|Baltic Dental and Maxillofacial Journal|
December, 2015, Vol. 17, No. 4
Upper airway obstuction in class II patients. Effects of Andresen activator on the anatomy of pharingeal airway passage. Cone beam evalution
© 2015 Stomatologija
Stomatologija 2015; 17 (4): 135-6 42 KB
An unusual complication of genioglossus advancement surgery
Metin Sencimen, Aydin Gulses, Gurkan Rasit Bayar, Timur Akcam
Objective. Genioglossus advancement is a surgical procedure where the base of the tongue is pulled forward, usually to increase airway size due to deformity or a sleep breathing disorder. In this procedure, a small bony window is made in the lower jaw. The piece of bone along with the attachment for the tongue is pulled forward and down, then fastened to the outside of the lower jaw. Here we report a 43 year old male patient which has admitted to our department with the complaints of the mild pain and swelling on the chin area.
Material and Methods. The patient underwent a genioglossus advancement surgery 3 months ago. An ortopantomograph revealed a root fracture of the lower left canine. Under mandibular nerve block, the lower left canine was extracted and the root piece was removed via an endodontic K-file.
Conclusion. Dental complications related to genioglossus advancement are rarely reported. However, the surgeons should be aware of damage the roots of the adjacent teeth, especially the lower canines.
Key words: dental trauma; genioglossus advancement; obstructive sleep apnea.
Received: 13 03 2014
Accepted for publishing: 28 12 2015
1Gülhane Military Medical Academy Department of Oral and Maxillofacial Surgery, Etlik Ankara, Turkey
2Ankara Mevki Military Hospital, Centre for Oral & Dental Health, Ankara, Turkey
3Gülhane Military Medical Academy Department of Anatomy, Etlik Ankara, Turkey
Metin Sencımen1 – D.D.S., PhD
Aydin Gulses2 – D.D.S., PhD
Gurkan Rasit Bayar1 – D.D.S., PhD
Timur Akcam3 – M.D., PhD
Address correspondence to Aydin Gulses, Ankara Mevki Military Hospital, 06130 Diskapi Ankara, Turkey. E-mail address: email@example.com