[Value of hyomandibulopexia in the surgical treatment of snoring in patients with sleep apnea].
The authors report their experience with hyomandibulopexia for lingual repositioning in patients with the sleep apnea syndrome. The technique was used 12 times in 11 men and 1 woman and a maximum follow-up of 3.4 years. Hypomandibulopexia was performed as first intention therapy 7 times with or without uvulo-palato-pharyngoplasty. Video-fibroscopy of the pharynx and cephalic magnetic resonance imagery revealed retrobasilingual narrowing in all 7 of these cases. Hyomandibulopexia was performed 5 times for recurrent sleep apnoea syndrome after prior surgery. In two cases, pre-operative evaluation did not reveal any topographic abnormality. Polysomnography studies showed clear improvement with a decreased apneic index and desaturation values. A second fixation of the hyoid was success fully in one case. Hyomandibulopexia is a simple and reliable technique which is useful in patients with sleep apnea syndrome with good to excellent medium term results.
Korchia
D
D
Service ORL, Hôpital Sainte-Marguerite, Marseille.
Duchon-Doris
J M
JM
Thomassin
J M
JM
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006928:Hyoid Bone / Q000601:surgery*; D008297:Male; D008334:Mandible / Q000601:surgery*; D008875:Middle Aged; D010160:Palate, Soft / Q000601:surgery; D017286:Polysomnography; D012891:Sleep Apnea Syndromes / Q000209:etiology / Q000601:surgery; D012913:Snoring / Q000150:complications / Q000601:surgery*; D014986:Xeroradiography
Intérêt de la hyomandibulopexie dans le traitement chirurgical des ronfleurs apnéiques.