Sommerz BD, Romero GLA, Cruz HJ

Language: Spanish
References: 12
Page: 127-132
PDF size: 399.32 Kb.

ABSTRACT

Background: The gold standard treatment in patients with obstructive sleep apnea syndrome is the continuous positive air pressure (CPAP), but in selected cases, before being treated with CPAP, a multilevel surgery to correct the different sites of obstruction can be done. One of these is the tongue base, a common site of obstruction and primary snoring; due to this tongue base radiofrequency had become an effective surgical alternative on the treatment of obstructive sleep apnea syndrome.
Objective: To establish an average distance, from the middle line to the lingual artery, path depth and its relation whit the hypoglossal nerve, in order to make a blind radiofrequency of tongue base.
Material and method: An observational, prospective and descriptive study of the dissection of the lingual artery in ten tongues of Mexican human corpses; with 10% formol preserved specimens. In relation of its depth, laterality, paramedian situation, and the relation between both structures and the length of its intralingual paths, distance of the lingual artery and the hypoglossal nerve were obtained.
Results: In 20 dissections of 10 specimens, the lingual artery and hypoglossal nerve were found at 0.92 ± 0.17 cm in paramedian situation from the foramen cecum, and a depth of 2 cm or more for both structures on all the area of radiofrequency punction.
Conclusion: This data could establish a maximum limit of laterality and depth on the tongue base somnoplasty with radiofrequency for the treatment of sleep obstructive apnea syndrome and primary snoring.

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