Genial tubercle position and genioglossus advancement in obstructive sleep apnea (OSA) treatment: a systematic review.

Genioglossus advancement Genioglossus muscle Mandible Obstructive sleep apnea Skeletal surgery

Journal

Maxillofacial plastic and reconstructive surgery
ISSN: 2288-8101
Titre abrégé: Maxillofac Plast Reconstr Surg
Pays: England
ID NLM: 101633100

Informations de publication

Date de publication:
Dec 2019
Historique:
received: 09 07 2019
accepted: 12 08 2019
entrez: 24 9 2019
pubmed: 24 9 2019
medline: 24 9 2019
Statut: epublish

Résumé

To systematically review the literature for methods to localize the genial tubercle as a means for performing an advancement of the genioglossus muscle. PubMed, Google Scholar, CRISP, EMBASE, CINAHL, and Scopus were searched from inception through June 16, 2015. One hundred fifty-two articles were screened, and the full text versions of 12 articles were reviewed in their entirety and 7 publications reporting their methodology for localizing the genial tubercle. Based upon these measurements and the results published from radiographic imaging and cadaveric dissections of all the papers included in this study, we identified the genial tubercle as being positioned within the mandible at a point 10 mm from the incisor apex and 10 mm from the lower mandibular border. Based upon the results of this review, the genial tubercles were positioned within the mandible at a point 10 mm from the incisor apex and 10 mm from the lower mandible border. It may serve as an additional reference for localizing the genial tubercle and the attachment of the genioglossus muscle to the mandible, although the preoperative radiological evaluation and the palpation of the GT are recommended to accurately isolate.

Sections du résumé

BACKGROUND BACKGROUND
To systematically review the literature for methods to localize the genial tubercle as a means for performing an advancement of the genioglossus muscle.
METHODS METHODS
PubMed, Google Scholar, CRISP, EMBASE, CINAHL, and Scopus were searched from inception through June 16, 2015.
RESULTS RESULTS
One hundred fifty-two articles were screened, and the full text versions of 12 articles were reviewed in their entirety and 7 publications reporting their methodology for localizing the genial tubercle. Based upon these measurements and the results published from radiographic imaging and cadaveric dissections of all the papers included in this study, we identified the genial tubercle as being positioned within the mandible at a point 10 mm from the incisor apex and 10 mm from the lower mandibular border.
CONCLUSION CONCLUSIONS
Based upon the results of this review, the genial tubercles were positioned within the mandible at a point 10 mm from the incisor apex and 10 mm from the lower mandible border. It may serve as an additional reference for localizing the genial tubercle and the attachment of the genioglossus muscle to the mandible, although the preoperative radiological evaluation and the palpation of the GT are recommended to accurately isolate.

Identifiants

pubmed: 31544097
doi: 10.1186/s40902-019-0217-1
pii: 217
pmc: PMC6732264
doi:

Types de publication

Journal Article

Langues

eng

Pagination

34

Déclaration de conflit d'intérêts

Competing interestsThe authors declare that they have no competing interests.

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Auteurs

Edward T Chang (ET)

1Department of Otolaryngology, Division of Sleep Surgery and Medicine, Tripler Army Medical Center, Honolulu, HI USA.

Yong-Dae Kwon (YD)

2Department of Oral and Maxillofacial Surgery, Kyung Hee University School of Dentistry, Seoul, Republic of Korea.
3Department of Otolaryngology - Head and Neck Surgery, Sleep Surgery Division, Stanford University Medical Center, Stanford, CA USA.

Junho Jung (J)

2Department of Oral and Maxillofacial Surgery, Kyung Hee University School of Dentistry, Seoul, Republic of Korea.

Robson Capasso (R)

3Department of Otolaryngology - Head and Neck Surgery, Sleep Surgery Division, Stanford University Medical Center, Stanford, CA USA.

Robert Riley (R)

3Department of Otolaryngology - Head and Neck Surgery, Sleep Surgery Division, Stanford University Medical Center, Stanford, CA USA.

Stanley C Liu (SC)

3Department of Otolaryngology - Head and Neck Surgery, Sleep Surgery Division, Stanford University Medical Center, Stanford, CA USA.

Macario Camacho (M)

1Department of Otolaryngology, Division of Sleep Surgery and Medicine, Tripler Army Medical Center, Honolulu, HI USA.
4Department of Psychiatry and Behavioral Sciences, Division of Sleep Medicine, Stanford Hospital and Clinics, Redwood City, CA USA.

Classifications MeSH