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Related Experiment Videos

Armin Steffen1,2, Clemens Heiser3,4, Wolfgang Galetke5,6

  • 1Für die Arbeitsgemeinschaft Schlafmedizin der Deutschen Gesellschaft für Hals-Nasen-Ohrenheilkunde, Kopf- und Hals-Chirurgie e. V. (DGHNO), Bonn.

Laryngo- Rhino- Otologie
|December 14, 2020
PubMed
Summary

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This summary is machine-generated.

Hypoglossal nerve stimulation (HNS) is an established treatment for obstructive sleep apnea (OSA). This updated position paper reviews available HNS systems and provides guidance for their use and aftercare.

Area of Science:

  • Otorhinolaryngology, Head and Neck Surgery
  • Sleep Medicine
  • Biomedical Engineering

Background:

  • Obstructive sleep apnea (OSA) is a common sleep disorder.
  • Hypoglossal nerve stimulation (HNS) has emerged as a significant treatment option for OSA.
  • Three distinct HNS systems are available in Germany, differing in technical aspects but sharing a common principle.

Purpose of the Study:

  • To provide an updated position paper on hypoglossal nerve stimulation (HNS) for obstructive sleep apnea (OSA).
  • To review current HNS systems and their indications.
  • To outline recommendations for implantation, aftercare, and quality management.

Main Methods:

  • Review of existing literature, including comparative studies, registry analyses, and long-term reports on unilateral HNS with respiratory sensing.

Related Experiment Videos

  • Examination of feasibility studies for bilateral continuous HNS.
  • Discussion of indication criteria, including positive airway pressure (PAP) failure and patient selection for moderate OSA.

    • Main Results:

    • Unilateral HNS with respiratory sensing has substantial supporting evidence.
    • Continuous HNS without respiratory sensing simplifies indication by not requiring sleep endoscopy.
    • Bilateral continuous HNS is the sole partially implantable device with available feasibility data.

    Conclusions:

    • HNS is an established treatment for OSA, with various systems available.
    • Careful patient selection and interdisciplinary collaboration are crucial for successful HNS implantation and management.
    • Standardized aftercare protocols and outcome reporting are recommended to ensure quality and minimize complications.