Genioglossal Advancement, Hyoid Suspension, Tongue Base Radiofrequency, and Endoscopic Partial Midline Glossectomy for Obstructive Sleep Apnea

Dorrity, Jeffrey; Wirtz, Nicholas; Froymovich, Oleg; Hamlar, David

doi:10.1016/j.otc.2016.07.008

Cited by 20 publications

(4 citation statements)

References 44 publications

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“…However, they are limited to patients with good dentition and are generally tolerated poorly [26]. Surgical interventions to address the tongue base or lower pharyngeal obstruction include mandibular osteotomies, partial tongue base resection, or hyoid suspension [28,29]. Although effective at treating obstructive sleep apnoea (OSA) in carefully selected patients, these procedures are particularly invasive and associated with significant morbidity.…”

Section: Tongue Basementioning

confidence: 99%

Minimally Invasive Radiofrequency Surgery in Sleep-Disordered Breathing

Patel

Kotecha

2019

Healthcare

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Sleep-disordered breathing encompasses a spectrum of conditions ranging from simple snoring to obstructive sleep apnoea (OSA). Radiofrequency surgery represents a relatively new technique available to surgeons involved in managing this condition. Its principal advantage relates to its minimally invasive nature resulting in a reduced morbidity when compared to traditional sleep surgery. The presence of good-quality research evaluating the long-term outcomes is currently scarce, although the short-term data is promising. Careful patient selection appears to be paramount in obtaining a sustained improvement. The role of radiofrequency surgery in sleep-disordered breathing has been reviewed.

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Section: Tongue Basementioning

confidence: 99%

Minimally Invasive Radiofrequency Surgery in Sleep-Disordered Breathing

Patel

Kotecha

2019

Healthcare

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“…Radiofrequency ablation has been successfully applied in treating tongue-derived OSA, tongue hemangioma, tongue lymphatic vascular malformation, and tongue granulosa cell tumor. [18][19][20][21] However, literature on resection combined with RFA in the treatment of macroglossia has not been reported yet. The purpose of the study is to review a series of BWS patients who underwent partial glossectomy in a single center by a modified technique.…”

mentioning

confidence: 99%

“…Radiofrequency ablation (RFA) utilizes radiofrequency energy to coagulate the protein at low temperature (40–70°C), reducing the volume of the target tissue. Radiofrequency ablation has been successfully applied in treating tongue-derived OSA, tongue hemangioma, tongue lymphatic vascular malformation, and tongue granulosa cell tumor 18–21. However, literature on resection combined with RFA in the treatment of macroglossia has not been reported yet.…”

mentioning

confidence: 99%

Partial Glossectomy Combined With Radiofrequency Ablation for Macroglossia in Beckwith-Wiedemann Syndrome

Lan

Gao

Zhang

et al. 2022

Journal of Craniofacial Surgery

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Objective: As the most common feature of Beckwith-Wiedemann syndrome (BWS), macroglossia may influence the quality of life, maxillofacial growth, and speech development of children. The retrospective study aimed to investigate the therapeutic effect of partial glossectomy combined with radiofrequency ablation (RFA) for macroglossia patients in BWS. Methods: A retrospective study was conducted in BWS-derived macroglossia patients who underwent partial glossectomy combined with RFA from May 2019 to January 2021. In total, 35 patients consisting of 17 males and 18 females met the inclusion criteria and underwent surgery by the same plastic surgeon. Demographic characteristics, BWS features, operation details, preoperative and postoperative outcomes, satisfaction evaluations, and subgroup analysis were collected and assessed. Results: Of the 35 patients involved, the average age at the time of surgery was 14.05±8.08 months, and the average surgery duration was 48.17±6.72 minutes. Only 1 patient suffered ventral tongue wound dehiscence, and the rest of the patients did not develop any other complications. The severity and frequency of tongue protrusion, drooling, snoring, and feeding difficulty were significantly ameliorated. The patient’s parents showed satisfaction towards the overall surgery, tongue’s appearance, and tongue’s motor function. Tongue’s height decreased from 32.09±1.16 mm before the operation to 29.29±1.33 mm after the operation. Conclusion: The partial glossectomy combined RFA exerts a safe, effective and viable technique to treat BWS-derived macroglossia.

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“…Mandibular advancement devices are often preferred by patients but are more effective in mild to moderate than in severe OSA 7 . Upper airway surgery is an additional option, but the success rate is highly variable 8 . In obese patients, lifestyle interventions and bariatric surgery are associated with a reduction of AHI, although a complete resolution of OSA may be difficult to achieve 9 .…”

mentioning

confidence: 99%

Sleep apnea and its role in transportation safety

Bonsignore

2017

F1000Res

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Obstructive sleep apnea (OSA) is a main cause of excessive daytime sleepiness and increases the risk for driving accidents, which can be normalized by treatment with continuous positive airway pressure ventilation. Since it is estimated that OSA is not diagnosed in about 80% of cases, recognition of patients at risk for driving accidents is a problem from both medical and societal points of view. Strategies to screen and identify subjects at high risk for driving accidents are under study in order to improve safety on the road, especially for commercial drivers, who show a high prevalence of OSA.

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Genioglossal Advancement, Hyoid Suspension, Tongue Base Radiofrequency, and Endoscopic Partial Midline Glossectomy for Obstructive Sleep Apnea

Cited by 20 publications

References 44 publications

Minimally Invasive Radiofrequency Surgery in Sleep-Disordered Breathing

Minimally Invasive Radiofrequency Surgery in Sleep-Disordered Breathing

Partial Glossectomy Combined With Radiofrequency Ablation for Macroglossia in Beckwith-Wiedemann Syndrome

Sleep apnea and its role in transportation safety

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