In an improved method for surgically treating a sleep-related breathing
disorder, comprising hyoid distruction/expansion and hyo-mandibular
suspension, an implant comprises a polypropylene and/or reticulated
elastomeric biostable polyurethane matrix. The matrix is positioned
between two or more segments of the distructed hyoid bone. A single or
multiple midline or paramedian incisions are made under a patient's chin;
soft tissues overlying the mandible are cleaned; a first screw is
inserted into the edge of the mandible; a second screw is inserted into
the inferior edge of the mandible; a second horizontal incision is made
over the body of the hyoid; the infrahyoid muscles are separated from the
body of the hyoid bone; the hyoid is refracted and stabilized; the
sternohyoid and thyrohyoid muscles are detached from the body of the
hyoid between the lesser cornuae; the hyoid bone is divided midline or
paramedian into two or more segments; and an absorbable or nonabsorbable,
rigid or semirigid, implant is positioned between segments of the hyoid
bone. The hyoid bone is stabilized by the implant; and sutures or
portions of polypropylene and/or polyurethane matrix are passed around
the hyoid bone segments and implant to connect to muscle still attached
to the upper portion of the hyoid bone, wherein the hypopharyngeal airway
is expanded.