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Hypoglossal nerve stimulation rescue surgery after multiple multilevel procedures for obstructive sleep apnea
Madeleine Strohl1, Kingman Strohl2, J Martin Palomo3
1Department of Otolaryngology-Head and Neck Surgery, University Hospitals Case Medical Center, Cleveland, OH, USA.
American Journal of Otolaryngology
|December 25, 2015
Summary
Hypoglossal nerve stimulation (HNS) offers a new treatment for obstructive sleep apnea (OSA). This case study shows HNS significantly improved symptoms in a patient with persistent OSA after multiple prior surgeries.
Area of Science:
- Neurology
- Otolaryngology
- Sleep Medicine
Background:
- Obstructive sleep apnea (OSA) affects millions, with limited success from traditional surgical interventions.
- Multilevel surgeries like UPPP, genioglossus advancement, and maxillomandibular advancement are common OSA treatments.
- Persistent OSA symptoms necessitate exploring novel therapeutic avenues.
Observation:
- A patient with moderate-to-severe OSA experienced persistent symptoms despite multiple prior surgical procedures.
- The patient underwent hypoglossal nerve stimulation (HNS) as a subsequent treatment option.
- Significant improvement in OSA severity and symptoms was observed post-HNS.
Findings:
- Hypoglossal nerve stimulation (HNS) demonstrated efficacy in a challenging OSA case.
- HNS provided substantial symptom relief and reduced OSA severity where other surgeries failed.
- This case highlights the potential of HNS in managing complex OSA cases.
Implications:
- The findings suggest a potential role for HNS earlier in the surgical treatment algorithm for OSA.
- Further research is warranted to determine the optimal placement of HNS in OSA surgical management.
- Cranial nerve stimulation may offer a valuable alternative for select OSA patients refractory to conventional surgery.
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