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Reply to "Clinical pathway implications of bilateral hypoglossal nerve stimulation for PAP-intolerant OSA".

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Upper Airway Stimulation Therapy.

Katherine Koral Green1, B Tucker Woodson2

  • 1Department of Otolaryngology Head and Neck Surgery, University of Colorado School of Medicine, 12631 East, 17th Avenue MS B205, Aurora, CO 80045, USA.

Otolaryngologic Clinics of North America
|October 11, 2016
PubMed
Summary
This summary is machine-generated.

Upper airway stimulation (UAS) treats obstructive sleep apnea (OSA) by stimulating the hypoglossal nerve. This low-morbidity treatment improves sleep metrics and quality of life for many patients.

Keywords:
Cranial nerve stimulationHypoglossal nerveObstructive sleep apneaSleep surgery

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Area of Science:

  • Sleep Medicine
  • Otolaryngology
  • Biomedical Engineering

Background:

  • Obstructive sleep apnea (OSA) is often treated with surgery modifying airway structures.
  • Upper airway stimulation (UAS) offers an alternative by stimulating the hypoglossal nerve.

Purpose of the Study:

  • To evaluate the efficacy of upper airway stimulation (UAS) as a treatment for moderate-to-severe obstructive sleep apnea (OSA).

Main Methods:

  • Review of basic science data and clinical results for the Inspire II implant used in UAS.
  • Assessment of respiratory sleep metrics, airflow, and patient-reported outcomes.

Main Results:

  • UAS prevents airway obstruction and improves airflow.
  • Clinical data show improvements in respiratory sleep metrics.
  • Objective and subjective outcomes, including sleep quality and quality of life, are enhanced.

Conclusions:

  • Upper airway stimulation (UAS) is a viable, long-term, low-morbidity treatment option for moderate-to-severe OSA in eligible patients.