{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:33:52Z","timestamp":1761006832942,"version":"build-2065373602"},"reference-count":53,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[1984,10,1]],"date-time":"1984-10-01T00:00:00Z","timestamp":465436800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1984,10]]},"abstract":"<jats:p>An inspiratory, circumferential, passive collapse of the hypopharyngeal lumen is the mechanism of airway obstruction in some patients with \u201cidiopathic\u201d obstructive sleep apnea syndrome. While permanent tracheotomy has resolved the obstruction and reversed the associated cardiopulmonary sequelae, it is not without complications. The expansion hyoidplasty was conceived as an alternative. The hyoid bone is trisected just medial to each lesser cornu, then held in an expanded position by a permanent brace. The greater cornua with attached middle constrictor and hyoglossus are moved laterally, while the body of the hyoid with attached geniohyoid and genioglossus shifts the base of tongue anteriorly. The procedure is potentially reversible. Twenty dogs were studied before and after hyoid expansion, 10 for superior hypopharyngeal pressure\u2010volume measurements and 10 for the closing\u2010pressure study. Pressure\u2010volume studies demonstrated a consistent expansion of the superior hypopharynx. Deglutition and laryngeal competence were not grossly affected. Reexamination of four animals in the closing\u2010pressure group 1 year postoperatively demonstrated stability of the hyoid expansion and no evidence of serious parahyoid tissue complications.<\/jats:p>","DOI":"10.1177\/019459988409200503","type":"journal-article","created":{"date-parts":[[2015,11,25]],"date-time":"2015-11-25T07:00:41Z","timestamp":1448434841000},"page":"509-519","source":"Crossref","is-referenced-by-count":6,"title":["Expansion Hyoidplasty: 1983 First\u2010Place Resident Research Award: Clinical Category*"],"prefix":"10.1002","volume":"92","author":[{"given":"Timothy J.","family":"Patton","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Washington University School of Medicine St. Louis Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph H.","family":"Ogura","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Washington University School of Medicine St. Louis Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stanley E.","family":"Thawley","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Washington University School of Medicine St. Louis Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1984,10]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.me.27.020176.002341"},{"volume-title":"Approaches to the treatment of sleep apnea in infants and adults","year":"1982","author":"The management of sleep apnea syndromes","key":"e_1_2_1_3_1"},{"key":"e_1_2_1_4_1","first-page":"347","article-title":"Sleep apnea syndrome: Recent advances","volume":"26","author":"Guilleminault C","year":"1980","journal-title":"Adv Intern Med"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0709(81)80020-8"},{"key":"e_1_2_1_6_1","first-page":"326","article-title":"Surgical management of airway obstructions during sleep","volume":"89","author":"Simmons BF","year":"1979","journal-title":"Laryngoscope"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988108900506"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988108900522"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.65.4.713"},{"key":"e_1_2_1_10_1","first-page":"69","article-title":"Obstructive sleep apnea syndrome associated with nasopharyngeal carcinoma","volume":"134","author":"Moses FM","year":"1981","journal-title":"West J Med"},{"key":"e_1_2_1_11_1","first-page":"39","article-title":"Obstructive sleep apnea in Treacher\u2010Collins syndrome","volume":"18","author":"Johnston C","year":"1981","journal-title":"Cleft Palate J"},{"key":"e_1_2_1_12_1","first-page":"543","article-title":"Sleep apnea syndrome: Correction with surgical advancement of the mandible","volume":"38","author":"Bear SE","year":"1980","journal-title":"J Oral Surg"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0030-4220(79)90063-X"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(80)80730-X"},{"key":"e_1_2_1_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1980.00790320044011"},{"key":"e_1_2_1_16_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198007000-00005"},{"key":"e_1_2_1_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1981.00340080030011"},{"key":"e_1_2_1_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988108900613"},{"key":"e_1_2_1_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1981.00790460041013"},{"key":"e_1_2_1_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1980.00790320038010"},{"key":"e_1_2_1_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/0014-4886(78)90040-7"},{"key":"e_1_2_1_22_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197906000-00003"},{"key":"e_1_2_1_23_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197808000-00012"},{"key":"e_1_2_1_24_1","first-page":"235","volume-title":"The hypersomnia\u2010sleep apnea syndrome: Site and mechanism of upper airway obstruction, sleep apnea syndromes, chap 15","author":"Weitzman ED","year":"1978"},{"key":"e_1_2_1_25_1","first-page":"219","volume-title":"The role of the tongue in sleep apnea syndromes, chap 14","author":"Harper RM","year":"1978"},{"key":"e_1_2_1_26_1","first-page":"211","volume-title":"Neural and mechanical factors controlling pharyngeal occlusion during sleep. 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