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Effects of Hat-Shaped Mortised Genioplasty with Genioglossus Muscle Advancement on Retrogenia and Snoring: Assessment of Esthetic, Functional, and Psychosocial Results

  • Original Article
  • Craniofacial/Maxillofacial
  • Published:
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Abstract

Background

An increasing number of patients undergo genioplasty for esthetic purposes to correct micrognathism or retrognathism. However, these conditions are considered an important risk factor for snoring. The purpose of this study was to evaluate both esthetic improvement and functional changes of snoring symptoms in patients who underwent hat-shaped mortised advancing genioplasty with genioglossus muscle advancement.

Materials and Methods

This retrospective study enrolled 25 patients. We evaluated scores for subjective snoring classification (Stanford scale) and questionnaire findings for esthetic results.

Results

Most people (96%) were satisfied with the esthetic improvement after surgery. The grade of subjective snoring classification (Stanford scale) improved from 8.68 (range 0–10) to 4.08 (range 0–10) after surgery. Twenty-four patients had an improved snoring grade. All patients reported a positive impact on their daily activity and self-confidence, and they were willing to recommend the same operation to someone with the same clinical problems.

Conclusion

We conclude that hat-shaped mortised advancing genioplasty with genioglossus muscle advancement can relieve the symptoms of snoring for patients with hypoplastic chin or retrogenia. Patients were satisfied with the functional and esthetic results.

Level of Evidence IV

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Author information

Author notes

  1. Bong Kyoon Choi and In Sik Yun have contributed equally to this work and should be considered co-first authors.

Authors and Affiliations

  1. CBK Plastic Surgery Clinic, Seoul, Republic of Korea

    Bong Kyoon Choi

  2. Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Gangnam Severance Hospital, Yonsei University College of Medicine, 211 Eonju-ro, Gangnam-gu, Seoul, 06273, Republic of Korea

    In Sik Yun, Young Seok Kim, Tai Suk Roh, Jae Young Bae & Bok Ki Jung

  3. Snow Plastic Surgery Clinic, Seoul, Republic of Korea

    Sang Eun Park

Authors
  1. Bong Kyoon Choi
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  2. In Sik Yun
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  3. Young Seok Kim
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  4. Tai Suk Roh
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  5. Sang Eun Park
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  6. Jae Young Bae
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  7. Bok Ki Jung
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Correspondence to Bok Ki Jung.

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Conflict of interest

The authors have no potential conflicts of interest with respect to the research, authorship, and publication of this article to declare.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Choi, B.K., Yun, I.S., Kim, Y.S. et al. Effects of Hat-Shaped Mortised Genioplasty with Genioglossus Muscle Advancement on Retrogenia and Snoring: Assessment of Esthetic, Functional, and Psychosocial Results. Aesth Plast Surg 43, 412–419 (2019). https://doi.org/10.1007/s00266-018-1290-z

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  • DOI: https://doi.org/10.1007/s00266-018-1290-z

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