OBJECTIVE: To review the outcomes of hyoid myotomy and suspension with a mandibular screw anchoring device. STUDY DESIGN: Case series with chart review. SETTING: Academic and private sleep surgery clinics. METHODS: The study is a consecutive case series of patients undergoing hyoid myotomy and suspension using a mandibular screw suspension device as part of multilevel treatment of obstructive sleep apnea (OSA). Outcomes of interest included complication rates, change in daytime sleepiness scores, and change in apnea-hypopnea index (AHI). RESULTS: Ten women and 23 men with a mean age of 54 years (range, 33-73 years) underwent hyoid myotomy and suspension using a mandibular screw suspension device. Four (12%) patients experienced minor complications, including neck seroma (3 patients) and tongue edema (1 patient). Epworth Sleepiness Scale scores fell from a preoperative median of 12 to a postoperative median of 6 (P = .002). Ten patients (30%) refused the postoperative sleep study. In the 23 patients who underwent postoperative sleep studies, AHI scores decreased from a preoperative mean ± SD of 40.9 ± 25.1 to 18.6 ± 21.2 postoperatively (P = .001). Ten patients (30%) achieved a postoperative AHI below 10. The Repose system was initially applied using a standard hyoid dissection but was later modified using a minimally invasive small incision (<2 cm) approach that demonstrated significantly fewer complications (P = .04). CONCLUSION: Hyoid myotomy and suspension with a mandibular screw anchor is an effective method with which to address hypopharyngeal collapse in multilevel surgery for OSA. The procedure can be performed with a small-incision, minimally invasive approach with minimal complications and patient morbidity.
OBJECTIVE: To review the outcomes of hyoid myotomy and suspension with a mandibular screw anchoring device. STUDY DESIGN: Case series with chart review. SETTING: Academic and private sleep surgery clinics. METHODS: The study is a consecutive case series of patients undergoing hyoid myotomy and suspension using a mandibular screw suspension device as part of multilevel treatment of obstructive sleep apnea (OSA). Outcomes of interest included complication rates, change in daytime sleepiness scores, and change in apnea-hypopnea index (AHI). RESULTS: Ten women and 23 men with a mean age of 54 years (range, 33-73 years) underwent hyoid myotomy and suspension using a mandibular screw suspension device. Four (12%) patients experienced minor complications, including neck seroma (3 patients) and tongue edema (1 patient). Epworth Sleepiness Scale scores fell from a preoperative median of 12 to a postoperative median of 6 (P = .002). Ten patients (30%) refused the postoperative sleep study. In the 23 patients who underwent postoperative sleep studies, AHI scores decreased from a preoperative mean ± SD of 40.9 ± 25.1 to 18.6 ± 21.2 postoperatively (P = .001). Ten patients (30%) achieved a postoperative AHI below 10. The Repose system was initially applied using a standard hyoid dissection but was later modified using a minimally invasive small incision (<2 cm) approach that demonstrated significantly fewer complications (P = .04). CONCLUSION: Hyoid myotomy and suspension with a mandibular screw anchor is an effective method with which to address hypopharyngeal collapse in multilevel surgery for OSA. The procedure can be performed with a small-incision, minimally invasive approach with minimal complications and patient morbidity.
Authors: T Verse; A Dreher; C Heiser; M Herzog; J T Maurer; W Pirsig; K Rohde; N Rothmeier; A Sauter; A Steffen; S Wenzel; B A Stuck Journal: HNO Date: 2016-05 Impact factor: 1.284
Authors: T Verse; A Dreher; C Heiser; M Herzog; J T Maurer; W Pirsig; K Rohde; N Rothmeier; A Sauter; A Steffen; S Wenzel; B A Stuck Journal: Sleep Breath Date: 2016-05-14 Impact factor: 2.816
Authors: Adrian A Ong; Jonathan Buttram; Shaun A Nguyen; Dustin Platter; Michael R Abidin; M Boyd Gillespie Journal: World J Otorhinolaryngol Head Neck Surg Date: 2017-06-13