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Effect of genioglossus, geniohyoid, and digastric advancement on tongue base and hyoid position
Objectives/Hypothesis To assess the effect of genioglossus, geniohyoid, and anterior digastric muscle advancement on base of tongue and hyoid position. Study Design Cadaver experiments. Methods In fresh cadavers, the mandibular attachments of the genioglossus, geniohyoid, and anterior digastric musc...
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| Published in: | The Laryngoscope 2017-08, Vol.127 (8), p.1938-1942 |
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| Main Authors: | , , , , , |
| Format: | Article |
| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c4230-c691a8c203671aa86874efa68ae4f3cf9082b59e154122417176044a0623cdd03 |
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| cites | cdi_FETCH-LOGICAL-c4230-c691a8c203671aa86874efa68ae4f3cf9082b59e154122417176044a0623cdd03 |
| container_end_page | 1942 |
| container_issue | 8 |
| container_start_page | 1938 |
| container_title | The Laryngoscope |
| container_volume | 127 |
| creator | Kutzner, Emily A. Miot, Christelle Liu, Yuan Renk, Elizabeth Park, Joshua S. Inman, Jared C. |
| description | Objectives/Hypothesis
To assess the effect of genioglossus, geniohyoid, and anterior digastric muscle advancement on base of tongue and hyoid position.
Study Design
Cadaver experiments.
Methods
In fresh cadavers, the mandibular attachments of the genioglossus, geniohyoid, and anterior digastric muscles were advanced anteriorly by 6, 10, or 14 mm, and the anterior displacement of the base of tongue and hyoid was measured. The degrees of displacement of the tongue base and hyoid by the individual muscles and combinations of muscles were compared to one another.
Results
In 11 cadavers, 462 measurements were taken. Genioglossus advancement alone produced significantly greater tongue base advancement than any other muscle (P < .001). No combination of muscles produced significantly more tongue base advancement than the genioglossus alone. Geniohyoid (P < .001) and anterior digastric muscle (P < .001) advancement both produced significantly greater hyoid advancement than the genioglossus, but there was no difference between the two (p = .615). No combination of muscles produced significantly more hyoid advancement than the geniohyoid or anterior digastric alone.
Conclusions
Genioglossus muscle advancement produces the greatest base of tongue advancement. Geniohyoid or anterior digastric muscle advancement produces the greatest hyoid advancement. Advancement of neither base of tongue nor hyoid was superior when combinations of muscles were moved.
Level of Evidence
NA Laryngoscope, 127:1938–1942, 2017 |
| doi_str_mv | 10.1002/lary.26380 |
| format | article |
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To assess the effect of genioglossus, geniohyoid, and anterior digastric muscle advancement on base of tongue and hyoid position.
Study Design
Cadaver experiments.
Methods
In fresh cadavers, the mandibular attachments of the genioglossus, geniohyoid, and anterior digastric muscles were advanced anteriorly by 6, 10, or 14 mm, and the anterior displacement of the base of tongue and hyoid was measured. The degrees of displacement of the tongue base and hyoid by the individual muscles and combinations of muscles were compared to one another.
Results
In 11 cadavers, 462 measurements were taken. Genioglossus advancement alone produced significantly greater tongue base advancement than any other muscle (P < .001). No combination of muscles produced significantly more tongue base advancement than the genioglossus alone. Geniohyoid (P < .001) and anterior digastric muscle (P < .001) advancement both produced significantly greater hyoid advancement than the genioglossus, but there was no difference between the two (p = .615). No combination of muscles produced significantly more hyoid advancement than the geniohyoid or anterior digastric alone.
Conclusions
Genioglossus muscle advancement produces the greatest base of tongue advancement. Geniohyoid or anterior digastric muscle advancement produces the greatest hyoid advancement. Advancement of neither base of tongue nor hyoid was superior when combinations of muscles were moved.
