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Inicio Acta Otorrinolaringológica Española Estabilización quirúrgica de la base de la lengua en el síndrome de apnea obs...
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Vol. 53. Issue 9.
Pages 666-673 (November 2002)
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Vol. 53. Issue 9.
Pages 666-673 (November 2002)
Estabilización quirúrgica de la base de la lengua en el síndrome de apnea obstructiva del sueño. Nuestra experiencia
Surgical tongue-base suspension for obstructive sleep apnea syndrome. Our experience
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M.J. Naya
Corresponding author
mnayag@seorl.org

Correspondencia: C/ Juan Cabrero n° 11, 3° izqda. 50007 Zaragoza.
, E.A. Vicente
Servicio de otorrinolaringología. Hospital universitario miguel servet. Zaragoza
J. Asín*, P. Gargallo*
* Departamento de métodos estadísticos. Universidad de zaragoza
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Resumen

Muchas son las técnicas quirúrgicas utilizadas en el síndrome de la apnea obstructiva del sueño. El tratamiento quirúrgico sobre la base de la lengua y la hipofaringe incluye técnicas como la glosectomía, la tirohioidopexia, la osteotomía mandibular de avance de los tubérculos geni o el avance mandibular; todas ellas técnicas con mucha morbilidad. En el presente estudio se evalúa la efectividad de un tratamiento mínimamente invasivo: la estabilización quirúrgica de la base de la lengua. Doce pacientes varones con S.A.O.S. fueron seleccionados mediante examen físico, cefalometría y fibrolaringoscopia, e intervenidos quirúrgicamente. Los resultados preliminares muestran la eficacia de esta nueva técnica quirúrgica.

Palabras clave:
Síndrome de Apnea Obstructiva del Sueño
S.A.O.S
Obstrucción basilingual
Estabilización de la lengua
Abstract

There are a lot of tecniques involves to surgical treatment of the Obstructive Sleep Apnea Syndrome. Surgical treatments of tongue-base and hypopharyngeal colapse include glossectomy, hyoid suspension, mandibular osteotomy with genioglossal advancement and maxillay-mandibular advancement. Many or these procedures are associated with extreme morbidity. In this paper is evaluated the effectiveness of a minimally invasive technique for tongue-base suspension. The procedure was performed in 12 male patients whit O.S.A.S. that were evaluated with cefalometric and fiberoptic analysis. These preliminary results show the initial efficacy of this new surgical procedure.

Key words:
Obstructive Sleep Apnea Syndrome
O.S.A.S
tongue-base suspension

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