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SLEEP APNEA SURGERY
Hyoid Advancement
The tongue is a frequent cause of airway obstruction in OSA. The tongue can collapse towards the back of the throat during sleep, thereby contributing to OSA. The collapsibility of the tongue can be improved with hyoid advancement. Several tongue muscles attach to the hyoid, a U-shaped bone that is located in the neck. In this procedure, the hyoid can be pulled forward, which in turn pulls the tongue forward as in genioglossus advancement. The duration of the procedure is approximately 60 minutes and is performed under general anesthesia. Although speech is not affected, swallowing can be temporarily affected for 7-10 days after the procedure. In general, patients can usually return to work in 10-14 days.
Overnight hospitalization is usually recommended after hyoid advancement. This procedure is often performed in conjunction with genioglossus advancement, uvulopalatal flap and radiofrequency reduction of the tongue in order to maximize the extent of airway improvement.
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