Level of Evidence
NA Laryngoscope, 127:1938–1942, 2017</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1002/lary.26380</identifier><identifier>PMID: 27861931</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Aged ; attachment ; Cadaver ; digastric ; Female ; Genioglossus advancement ; geniohyoid ; Humans ; Hyoid Bone - anatomy & histology ; hyoid suspension ; Male ; Mandible ; mandible osteotomy ; Maxillofacial surgery ; Muscle, Skeletal - surgery ; obstructive sleep apnea ; Sleep apnea ; Sleep Apnea, Obstructive - surgery ; Tongue ; Tongue - anatomy & histology</subject><ispartof>The Laryngoscope, 2017-08, Vol.127 (8), p.1938-1942</ispartof><rights>2016 The American Laryngological, Rhinological and Otological Society, Inc.</rights><rights>2017 The American Laryngological, Rhinological and Otological Society, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4230-c691a8c203671aa86874efa68ae4f3cf9082b59e154122417176044a0623cdd03</citedby><cites>FETCH-LOGICAL-c4230-c691a8c203671aa86874efa68ae4f3cf9082b59e154122417176044a0623cdd03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27861931$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kutzner, Emily A.</creatorcontrib><creatorcontrib>Miot, Christelle</creatorcontrib><creatorcontrib>Liu, Yuan</creatorcontrib><creatorcontrib>Renk, Elizabeth</creatorcontrib><creatorcontrib>Park, Joshua S.</creatorcontrib><creatorcontrib>Inman, Jared C.</creatorcontrib><title>Effect of genioglossus, geniohyoid, and digastric advancement on tongue base and hyoid position</title><title>The Laryngoscope</title><addtitle>Laryngoscope</addtitle><description>Objectives/Hypothesis
To assess the effect of genioglossus, geniohyoid, and anterior digastric muscle advancement on base of tongue and hyoid position.
Study Design
Cadaver experiments.
Methods
In fresh cadavers, the mandibular attachments of the genioglossus, geniohyoid, and anterior digastric muscles were advanced anteriorly by 6, 10, or 14 mm, and the anterior displacement of the base of tongue and hyoid was measured. The degrees of displacement of the tongue base and hyoid by the individual muscles and combinations of muscles were compared to one another.
Results
In 11 cadavers, 462 measurements were taken. Genioglossus advancement alone produced significantly greater tongue base advancement than any other muscle (P < .001). No combination of muscles produced significantly more tongue base advancement than the genioglossus alone. Geniohyoid (P < .001) and anterior digastric muscle (P < .001) advancement both produced significantly greater hyoid advancement than the genioglossus, but there was no difference between the two (p = .615). No combination of muscles produced significantly more hyoid advancement than the geniohyoid or anterior digastric alone.
Conclusions
Genioglossus muscle advancement produces the greatest base of tongue advancement. Geniohyoid or anterior digastric muscle advancement produces the greatest hyoid advancement. Advancement of neither base of tongue nor hyoid was superior when combinations of muscles were moved.
Level of Evidence
NA Laryngoscope, 127:1938–1942, 2017</description><subject>Aged</subject><subject>attachment</subject><subject>Cadaver</subject><subject>digastric</subject><subject>Female</subject><subject>Genioglossus advancement</subject><subject>geniohyoid</subject><subject>Humans</subject><subject>Hyoid Bone - anatomy & histology</subject><subject>hyoid suspension</subject><subject>Male</subject><subject>Mandible</subject><subject>mandible osteotomy</subject><subject>Maxillofacial surgery</subject><subject>Muscle, Skeletal - surgery</subject><subject>obstructive sleep apnea</subject><subject>Sleep apnea</subject><subject>Sleep Apnea, Obstructive - surgery</subject><subject>Tongue</subject><subject>Tongue - anatomy & histology</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNp9kE1LxDAQhoMouq5e_AFS8CJiNZOkSXpcxC9YEERBTyGbpmukm6xNq-y_N27VgwdPwzDPvDM8CB0APgOMyXmj29UZ4VTiDTSCgkLOyrLYRKM0pLksyNMO2o3xFWMQtMDbaIcIyaGkMELqsq6t6bJQZ3PrXZg3IcY-ng7dyyq46jTTvsoqN9exa53JdPWuvbEL69Oaz7rg573NZjraNbjeyZYhus4Fv4e2at1Eu_9dx-jx6vLh4iaf3l3fXkymuWGE4tzwErQ0BFMuQGvJpWC21lxqy2pq6hJLMitKCwUDQhgIEBwzpjEn1FQVpmN0POQu2_DW29iphYvGNo32NvRRgWQgMZB0bYyO_qCvoW99-k4RIgTFghdFok4GyrTJSGtrtWzdIplWgNWXdvWlXa21J_jwO7KfLWz1i_54TgAMwIdr7OqfKDWd3D8PoZ_h6YwR</recordid><startdate>201708</startdate><enddate>201708</enddate><creator>Kutzner, Emily A.