title: An Accurate Method of Designing and Performing Individual-Specific Genioglossus Advancement.
abstract: There is too much individual patient variation in mandibular anatomy for any single described genioglossus advancement technique to be used consistently. Virtual surgical planning allows surgeons to design genioglossus osteotomy that captures the structures of interest. Intraoperative osteotomy and positioning guides mitigate known risks of the procedure while maximizing the reproducibility and efficacy of the procedure. In this report, we demonstrate the protocol step by step as it had been used on 10 patients, and we highlight 3 clinical scenarios that exemplify its utility.
authors.affiliation: 1 Division of Sleep Surgery, Department of Otolaryngology, School of Medicine, Stanford University, Stanford, California, USA.
authors.forename: Stanley Yung-Chuan
authors.initials: SY
authors.lastname: Liu
authors.affiliation: 1 Division of Sleep Surgery, Department of Otolaryngology, School of Medicine, Stanford University, Stanford, California, USA.|2 Department of Otolaryngology-Head and Neck Surgery, Cathay General Hospital, Taipei, Taiwan.|3 School of Medicine, Fu Jen Catholic University, Taipei, Taiwan.
authors.forename: Leh-Kiong
authors.initials: LK
authors.lastname: Huon
authors.affiliation: 1 Division of Sleep Surgery, Department of Otolaryngology, School of Medicine, Stanford University, Stanford, California, USA.
authors.forename: Soroush
authors.initials: S
authors.lastname: Zaghi
authors.affiliation: 1 Division of Sleep Surgery, Department of Otolaryngology, School of Medicine, Stanford University, Stanford, California, USA.
authors.forename: Robert
authors.initials: R
authors.lastname: Riley
authors.affiliation: 1 Division of Sleep Surgery, Department of Otolaryngology, School of Medicine, Stanford University, Stanford, California, USA.
authors.forename: Carlos
authors.initials: C
authors.lastname: Torre
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D019186:Mandibular Advancement / Q000379:methods*; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods; D012189:Retrospective Studies; D020181:Sleep Apnea, Obstructive / Q000601:surgery*; D025321:Surgery, Computer-Assisted / Q000379:methods*; D055815:Young Adult
keywords: cutting guide; genioglossus advancement; genioplasty; obstructive sleep apnea; virtual surgical planning