Technical Note Orthognathic Surgery| Volume 44, ISSUE 6, P760-762, June 2015

The rotational genioplasty: a modified technique for patients with obstructive sleep apnoea

Published:February 23, 2015DOI:


      Obstructive sleep apnoea (OSA) is a serious condition that can be the cause of a number of systemic symptoms and conditions. The diagnosis of OSA is made by clinical and radiological examination, with polysomnography as the gold standard for recording the severity of the disorder. Among the many therapies offered for OSA, maxillomandibular advancement is recognized as a powerful technique for relieving upper airway obstruction. The upper airway may be further opened by an advancement genioplasty, but this may compromise facial aesthetics by over-projecting the chin prominence. To overcome this difficulty, a modified genioplasty is presented. This is designed to enable a rotational repositioning that allows for advancement of the genioglossus attachments but also avoids an excessive projection of pogonion, which would otherwise result in an unfavourable profile.

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        • Sutherland K.
        • Lee R.W.
        • Cistulli P.A.
        Obesity and craniofacial structure as risk factors for obstructive sleep apnoea: impact of ethnicity.
        Respirology. 2012; 17: 213-222
        • Marcus C.L.
        • Brooks L.J.
        • Ward S.D.
        • Draper K.A.
        • Gozal D.
        • Halbower A.C.
        • et al.
        Diagnosis and management of childhood obstructive sleep apnoea syndrome.
        Pediatrics. 2012; 130: e714-e755
        • Sforza E.
        • Bacon W.
        • Weiss T.
        • Thibault A.
        • Petiau C.
        • Krieger J.
        Upper airway collapsibility and cephalometric variables in patients with obstructive sleep apnea.
        Am J Respir Crit Care Med. 2000; 161: 347-352
        • Meslemani D.
        • Jones L.R.
        Skeletal surgery in sleep apnea.
        Curr Opin Otolaryngol Head Neck Surg. 2011; 19: 307-311
        • Ephros H.D.
        • Madani M.
        • Yalamanchilli S.C.
        Surgical treatment of snoring and obstructive sleep apnoea.
        Indian J Med Res. 2010; 131: 267-276
        • Li K.K.
        Maxillomandibular advancement for obstructive sleep apnea.
        J Oral Maxillofac Surg. 2011; 69: 687-694
        • Prinsell J.R.
        Maxillomandibular advancement surgery for obstructive sleep apnea.
        J Am Dent Assoc. 2002; 133: 1489-1497
        • Barbick M.B.
        • Dolwick
        Genial tubercle advancement for obstructive sleep apnea syndrome: a modification of design.
        J Oral Maxillofac Surg. 2009; 67: 1767-1770
        • Lee N.R.
        Genioglossus muscle advancement techniques for obstructive sleep apnea.
        Oral Maxillofac Surg Clin North Am. 2002; 14: 377-384
        • Dattilo D.J.
        • Aynechi M.
        Modification of the anterior mandibular osteotomy for genioglossus advancement with hyoid suspension for obstructive sleep apnea.
        J Oral Maxillofac Surg. 2007; 65: 1876-1879