</creator><creator>Miot, Christelle</creator><creator>Liu, Yuan</creator><creator>Renk, Elizabeth</creator><creator>Park, Joshua S.</creator><creator>Inman, Jared C.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201708</creationdate><title>Effect of genioglossus, geniohyoid, and digastric advancement on tongue base and hyoid position</title><author>Kutzner, Emily A. ; Miot, Christelle ; Liu, Yuan ; Renk, Elizabeth ; Park, Joshua S. ; Inman, Jared C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4230-c691a8c203671aa86874efa68ae4f3cf9082b59e154122417176044a0623cdd03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>attachment</topic><topic>Cadaver</topic><topic>digastric</topic><topic>Female</topic><topic>Genioglossus advancement</topic><topic>geniohyoid</topic><topic>Humans</topic><topic>Hyoid Bone - anatomy & histology</topic><topic>hyoid suspension</topic><topic>Male</topic><topic>Mandible</topic><topic>mandible osteotomy</topic><topic>Maxillofacial surgery</topic><topic>Muscle, Skeletal - surgery</topic><topic>obstructive sleep apnea</topic><topic>Sleep apnea</topic><topic>Sleep Apnea, Obstructive - surgery</topic><topic>Tongue</topic><topic>Tongue - anatomy & histology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kutzner, Emily A.</creatorcontrib><creatorcontrib>Miot, Christelle</creatorcontrib><creatorcontrib>Liu, Yuan</creatorcontrib><creatorcontrib>Renk, Elizabeth</creatorcontrib><creatorcontrib>Park, Joshua S.</creatorcontrib><creatorcontrib>Inman, Jared C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kutzner, Emily A.</au><au>Miot, Christelle</au><au>Liu, Yuan</au><au>Renk, Elizabeth</au><au>Park, Joshua S.</au><au>Inman, Jared C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of genioglossus, geniohyoid, and digastric advancement on tongue base and hyoid position</atitle><jtitle>The Laryngoscope</jtitle><addtitle>Laryngoscope</addtitle><date>2017-08</date><risdate>2017</risdate><volume>127</volume><issue>8</issue><spage>1938</spage><epage>1942</epage><pages>1938-1942</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><abstract>Objectives/Hypothesis
To assess the effect of genioglossus, geniohyoid, and anterior digastric muscle advancement on base of tongue and hyoid position.
Study Design
Cadaver experiments.
Methods
In fresh cadavers, the mandibular attachments of the genioglossus, geniohyoid, and anterior digastric muscles were advanced anteriorly by 6, 10, or 14 mm, and the anterior displacement of the base of tongue and hyoid was measured. The degrees of displacement of the tongue base and hyoid by the individual muscles and combinations of muscles were compared to one another.
Results
In 11 cadavers, 462 measurements were taken. Genioglossus advancement alone produced significantly greater tongue base advancement than any other muscle (P < .001). No combination of muscles produced significantly more tongue base advancement than the genioglossus alone. Geniohyoid (P < .001) and anterior digastric muscle (P < .001) advancement both produced significantly greater hyoid advancement than the genioglossus, but there was no difference between the two (p = .615). No combination of muscles produced significantly more hyoid advancement than the geniohyoid or anterior digastric alone.
Conclusions
Genioglossus muscle advancement produces the greatest base of tongue advancement. Geniohyoid or anterior digastric muscle advancement produces the greatest hyoid advancement. Advancement of neither base of tongue nor hyoid was superior when combinations of muscles were moved.
Level of Evidence
NA Laryngoscope, 127:1938–1942, 2017</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>27861931</pmid><doi>10.1002/lary.26380</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0023-852X |
| ispartof | The Laryngoscope, 2017-08, Vol.127 (8), p.1938-1942 |
| issn | 0023-852X 1531-4995 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1841801242 |
| source | Wiley |
| subjects | Aged attachment Cadaver digastric Female Genioglossus advancement geniohyoid Humans Hyoid Bone - anatomy & histology hyoid suspension Male Mandible mandible osteotomy Maxillofacial surgery Muscle, Skeletal - surgery obstructive sleep apnea Sleep apnea Sleep Apnea, Obstructive - surgery Tongue Tongue - anatomy & histology |
| title | Effect of genioglossus, geniohyoid, and digastric advancement on tongue base and hyoid position |
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