Hyoid myotomy and suspension without simultaneous palate or tongue base surgery for obstructive sleep apnea

摘要: Abstract Objective Determine the effects of hyoid myotomy and suspension (HMS) without concurrent palatal or tongue base sleep surgery for obstructive apnea (OSA). Method Patients with OSA treated HMS were identified using CPT code (21685) at an academic private clinic. Those who underwent excluded. Outcomes included simultaneous procedures, apnea-hypopnea index (AHI), lowest oxyhemoglobin saturation (LSAT), Epworth Sleepiness Scale (ESS). Results Nineteen patients surgery. The average age was (55.3 ± 13.5) years a majority being male (71%). Concurrent procedures following: torus mandibularis excision ( n  = 1), endoscopic sinus  = 4), septoplasty  = 10), inferior turbinate reduction  = 12), nasal valve repair  = 2). AHI improved significantly from (39.7 ± 21.2) events/h to (22.6 ± 22.7) after P  = 0.904. A subset severe (AHI > 30 events/h) had improvement in (49.9 ± 16.6) (29.1 ± 24.9) events/h, Conclusion improves severity. It can be considered as valid option treatment appropriately-selected patients.