Objective: To study the combined effect of modified genioglossus advancement (MGGA) and radiofrequency
tongue base reduction (RFTBR) a long with anterolateral advancement (ALA) pharyngolplasty on OSA patients
with retrolingual airway collapse.
Study design: Prospective clinical study.
Setting: Zagazig and Benha Universities Medical Hospitals.
Patients and methods: Twenty-one patients (21)with multilevel OSA underwent modified genioglossus advancement with radiofrequency tongue base reduction and anterolateral advancement pharyngolplasty. All patients
were assessed before and 6 months after surgery by history talking, clinical examination, Epworth Sleepiness
Scale evaluation fiberoptic examination during muller's maneuver, drug induced sleep endoscopy (DISE),
panoramic X-ray, Cephalometry and polysomnography.
Results: Postoperative mean ± SD Epworth Sleepiness Scale (ESS) significantly decreased from 18.86 ± 2.03to
8.19 ± 1.86 (P-value was |
