Barbed Hyoglossomandibulopexia: A Preclinical Study on Human Anatomic Models

The Journal of Craniofacial Surgery
Mario MantovaniLorenzo Pignataro

Abstract

The retrobasilingual space is the one of the most frequent sites of obstruction in patients with severe obstructive sleep apnea hypopnea syndrome, and several multilevel surgical procedures have been developed. The authors tested by means a preclinical study the feasibility of a new experimental surgical procedure called barbed hyoglossomandibulopexia (B.Hy.G.M.P.) which aims at advancing the tongue base with the hyoid bone (hyo-glossopexia) by multiple plicatures at the oral floor muscles.B.Hy.G.M.P. was performed during cadaveric dissection on 12 human models. Retrobasilingual space enlargement was assessed by means of nasopharyngeal fiberendoscopy.A 25% to 50% enlargement in the retrobasilingual space was documented by means of nasopharyngeal fiberendoscopy in all the patients.The authors' preclinical study documents the feasibility of the B.Hy.G.M.P. procedure on human models, and suggests the possible usefulness of this approach in obstructive sleep apnea hypopnea syndrome patients with retrobasilingual collapse. Dedicated clinical studies on living subjects are needed to assess the effectiveness and safety of this technique.

References

Aug 19, 2003·The Journal of Otolaryngology·Michael R Lewis, Yadranko Ducic
Mar 24, 2009·The Journal of Craniofacial Surgery·Chung-Chih YuYu-Ray Chen
Mar 17, 2011·The European Respiratory Journal·W J RanderathUNKNOWN European Respiratory Society task force on non-CPAP therapies in sleep apnoea
Jul 22, 2015·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Mario MantovaniLorenzo Pignataro
May 14, 2016·The Journal of Craniofacial Surgery·Fatma Tülin KayhanIbrahim Sayin
Nov 5, 2016·Otolaryngologic Clinics of North America·Mark A D'Agostino
Dec 23, 2016·The Journal of Craniofacial Surgery·Won-June LeeSu-Jung Kim
Jun 6, 2017·The Journal of Craniofacial Surgery·James D VargoBrian T Andrews
Sep 25, 2017·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Mario MantovaniLorenzo Pignataro

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