Hypoglossal Stimulation: Indication, Surgical Technique and Clinical Results

被引：0
|
作者：
Huseynov, Jamal [1 ]
Rotter, Nicole [2 ]
Maurer, Joachim [1 ]
机构：
[1] Heidelberg Univ, Univ Klinikum Mannheim, Klin HNO Heilkunde Kopf & Halschirurg, Sekt Schlafmed, Heidelberg, Germany
[2] Heidelberg Univ, Med Fak Mannheim, Univ Klinikum Mannheim, Klin HNO Kopf & Halschirurg,Lehrstuhl HNO Heilkund, Heidelberg, Germany
来源：
LARYNGO-RHINO-OTOLOGIE | 2023年 / 102卷 / 12期
关键词：
Obstructive sleep apnea; hypoglossal stimulation; tongue muscles; apnea-hypopnea index; desaturation index; oxygen desaturation index; UPPER-AIRWAY STIMULATION; OBSTRUCTIVE SLEEP-APNEA;
D O I：
10.1055/a-1994-5365
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Hypoglossal stimulation is a safe and effective treatment option for patients with obstructive sleep apnea and unsuccessful PAP therapy. A number of criteria must be met for the indication: proof of failed PAP therapy and ineffectiveness of the other therapy alternatives, AHI of 15-65/h (a relevant number of central and/or mixed apneas should be excluded) and BMI up to max. 35kg/m( 2) . In the case of the respiratory-synchronous and bilateral stimulation system, a complete concentric collapse at the velum level should currently be ruled out in DISE. In the future, stimulation of the branch of the ansa cervicalis innervating the sternothyroid muscle and the ramus internus of the superior laryngeal nerve could open up additional treatment options.
引用
收藏
页码：956 / 968
页数：13
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