title: Improvement of facial appearance and nocturnal breathing with geniotomy (sliding genioplasty): report of two cases.
abstract: This article reports on two cases of nonobese female patients who presented in an orthodontic practice complaining of dental malocclusion and facial dysharmony. Because of the observed clinically and radiographically extreme mandibular retrognathia, they were referred for a sleep study and were found to have mild sleep apnea. Surgery in the form of advancement geniotomy was offered to relieve their retroglossal obstruction, improve their nocturnal sleep, and simultaneously address their facial esthetic concerns. Advancement geniotomy is useful for sleep apneic patients with exclusively retroglossal obstruction secondary to mandibular retrognathia.
authors.affiliation: Department of Orthodontics, University of Athens School of Dentistry, Athens, Greece. demon@otenet.gr
authors.forename: Manolis J
authors.initials: MJ
authors.lastname: Papagrigorakis
authors.forename: Anastasia
authors.initials: A
authors.lastname: Amfilochiou
authors.forename: George
authors.initials: G
authors.lastname: Vilos
authors.forename: Spyros
authors.initials: S
authors.lastname: Lazarou
authors.forename: Andreas
authors.initials: A
authors.lastname: Petroulakis
mesh_terms: D000328:Adult; D002940:Circadian Rhythm; D005149:Facial Expression; D005260:Female; D006801:Humans; D008334:Mandible / Q000601:surgery*; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D020181:Sleep Apnea, Obstructive / Q000628:therapy*; D012894:Sleep Stages / Q000502:physiology