Evaluation of the role of expansion hyoidplasty with and without hyoid suspension intreating obstructive sleep apnea

Obstructive sleep apnea [OSA] remains a therapeutic challenge, despite growing knowledge of the pathophysiology of the disease and development of new treatment modalities. This study included 50 patients with obstructive sleep apnea syndrome [OSAS] who underwent expansion hyoidplasty [EHP], 16 patients had EHP with hyoid suspension [HS] and 34 patients had EHP without HS. A subset of patients felt a subjective postoperative improvement confirmed by polysomnographic examination. EHP with HS, and EHP without HS had the same efficacy in treating the OSAS. Postoperative complications were minor irrespective of the surgical method used