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Genioglossal Advancement - Sleep Apnea SurgeryRepose Genioglossus Advancement and hyoid suspensionThe procedure involves the use of a small titanium screw with attached sutures, which is implanted into the posterior aspect of Over time, a fibrotic bridge forms around the implanted suture, further strengthening the long-term support of the suspension hammock. Hypoid SuspensionHyoid Myotomy is not a stand alone procedure. It must be performed in conjunction with the Repose Genioglossus Advancement. Your surgeon will make a small incision on your neck (if performing both Repose Tongue Advancement and Hyoid Myotomy together, both procedures may be performed through the same incision). Using the same specially designed inserter, your surgeon will implant two screws into the back side of your jaw, placed in such a manner that you will never feel them once your surgery is complete. Attached to the back of each screw are two heavy, permanent sutures, which are then passed around your hyoid bone. Interestingly enough, the hyoid bone is the only bone in the human body not attached to another bone. It is, however, attached to a number of muscle groups in your neck, which makes it an ideal bone for reconfiguring the human airway. Once the permanently placed screw sutures have been passed around the hyoid bone, your surgeon can advance the hyoid and associated muscles toward your chin. The result both opens your upper airway while advancing the base of your tongue. One quick operation equals a compelling correction for two major points of obstruction.
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the lower mandible, at the level of the Genio Tubercle. A proprietary suture passer is used to internalize a heavy loop of suture through the base of tongue. Once triangulated, a specific technique is employed to suspend or hammock the base of tongue. The objective of the Repose GA procedure is to stabilize the base of tongue, not anterior advancement associated with conventional muskuloskeletal advancement. The procedure minimizes the potential for prolapse and obstruction of the base of tongue when the patient is supine and asleep. 
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