Department of Otolaryngology Head and Neck Surgery, S. Orsola-Malpighi University Hospital, Bologna, Italy.
Otolaryngol Head Neck Surg. 2014 Feb;150(2):321-4. doi: 10.1177/0194599813514532. Epub 2013 Dec 10.
Using the Hörmann technique of hyoid suspension in sleep apnea surgery, a steel wire is placed through the thyroid cartilage and slung around the hyoid bone. However, we experienced thyroid cartilage fracture by steel wire traction. A modification is presented to avoid thyroid cartilage fracture.
Case series with chart review.
University hospital.
Twenty-seven patients affected by obstructive sleep apnea syndrome underwent Hörmann hyoid suspension. In 2 patients, the steel wire caused a fracture of the thyroid cartilage. The technique was therefore modified in 25 subsequent patients. The wire is threaded through an adaptation titanium miniplate placed on the surface of the thyroid cartilage.
The apnea-hypopnea index decreased from 43.1 to 10.9/h. Nineteen patients (76%) met the criteria for a successful outcome. No complications related to this modification were noted.
The Hörmann hyoid suspension is a procedure that advances the hyoid bone to expand the airway, and its effectiveness has been proven previously. The modified hyoid suspension presented here promises similar results without the risk of serious complications such as thyroid cartilage fracture.
在睡眠呼吸暂停手术中，使用 Hörmann 技术进行舌骨悬吊，将一根钢丝穿过甲状软骨并悬挂在舌骨上。然而，我们在使用钢丝牵引时经历了甲状软骨骨折。提出了一种改良方法以避免甲状软骨骨折。
病例系列和图表回顾。
大学医院。
27 例阻塞性睡眠呼吸暂停综合征患者接受了 Hörmann 舌骨悬吊术。在 2 名患者中，钢丝导致甲状软骨骨折。因此，在随后的 25 名患者中对该技术进行了改良。钢丝穿过放置在甲状软骨表面的钛制微型板的适配器。
呼吸暂停低通气指数从 43.1 降至 10.9/h。19 名患者（76%）符合成功标准。未发现与该改良相关的并发症。
Hörmann 舌骨悬吊术是一种将舌骨向前推进以扩大气道的手术，其有效性已得到证实。本文提出的改良舌骨悬吊术有望取得类似的效果，同时避免了严重并发症（如甲状软骨骨折）的风险。
