Improving outcomes of hypoglossal nerve stimulation therapy: current practice, future directions, and research gaps. Proceedings of the 2019 International Sleep Surgery Society Research Forum.

Electric Stimulation Therapy Humans Hypoglossal Nerve Polysomnography Sleep Sleep Apnea, Obstructive / therapy
OSA OSA treatment hypoglossal nerve stimulation neurostimulation sleep apnea sleep surgery outcomes upper airway stimulation upper airway surgery

Journal

Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine
ISSN: 1550-9397
Titre abrégé: J Clin Sleep Med
Pays: United States
ID NLM: 101231977

Informations de publication

Date de publication:
01 12 2021
Historique:
pubmed: 20 7 2021
medline: 24 12 2021
entrez: 19 7 2021
Statut: ppublish

Résumé

Hypoglossal nerve stimulation (HGNS) has evolved as a novel and effective therapy for patients with moderate-to-severe obstructive sleep apnea. Despite positive published outcomes of HGNS, there exist uncertainties regarding proper patient selection, surgical technique, and the reporting of outcomes and individual factors that impact therapy effectiveness. According to current guidelines, this therapy is indicated for select patients, and recommendations are based on the Stimulation Therapy for Apnea Reduction or STAR trial. Ongoing research and physician experiences continuously improve methods to optimize the therapy. An understanding of the way in which airway anatomy, obstructive sleep apnea phenotypes, individual health status, psychological conditions, and comorbid sleep disorders influence the effectiveness of HGNS is essential to improve outcomes and expand therapy indications. This article presents discussions on current evidence, future directions, and research gaps for HGNS therapy from the 10th International Surgical Sleep Society expert research panel. Suurna MV, Jacobowitz O, Chang J, et al. Improving outcomes of hypoglossal nerve stimulation therapy: current practice, future directions and research gaps. Proceedings of the 2019 International Sleep Surgery Society Research Forum.

Identifiants

DOI: 10.5664/jcsm.9542 PMID: 34279214 PMC: PMC8726368
pubmed: 34279214
pii: jcsm.9542
doi: 10.5664/jcsm.9542
pmc: PMC8726368
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2477-2487

Subventions

Organisme : NHLBI NIH HHS
ID : K08 HL148551
Pays : United States

Commentaires et corrections

Type : CommentIn

Informations de copyright

© 2021 American Academy of Sleep Medicine.

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Auteurs

Maria V Suurna (MV)

Division of Sleep Surgery, Department of Otolaryngology-Head and Neck Surgery, Weill Cornell Medicine/New York Presbyterian Hospital, New York, New York.

Ofer Jacobowitz (O)

ENT and Allergy Associates, New York, New York.

Jolie Chang (J)

Division of Sleep Surgery, Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, California.

Ioannis Koutsourelakis (I)

Mideterraneo Hospital, Athens, Greece.

David Smith (D)

Divisions of Pediatric Otolaryngology, Pulmonary Medicine, and the Sleep Center, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Department of Otolaryngology-Head and Neck Surgery of University of Cincinnati College of Medicine, Cincinnati, Ohio.

Uri Alkan (U)

Department of Otorhinolaryngology, Head and Neck Surgery, Rabin Medical Center, Beilinson Hospital, Petach Tikva, and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Mark D'Agostino (M)

Southern New England Ear, Nose, Throat and Facial Plastic Surgery Group and Middlesex Hospital, Middletown, Connecticut.

Maurits Boon (M)

Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.

Clemens Heiser (C)

Department of Otorhinolaryngology, Head and Neck Surgery, Technische Universität München, Munich, Germany.

Paul Hoff (P)

Department of Otolaryngology, University of Michigan, Ann Arbor, Michigan.

Colin Huntley (C)

Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.

David Kent (D)

Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, Tennessee.

Alan Kominsky (A)

Head and Neck Institute, Cleveland Clinic, Cleveland, Ohio.

Richard Lewis (R)

Perth Head and Neck Surgery, Hollywood Medical Centre, Nedlands, Australia.

Joachim T Maurer (JT)

Division of Sleep Medicine, Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.

Madeline J Ravesloot (MJ)

Department of Ear, Nose and Throat, OLVG, Amsterdam, Netherlands.

Ryan Soose (R)

Division of Sleep Surgery, Department of Otolaryngology, Pittsburgh School of Medicine, UPMC Mercy, University of Pittsburgh, Pittsburgh, Pennsylvania.

Armin Steffen (A)

Department of Otorhinolaryngology, University of Lübeck, Lübeck, Germany.

Edward M Weaver (EM)

Department of Otolaryngology-Head and Neck Surgery, University of Washington, Surgery Service, Seattle Veterans Affairs Medical Center; Harborview Medical Center, Seattle, Washington.

Amy M Williams (AM)

Department of Otolaryngology-Head and Neck Surgery of Henry Ford Health System, Detroit, Michigan.

Tucker Woodson (T)

Division of Sleep Medicine and Sleep Surgery, Department of Otolaryngology and Human Communication of Medical College of Wisconsin, Milwaukee, Wisconsin.

Kathleen Yaremchuk (K)

Department of Otolaryngology-Head and Neck Surgery of Henry Ford Health System, Detroit, Michigan.

Stacey L Ishman (SL)

Divisions of Pediatric Otolaryngology, Pulmonary Medicine, and the Sleep Center, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Department of Otolaryngology-Head and Neck Surgery of University of Cincinnati College of Medicine, Cincinnati, Ohio.

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Classifications MeSH

questionsmedicales.fr › Thérapeutique › Techniques de physiothérapie › Électrothérapie › Improving outcomes of hypoglossal nerve...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Improving outcomes of hypoglossal nerve...
questionsmedicales.fr › Système nerveux › Système nerveux périphérique › Nerfs périphériques › Nerfs crâniens › Nerf hypoglosse › Improving outcomes of hypoglossal nerve...
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Monitorage physiologique › Polysomnographie › Improving outcomes of hypoglossal nerve...
questionsmedicales.fr › Phénomènes physiologiques de l'appareil locomoteur et du système nerveux › Phénomènes physiologiques du système nerveux › Sommeil › Improving outcomes of hypoglossal nerve...
questionsmedicales.fr › Maladies du système nerveux › Syndromes d'apnées du sommeil › Syndrome d'apnées obstructives du sommeil › Improving outcomes of hypoglossal nerve...