title: Skeletal Surgery for Obstructive Sleep Apnea.
abstract: Multilevel surgery has been established as the mainstay of treatment for the surgical management of obstructive sleep apnea (OSA). Combined with uvulopalatopharyngoplasty, tongue-base surgeries, including the genioglossus advancement (GA), sliding genioplasty, and hyoid myotomy and suspension, have been developed to target hypopharyngeal obstruction. Total airway surgery consisting of maxillomandibular advancement (MMA) with/without GA has shown significant success. Skeletal procedures for OSA with or without a palatal procedure is a proven technique for relieving airway obstruction during sleep. A case study demonstrating the utility of virtual surgical planning for MMA surgery is presented.
authors.affiliation: Department of Surgery, Uniformed Services University, Bethesda, MD, USA; Department of Otolaryngology, University of Texas Health Sciences Center, San Antonio, TX, USA; Texas Facial Plastic Surgery and ENT, 14603 Huebner Road, Building 1, San Antonio, TX 78209, USA. Electronic address: admin@drjosebarrera.com.
authors.forename: José E
authors.initials: JE
authors.lastname: Barrera
mesh_terms: D006801:Humans; D006928:Hyoid Bone / Q000601:surgery; D008334:Mandible / Q000601:surgery; D019186:Mandibular Advancement; D018482:Muscle, Skeletal / Q000601:surgery; D019647:Oral Surgical Procedures / Q000379:methods*; D011300:Preoperative Care; D020181:Sleep Apnea, Obstructive / Q000601:surgery*
keywords: Genioglossal advancement; Hyoid myotomy and suspension; Maxillomandibular advancement; Obstructive sleep apnea; Skeletal surgery; Sliding genioplasty; Surgery success; Surgery technique