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1. Hyoid myotomy and suspension without simultaneous palate or tongue base surgery for obstructive sleep apnea

Author

Adrian A. Ong, Jonathan Buttram, Shaun A. Nguyen, Dustin Platter, Michael R. Abidin, and M. Boyd Gillespie

Subjects
Otorhinolaryngology, RF1-547, Surgery, RD1-811
Abstract

Objective: Determine the effects of hyoid myotomy and suspension (HMS) without concurrent palatal or tongue base sleep surgery for obstructive sleep apnea (OSA). Method: Patients with OSA treated with HMS were identified using CPT code (21685) at an academic and private sleep surgery clinic. Those who underwent concurrent palatal or tongue base sleep surgery were excluded. Outcomes included simultaneous procedures, apnea-hypopnea index (AHI), lowest oxyhemoglobin saturation (LSAT), and Epworth Sleepiness Scale (ESS). Results: Nineteen patients with OSA underwent HMS without palatal or tongue base sleep surgery. The average age at surgery was (55.3 ± 13.5) years with a majority of patients being male (71%). Concurrent procedures included the following: torus mandibularis excision (n = 1), endoscopic sinus surgery (n = 4), septoplasty (n = 10), inferior turbinate reduction (n = 12), and nasal valve repair (n = 2). AHI improved significantly from (39.7 ± 21.2) events/h to (22.6 ± 22.7) events/h after HMS (P 30 events/h) had an improvement in AHI from (49.9 ± 16.6) events/h to (29.1 ± 24.9) events/h, P

Published
2017
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2. Hyoid myotomy and suspension without simultaneous palate or tongue base surgery for obstructive sleep apnea

Author

M. Boyd Gillespie, Dustin Platter, Jonathan Buttram, Michael R. Abidin, Shaun A. Nguyen, and Adrian A. Ong

Subjects
Myotomy, medicine.medical_specialty, RD1-811, medicine.medical_treatment, Torus mandibularis, Hyoid myotomy and suspension, Tongue Base, 03 medical and health sciences, 0302 clinical medicine, AirLift system, stomatognathic system, medicine, 030223 otorhinolaryngology, Oxyhemoglobin saturation, Sleep surgery, business.industry, Epworth Sleepiness Scale, medicine.disease, Obstructive sleep apnea, nervous system diseases, Surgery, respiratory tract diseases, Septoplasty, Otorhinolaryngology, RF1-547, business, 030217 neurology & neurosurgery, Research Paper
Abstract

Objective: Determine the effects of hyoid myotomy and suspension (HMS) without concurrent palatal or tongue base sleep surgery for obstructive sleep apnea (OSA). Method: Patients with OSA treated with HMS were identified using CPT code (21685) at an academic and private sleep surgery clinic. Those who underwent concurrent palatal or tongue base sleep surgery were excluded. Outcomes included simultaneous procedures, apnea-hypopnea index (AHI), lowest oxyhemoglobin saturation (LSAT), and Epworth Sleepiness Scale (ESS). Results: Nineteen patients with OSA underwent HMS without palatal or tongue base sleep surgery. The average age at surgery was (55.3 ± 13.5) years with a majority of patients being male (71%). Concurrent procedures included the following: torus mandibularis excision (n = 1), endoscopic sinus surgery (n = 4), septoplasty (n = 10), inferior turbinate reduction (n = 12), and nasal valve repair (n = 2). AHI improved significantly from (39.7 ± 21.2) events/h to (22.6 ± 22.7) events/h after HMS (P 30 events/h) had an improvement in AHI from (49.9 ± 16.6) events/h to (29.1 ± 24.9) events/h, P

Published
2017

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