Maxillary, mandibular, and hyoid advancement: an alternative to tracheostomy in obstructive sleep apnea syndrome

Otolaryngol Head Neck Surg. 1986 Jun;94(5):584-8. doi: 10.1177/019459988609400509.


Nine patients with severe obstructive sleep apnea syndrome (OSAS)--for whom several therapeutic approaches, including palatopharyngoplasty, had failed--were treated with a combined maxillary, mandibular, and hyoid advancement. Objective evaluation--performed before and 4 to 18 months after surgery, using nocturnal polysomography--indicated that the OSAS had improved or had disappeared. This surgical approach is beneficial for specific cases of OSAS, which can be identified by mandatory presurgical tests.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Female
  • Follow-Up Studies
  • Humans
  • Hyoid Bone / diagnostic imaging
  • Hyoid Bone / surgery*
  • Male
  • Mandible / diagnostic imaging
  • Mandible / surgery*
  • Maxilla / diagnostic imaging
  • Maxilla / surgery*
  • Methods
  • Postoperative Care
  • Postoperative Complications
  • Preoperative Care
  • Radiography
  • Sleep Apnea Syndromes / diagnostic imaging
  • Sleep Apnea Syndromes / surgery*