Effects of Hat-Shaped Mortised Genioplasty with Genioglossus Muscle Advancement on Retrogenia and Snoring: Assessment of Esthetic, Functional, and Psychosocial Results
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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.
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.
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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KeywordsRetrogenia Snoring Genioplasty Genioglossus advancement
Compliance with Ethical Standards
Conflict of interest
The authors have no potential conflicts of interest with respect to the research, authorship, and publication of this article to declare.
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.
- 9.Rodrigues MM, Dibbern RS, Goulart CWK (2010) Correlation between subjective classification of snoring and the apnea–hypopnea index. Sleep Sci 3(3):103–106Google Scholar
- 11.Hendler BH, Costello BJ, Silverstein K, Yen D, Goldberg A (2001) A protocol for uvulopalatopharyngoplasty, mortised genioplasty, and maxillomandibular advancement in patients with obstructive sleep apnea: an analysis of 40 cases. J Oral Maxillofac Surg 59(8):892–897 (discussion 898–899) CrossRefGoogle Scholar
- 15.Hofer O (1942) Operation der Prognathie und Mikrogenie. Dtsch Zahn Mund Kieferheilkd 9:121–132Google Scholar