title: Pedicled genial osteotomy modification of the mandibular release access operation for access to the back of the tongue.
abstract: We report a modification of the operation of mandibular release or 'visor drop down'. It allows more accurate repositioning and more permanent fixation of the genioglossus, geniohyoid, and digastric muscles using a small anterior osteotomy. We hope that this more accurate and reliable repositioning will give improved outcomes in terms of speech, chewing, and swallowing.
authors.affiliation: Regional Maxillofacial Unit, Southern General Hospital, 1345 Govan Road, Glasgow, G51 4TF, UK. graham.merrick@tst.nhs.uk
authors.forename: G D
authors.initials: GD
authors.lastname: Merrick
authors.forename: R W
authors.initials: RW
authors.lastname: Morrison
authors.forename: J R
authors.initials: JR
authors.lastname: Gallagher
authors.forename: J C
authors.initials: JC
authors.lastname: Devine
authors.forename: A
authors.initials: A
authors.lastname: Farrow
mesh_terms: D006801:Humans; D008334:Mandible / Q000601:surgery*; D009060:Mouth Floor / Q000601:surgery*; D009062:Mouth Neoplasms / Q000601:surgery*; D037981:Neck Dissection; D009334:Neck Muscles / Q000601:surgery; D019647:Oral Surgical Procedures / Q000379:methods*; D014059:Tongue / Q000601:surgery*