Implantation of the hypoglossal nerve stimulator via left sided, 2-incision approach

2021 ◽  
Author(s):  
Chen Lin ◽  
Michael D. Olson ◽  
Phillip Huyett ◽  
Eugene G. Chio
Keyword(s):  
Hypoglossal Nerve ◽  
Nerve Stimulator

Association between anxiety, depression, and emotional distress and hypoglossal nerve stimulator adherence

2021 ◽  
Author(s):  
Madelyn E. Rosenthal ◽  
M. Melanie Lyons ◽  
Jessica Schweller ◽  
Vedat O. Yildiz ◽  
Eugene G. Chio ◽  
...  
Keyword(s):  
Emotional Distress ◽  
Hypoglossal Nerve ◽  
Nerve Stimulator ◽  
Anxiety Depression

scholarly journals Hypoglossal nerve stimulator placement in a child with severe refractory OSA: a novel procedure in the paediatric population

2021 ◽  
Vol 14 (5) ◽  
pp. e242592
Author(s):  
Clayton D Adams ◽  
Srijaya K Reddy ◽  
James D Phillips ◽  
Brian R Emerson
Keyword(s):  
Hypoglossal Nerve ◽  
Paediatric Population ◽  
Nerve Stimulator

Hypoglossal Nerve Stimulator Implantable Pulse Generator Exchange for Battery Depletion

2020 ◽  
Vol 163 (2) ◽  
pp. 389-390
Author(s):  
Andrew J. Goates ◽  
Erik K. St Louis ◽  
Michael D. Olson
Keyword(s):  
Hypoglossal Nerve ◽  
Pulse Generator ◽  
Nerve Stimulator ◽  
Implantable Pulse Generator

scholarly journals 0674 Association Between Lateral Wall Collapse On Drug-induced Sleep Endoscopy And MRI Findings In Hypoglossal Nerve Stimulator Patients

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A257-A257
Author(s):  
Y Liu ◽  
A Wiemken ◽  
A Steffen ◽  
R Schwab ◽  
R Dedhia
Keyword(s):  
Hypoglossal Nerve ◽  
Lateral Wall ◽  
Inverse Association ◽  
Sleep Endoscopy ◽  
Nerve Stimulator ◽  
Mri Findings ◽  
Drug Induced ◽  
Drug Induced Sleep Endoscopy ◽  
Obstructive Sleep ◽  
The Mean

Abstract Introduction Hypoglossal nerve stimulator (HNS) is an effective and safe alternative therapy for obstructive sleep apnea (OSA) in selected patients. Emerging evidence demonstrates that the outcome of HNS is variable, especially for patients with lateral wall collapse on drug-induced sleep endoscopy (DISE). Awake magnetic resonance imaging (MRI) offers detailed visualization of soft tissue. The aim of this study was to determine whether lateral wall collapse on DISE is associated with awake MRI findings in prospective HNS patients. Methods Patients from the ADHERE Registry, an international outcomes study for UAS were used for this study. At baseline, awake, supine MRI scans of each subject’s head and neck region were collected. The distance between the lateral walls was measured at the level of the hard palate, located by the appearance of the posterior nasal spine, using axial T2 turbo spin echo MRI. DISE assessments of the upper airway were recorded using the VOTE classification. All statistical analyses were performed using SPSS IBM 19.0 software program. Kendall’s Tau-b was performed to compare the association between VOTE scoring and MRI findings. Results Twenty-seven patients (N = 3 female, AHI = 28.8±10.5, BMI = 28.8 ±3.8 kg/m2, age = 53±9.9 years) were included in this study. The mean overall VOTE score and lateral wall score was 5.6±1.1 and 0.5±0.5, respectively. The mean lateral wall distance was 18.8±3.2 mm. A significant, inverse association was found between MRI lateral wall measurement and oropharyngeal lateral wall scoring on DISE (T=-.332,p=0.042) but not other anatomic subsites on DISE. Conclusion In our study, greater lateral wall collapse on DISE corresponded to narrower lateral airway distance on MRI. The utility of static imaging modalities such as MRI as patient selection tools for HNS warrants further study. Support Drs. Dedhia and Schwab receive related support for this project from the National Institutes of Health (NHBLI R01HL144859)

Cricopharyngeal Muscle Dysfunction Following Hypoglossal Nerve Stimulator Placement

2018 ◽  
Vol 144 (10) ◽  
pp. 948
Author(s):  
Bryan J. Stevens ◽  
Ashley M. Geer ◽  
Gregory R. Dion ◽  
Adrienne M. Laury ◽  
Nicholas J. Scalzitti
Keyword(s):  
Hypoglossal Nerve ◽  
Muscle Dysfunction ◽  
Nerve Stimulator ◽  
Cricopharyngeal Muscle

Hypoglossal Nerve Stimulator

2011 ◽  
Vol 145 (2_suppl) ◽  
pp. P272-P272
Author(s):  
B. Tucker Woodson ◽  
Aviram Netzer ◽  
Hosheng Lin ◽  
Joachim T Maurer ◽  
Winfried Hohenhorst ◽  
...  
Keyword(s):  
Hypoglossal Nerve ◽  
Nerve Stimulator

scholarly journals 0645 The Association of Hypoglossal Nerve Stimulator Adherence and Insomnia

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A246-A246
Author(s):  
M Sharma ◽  
A Chacko ◽  
M Rosenthal ◽  
M Khan
Keyword(s):  
Hypoglossal Nerve ◽  
Sleep Problems ◽  
Medical Center ◽  
Eligible Patient ◽  
Upper Airway ◽  
Severity Index ◽  
Nerve Stimulator ◽  
Obstructive Sleep ◽  
Significant Difference ◽  
The Ohio State University

Abstract Introduction The gold standard for treatment of Obstructive sleep apnea (OSA) is continuous positive airway pressure (CPAP). However, CPAP adherence is less than 50%. An alternative treatment is the hypoglossal nerve stimulator (HNS) which displaces the tongue anteriorly to treat upper airway obstruction. Difficulties tolerating HNS are related to stimulation discomfort. In this study, we investigated insomnia as a barrier to adherence. Methods Patients implanted and activated with HNS at The Ohio State University Wexner Medical Center between 2015 and 2019 were eligible. Patient usage data from the previous six months was obtained and subjects were asked to complete an Insomnia Severity Index (ISI). Participants were divided into adherent (defined as use ≥28 hours/week) and non-adherent (use <28 hours/week). Results 32 subjects were enrolled, 22 in the adherent group and 10 in the non-adherent group. There was a significant decrease in mean treatment AHI in both groups: 36.25 to 11.14 in the adherent group and 36.30 to 15.69 in the non-adherent group (p<0.0001). The mean ISI score in the adherent group was 6.84 which is consistent with no clinically significant insomnia and 8.67 in the non-adherent group consistent with subthreshold insomnia. However, there was not a statistically significant difference between the two groups (p=0.441). There was a statistically significant higher score for the question “Do you worry about your sleep problems?” in the non-adherent group (1.78, SD1.39 vs 0.74. SD 0.81) (p =0.018). Conclusion This study suggests that patients who have difficulty with sleep may have more difficulty with HNS adherence than those who do not. In particular the question stating “Do you worry about your sleep problems” had a statistically higher score in the non-adherent group. Prospective studies are needed to further explore a possible relationship between insomnia and HNS adherence. Support N/A

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