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Barbed Hyoglossomandibulopexia

A Preclinical Study on Human Anatomic Models

Mantovani, Mario, MD*,†; Rinaldi, Vittorio, MD*,†,‡; Torretta, Sara, MD*,†; Trojsi, Roberto, MD*,†; Carioli, Daniela, MD*,†; Pignataro, Lorenzo, MD*,†

doi: 10.1097/SCS.0000000000004606
Anatomical Studies

The retrobasilingual space is the one of the most frequent sites of obstruction in patients with severe obstructive sleep apnea hypopnea syndrome, and several multilevel surgical procedures have been developed. The authors tested by means a preclinical study the feasibility of a new experimental surgical procedure called barbed hyoglossomandibulopexia (B.Hy.G.M.P.) which aims at advancing the tongue base with the hyoid bone (hyo-glossopexia) by multiple plicatures at the oral floor muscles.

B.Hy.G.M.P. was performed during cadaveric dissection on 12 human models. Retrobasilingual space enlargement was assessed by means of nasopharyngeal fiberendoscopy.

A 25% to 50% enlargement in the retrobasilingual space was documented by means of nasopharyngeal fiberendoscopy in all the patients.

The authors’ preclinical study documents the feasibility of the B.Hy.G.M.P. procedure on human models, and suggests the possible usefulness of this approach in obstructive sleep apnea hypopnea syndrome patients with retrobasilingual collapse. Dedicated clinical studies on living subjects are needed to assess the effectiveness and safety of this technique.

*Department of Otolaryngology

Department of Clinical Sciences and Community Health, Fondazione I.R.C.C.S. Ca’ Granda, Ospedale Maggiore Policlinico, University of Milan, Milan

Department of Otolaryngology, University Campus Bio-Medico, Rome, Italy.

Address correspondence and reprint requests to Sara Torretta, MD, Division of Otolaryngology, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, Via F. Sforza 35, 20122 Milano, Italy; E-mail:

Received 5 January, 2018

Accepted 9 March, 2018

The authors report no conflicts of interest.

© 2018 by Mutaz B. Habal, MD.