective in surgical treatment of obstructive sleep apnoea syndrome (OSAS). We recruited six patients with OSAS, aged between 34 to 60 years, with retropalatal and retrolingual upper airway obstruction, non-obese (BMI < 27) and non-compliant to continuous positive airway pressure therapy. Pre-surgical clinical and instrumental evaluations included clinical examination, cephalometry, polysomnography (PSG) and sleep endoscopy. Surgical treatment included nasal surgery, uvulopalatopharyngoplasty, tonsillectomy and hyoid myotomy without hyoid suspension. Follow-up evaluations were performed with serial PSGs, performed early (one week after surgery), and at 1, 6 and 18 months after surgery. We observed that surgery was followed by immediate normalisation of breathing parameters evaluated by PSG that persisted after 18 months. Thus, hyoid myotomy without suspension combined with nasal and palatal surgery may be considered a valid treatment of non-obese OSAS patients with retrolingual and retropalatal collapse. Furthermore, we suggest that hyoid bone suspension, binding it to mandibular or to thyroid cartilage, might be unnecessary in selected cases. Pacini Editore SpA 2014-10 /pmc/articles/PMC4299162/ /pubmed/25709152 Text en © Copyright by Società Italiana di Otorinolaringologia e Chirurgia Cervico-Facciale http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License, which permits for noncommercial use, distribution, and reproduction in any digital medium, provided the original work is properly cited and is not altered in any way. For details, please refer to http://creativecommons.org/licenses/by-nc-nd/3.0/ |
spellingShingle | Clinical Techniques and Technology Scarano, E. Della Marca, G. De Corso, E. Dittoni, S. Di Nardo, W. Meucci, D. Bastanza, G. Gallus, R. Losurdo, A. Testani, E. Paludetti, G. Hyoid myotomy without suspension: a surgical approach to obstructive sleep apnoea syndrome |
title | Hyoid myotomy without suspension: a surgical
approach to obstructive sleep apnoea syndrome |
title_full | Hyoid myotomy without suspension: a surgical
approach to obstructive sleep apnoea syndrome |
title_fullStr | Hyoid myotomy without suspension: a surgical
approach to obstructive sleep apnoea syndrome |
title_full_unstemmed | Hyoid myotomy without suspension: a surgical
approach to obstructive sleep apnoea syndrome |
title_short | Hyoid myotomy without suspension: a surgical
approach to obstructive sleep apnoea syndrome |
title_sort | hyoid myotomy without suspension: a surgical
approach to obstructive sleep apnoea syndrome |
topic | Clinical Techniques and Technology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4299162/ https://www.ncbi.nlm.nih.gov/pubmed/25709152 |
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