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Stomatologija 2015; 17 (4): 135-6 42 KB

An unusual complication of genioglossus advancement surgery

Metin Sencimen, Aydin Gulses, Gurkan Rasit Bayar, Timur Akcam

Summary

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.
Results. The healing period was uneventfull and no signs or symptoms of a pathology was detected.

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: aydingulses@gmail.com



	Baltic Dental and Maxillofacial Journal

December, 2015, Vol. 17, No. 4 CONTENTS REVIEWS Biological approach of dental caries management Rūta Grigalauskienė, Eglė Slabšinskienė, Ingrida Vasiliauskienė 107-112 SCIENTIFIC ARTICLES Temporomandibular joint arthrocentesis for the treatment of osteoarthritis Edvitar Leibur, Oksana Jagur, Ülle Voog-Oras 113-117 Connection of functional quality of partial removable dentures and the degree of patients’ phonetic adaptation Victoria Artjomenko, Aldis Vidzis, Guntis Zigurs 118-123 Upper airway obstuction in class II patients. Effects of Andresen activator on the anatomy of pharingeal airway passage. Cone beam evalution Cinzia Maspero, Lucia Giannini, Guido Galbiati, Laima Kairyte, Giampietro Farronato 124-130 CASE REPORTS A rare variant of calcifying odontogenic cyst with ameloblastoma presentation Supriya Bhat, Shishir Ram Shetty, Subhas G. Babu, Pushparaja Shetty, Fazil Ka 131-134 An unusual complication of genioglossus advancement surgery Metin Sencimen, Aydin Gulses, Gurkan Rasit Bayar, Timur Akcam 135-136 © 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 Summary 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. Results. The healing period was uneventfull and no signs or symptoms of a pathology was detected. 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: aydingulses@gmail.com