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Improvement of Facial Appearance and Nocturnal Breathing with Geniotomy (Sliding Genioplasty): Report of Two Cases

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ABSTRACT

This article reports on two cases of nonobese female patients who presented in an orthodontic practice complaining of dental malocclusion and facial dysharmony. Because of the observed clinically and radiographically extreme mandibular retrognathia, they were referred for a sleep study and were found to have mild sleep apnea. Surgery in the form of advancement geniotomy was offered to relieve their retroglossal obstruction, improve their nocturnal sleep, and simultaneously address their facial esthetic concerns. Advancement geniotomy is useful for sleep apneic patients with exclusively retroglossal obstruction secondary to mandibular retrognathia.

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References

  1. Goldberg AN, Schwab RJ. Sleep apnea. Identifying the patient with sleep apnea. Upper airway assessment and physical examination. Otolaryngol Clin N Am 1998;31:919–930

    Google Scholar 

  2. Partinen M, Guilleminault C, Quera-Salva MA, JamiesonA. Obstructive sleep apnea and cephalometric roentgenograms. The role of anatomic upper airway abnormalities in the definition of abnormal breathing during sleep. Chest 1988;93:1199–1205

    Google Scholar 

  3. Riley R, Guilleminault C, Herran J, Powell N. Cephalometric analyses and flow-volume loops in obstructive sleep apnea patients. Sleep 1983;6:303–311

    Google Scholar 

  4. Tsuchiya M, LoweAA, Pae EK, Fleetham JA. Obstructive sleep apnea subtypes by cluster analysis. Am J Orthod Dentofacial Orthop 1992;101:533–542

    Google Scholar 

  5. Riley R, Powell N, Guilleminault C. Maxillary, mandibular and hyoid advancement for treatment of obstructive sleep apnea: A review of 40 patients. J Oral Maxillofac Surg 1989;47:159–164

    Google Scholar 

  6. Waite PD, Wooten V, Lachner J, GuyetteRF. Maxillomandibular advancement surgery in 23 patients with obstructive sleep apnea syndrome. J Oral Maxillofac Surg 1989;47:1256–1261

    CAS  PubMed  Google Scholar 

  7. Schwab RJ, Goldberg AN. Sleep apnea. Radiographic and other imaging techniques. Otolaryngol Clin N Am 1998;31:931–968

    Google Scholar 

  8. Schwab RJ, Gefter WB, Hoffman EA, et al. Dynamic upper airway imaging during awake respiration in normal subjects and patients with sleep disordered breathing. Am Rev Respir Dis 1993;148:1385–1400

    Google Scholar 

  9. Lee NR. Genioglossus muscle advancement techniques for obstructive sleep apnea. Oral Maxillofac Surg Clin N Am 2002;14:377–384

    Google Scholar 

  10. Waite PD, Vilos GA. Surgical changes of posterior airway space in obstructive sleep apnea. Oral Maxillofac Surg Clin N Am 2002;14:385–399

    Google Scholar 

  11. Hendler B, Silverstein K, Giannakopoulos H, CostelloBJ. Mortised genioplasty in the treatment of obstructive sleep apnea: a historical perspective and modification of design. Sleep Breath 2001;5:173–179

    Google Scholar 

  12. Powell NB, Riley R. A surgical protocol for sleep disordered breathing. Oral Maxillofac Surg Clin N Am 1995;7:345–356

    Google Scholar 

  13. Johns FR, Strollo PJ, Buckley M, Constantino J. The influence of craniofacial structure on obstructive sleep apnea in young adults. J Oral Maxillofac Surg 1998;56:596–602

    Google Scholar 

  14. Riley R, Powell N, Guilleminault C. Obstructive sleep apnea syndrome: a review of 306 consecutively treated surgical patients. Otolaryngol Head Neck Surg 1993;108:117–125

    CAS  PubMed  Google Scholar 

  15. Guyette RF, Waite PD. Adjunctive surgical procedures in obstructive sleep apnea. Oral Maxillofac Surg Clin N Am 1995;7:301–310

    Google Scholar 

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Correspondence to Manolis J. Papagrigorakis D.D.S., M.Sc..

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Papagrigorakis, M.J., Amfilochiou, A., Vilos, G. et al. Improvement of Facial Appearance and Nocturnal Breathing with Geniotomy (Sliding Genioplasty): Report of Two Cases. Sleep Breath 7, 189–196 (2003). https://doi.org/10.1007/s11325-003-0189-2

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  • DOI: https://doi.org/10.1007/s11325-003-0189-2

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