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Effects of Hat-Shaped Mortised Genioplasty with Genioglossus Muscle Advancement on Retrogenia and Snoring: Assessment of Esthetic, Functional, and Psychosocial Results

  • Bong Kyoon Choi
  • In Sik Yun
  • Young Seok Kim
  • Tai Suk Roh
  • Sang Eun Park
  • Jae Young Bae
  • Bok Ki Jung
Original Article Craniofacial/Maxillofacial
  • 24 Downloads

Abstract

Background

An increasing number of patients undergo genioplasty for esthetic purposes to correct micrognathism or retrognathism. However, these conditions are considered an important risk factor for snoring. The purpose of this study was to evaluate both esthetic improvement and functional changes of snoring symptoms in patients who underwent hat-shaped mortised advancing genioplasty with genioglossus muscle advancement.

Materials and Methods

This retrospective study enrolled 25 patients. We evaluated scores for subjective snoring classification (Stanford scale) and questionnaire findings for esthetic results.

Results

Most people (96%) were satisfied with the esthetic improvement after surgery. The grade of subjective snoring classification (Stanford scale) improved from 8.68 (range 0–10) to 4.08 (range 0–10) after surgery. Twenty-four patients had an improved snoring grade. All patients reported a positive impact on their daily activity and self-confidence, and they were willing to recommend the same operation to someone with the same clinical problems.

Conclusion

We conclude that hat-shaped mortised advancing genioplasty with genioglossus muscle advancement can relieve the symptoms of snoring for patients with hypoplastic chin or retrogenia. Patients were satisfied with the functional and esthetic results.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

Keywords

Retrogenia Snoring Genioplasty Genioglossus advancement 

Notes

Compliance with Ethical Standards

Conflict of interest

The authors have no potential conflicts of interest with respect to the research, authorship, and publication of this article to declare.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2019

Authors and Affiliations

  1. 1.CBK Plastic Surgery ClinicSeoulRepublic of Korea
  2. 2.Department of Plastic and Reconstructive Surgery, Institute for Human Tissue RestorationGangnam Severance Hospital, Yonsei University College of MedicineSeoulRepublic of Korea
  3. 3.Snow Plastic Surgery ClinicSeoulRepublic of Korea

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