medigraphic.com
SPANISH

Revista Mexicana de Cirugía Bucal y Maxilofacial

ISSN 2007-3178 (Print)
Asociación Mexicana de Cirugía Bucal y Maxilofacial, Colegio Mexicano de Cirugía Bucal y Maxilofacial, A.C.
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
    • Send manuscript
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2014, Number 3

<< Back Next >>

Rev Mex Cir Bucal Maxilofac 2014; 10 (3)

Modification of the technique of advancing the genial tubercles on syndrome of obstructive sleep apnea: report of a case

González SMÁ, Reynaldos PJ, Yonami PE, Longoria FKM
Full text How to cite this article

Language: Spanish
References: 16
Page: 93-100
PDF size: 574.72 Kb.


Key words:

Obstructive sleep apnea syndrome, genial tubercles.

ABSTRACT

The obstructive sleep apnea syndrome (OSAS) is a common disorder that poses a predisposition on the patient to cardiovascular illnesses, lung function decay, accidental physical damage or death. The OSAS is diagnosed by means of a polysomnography, obtaining an apnea and hypopnea index of at least five in one hour. It has an incidence rate of 24% in men and 9% in women. Nowadays, the mandibular advancement along with the genial tubercles are one of the most chosen surgery procedures by maxillofacial surgeons for the treatment of the obstructive sleep apnea syndrome due to the traction on the hyoid bone lobbied by the genioglossus and the geniohyoid muscles inserted in these anatomic structures. The aesthetic dilemma plays a very important role due to the fact that the patients with OSAS could or could not present facial disharmonies and/or occlusal discrepancies.


REFERENCES

  1. Bell WH, Guerrero CA. Distraction osteogenesis of the facial skeleton. Bc Deker Inc. 2007; 420-450.

  2. Bell WH. Modern practice in orthognathic and reconstructive surgery. Vol. 3. US: W.B. Saunders Company; 1992: pp. 2021-2059.

  3. Fleisher KE, Krieger AC. Current trends in the treatment of obstructive sleep apnea. J Oral Maxillofac Surg. 2007; 65: 2056-2068.

  4. Meurice JC, Marc I, Carrier G et al. Effecs of mouth opening on upper airway collapsibility in normal sleeping subjects. Am J Respir Crit Care Med. 1996; 153: 255.

  5. Hsu PP, Tan BY, Chan YH et al. Clinical predictors in obstructive sleep apnea patients with computer-assisted quantitative videoendoscopic upper airway analysis. Laryngoscope. 2004; 114: 791.

  6. Zozula R, Rosen R. Compliance with continuous positive airway pressure therapy: assessing and improving treatment outcomes. Curr Opin Pulm Med. 2001; 7: 391.

  7. Moore KE, Phillips C. A practical method for describing patterns of tongue-base narrowing (modification of Fujita) in wake adult patients with obstructive sleep apnea. J Oral Maxillofac Surg. 2002; 60(3): 252-260.

  8. Powell NB, Guilleminault C, Riley RW. Maxillary, mandibular and hyoid advancement for treatment of obstructive sleep apnea: a review of 40 patients. J Oral Maxillofac Surg. 1990; 48: 20.

  9. Barbick MB, Dolwick MF. Genial tubercle advancement for obstructive sleep apnea syndrome: a modification of design. J Oral Maxillofac Surg. 2009; 67: 1767-1770.

  10. Prinsell JR. Maxillomandibular advancement surgery in a site specific treatment approach for obstructive sleep apnea in 50 consecutive patients. Chest. 1999; 116: 1519.

  11. Bagheri SC, Bell RB, Khan HA. Current therapy in oral and maxillofacial surgery. St Louis: Elsevier Saunders; 2012.

  12. Horner RL, Innes JA, Morrell SA et al. The effect of sleep on reflex genioglossus muscle activation by stimuli of negative airway pressure in humans. J Physiol. 1994; 476; 141.

  13. Liao Y, Huang C, Chuang M. The utility of cephalometry with the Muller maneuver in evaluating the upper airway and its surronding structures in Chinese patients with sleep disordered breathing. Laryngoscope. 2003; 113: 614.

  14. Mortimore I, White A, Douglas N. Comparison of nose and face mask CPAP therapy for sleep apnea. Thorax. 1998; 53: 290.

  15. Olson LG, King MT, Hensley MJ, Saunders NA. A community study of snoring and sleep disordered breathing: prevalence. Am J Respir Crit Care Med. 1995; 152: 711-716.

  16. Silverstein K, Costello BJ, Giannakpoulos H. Genioglossus muscle attatchments: An anatomic analysis and the implications for the genioglossus advancement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000; 90: 686.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Rev Mex Cir Bucal Maxilofac. 2014;10