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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...

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Autores principales: 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.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Pacini Editore SpA 2014
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.
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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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