Palate shape is associated with Unilateral Hypoglossal Nerve Stimulation Outcomes.
HNS
Inspire
OSA
hypoglossal nerve stimulation
Journal
The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378
Informations de publication
Date de publication:
06 Sep 2023
06 Sep 2023
Historique:
revised:
06
07
2023
received:
13
11
2022
accepted:
26
07
2023
medline:
6
9
2023
pubmed:
6
9
2023
entrez:
6
9
2023
Statut:
aheadofprint
Résumé
The aim was to determine the potential association between palate shape and unilateral hypoglossal nerve stimulation (HNS) outcomes. Preoperative drug-induced sleep endoscopy (DISE) videos were reviewed and scored by 3 blinded reviewers to determine airway narrowing at the hard-soft palate junction (HP), soft palate genu, and inferior velum, as described by Woodson (2014). Scoring was as follows: 1-open airway, 2-narrow, 3-severe narrowing. Overall palate shape (oblique, intermediate, or vertical) was determined based on prior criteria. Successful surgical treatment was defined by the HNS titration polysomnogram as a reduction of ≥50% in the apnea-hypopnea index (AHI) to <15 events/h. Of 332 adults, the majority was male (77%) with an average BMI of 29.2 ± 3.6 kg/m Vertical palate shape and narrowing at the hard-soft palate junction are independently associated with lower HNS surgical success rates. 3 Laryngoscope, 2023.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : National heart, lung, and blood institute of the national institutes of health
ID : R01HL160993
Organisme : National Center for Advancing Translational Sciences (NCATS)
ID : UL1TR000130
Organisme : National Center for Advancing Translational Sciences (NCATS)
ID : UL1TR001855
Informations de copyright
© 2023 The American Laryngological, Rhinological and Otological Society, Inc.
Références
Strollo PJ, Soose RJ, Maurer JT, et al. Upper-airway stimulation for obstructive sleep apnea. N Engl J Med. 2014;370(2):139-149. https://doi.org/10.1056/nejmoa1308659.
Huyett P, Kent DT, D'Agostino MA, et al. Drug-induced sleep endoscopy and hypoglossal nerve stimulation outcomes: a multicenter cohort study. Laryngoscope. 2021;131(7):1676-1682. https://doi.org/10.1002/lary.29396.
Chao TN, Thaler ER. Predictors of success in hypoglossal nerve stimulator implantation for obstructive sleep apnea. World J Otorhinolaryngol-Head Neck Surg. 2021;7(1):40-44. https://doi.org/10.1016/j.wjorl.2020.02.007.
Lee CH, Seay EG, Reese JW, et al. Clinical radiographic predictors of response to hypoglossal nerve stimulation for obstructive sleep apnea. Otolaryngol-Head Neck Surg (United States). 2021;164(5):1122-1127. https://doi.org/10.1177/0194599820963141.
Schwab RJ, Wang SH, Verbraecken J, et al. Anatomic predictors of response and mechanism of action of upper airway stimulation therapy in patients with obstructive sleep apnea. Sleep. 2018;41(4):1-12. https://doi.org/10.1093/sleep/zsy021.
Woodson BT. A method to describe the pharyngeal airway. Laryngoscope. 2015;125(5):1233-1238. https://doi.org/10.1002/lary.24972.
Olszewska E, Woodson BT. Palatal anatomy for sleep apnea surgery. Laryngoscope Investig Otolaryngol. 2019;4(1):181-187. https://doi.org/10.1002/lio2.238.
Lipira AB, Grames LM, Molter D, Govier D, Kane AA, Woo AS. Videofluoroscopic and nasendoscopic correlates of speech in velopharyngeal dysfunction. Cleft Palate-Craniofacial J. 2011;48(5):550-560. https://doi.org/10.1597/09-203.
Woodson BT, Feroah TR, Conley SF, Sewall SR, Dohse A, Fujita S. Posterior cephalometric radiographic analysis in obstructive sleep apnea. Ann Otol Rhinol Laryngol. 1997;106(4):310-313. https://doi.org/10.1177/000348949710600409.
Safiruddin F, Vanderveken OM, De Vries N, et al. Effect of upper-airway stimulation for obstructive sleep apnoea on airway dimensions. Eur Respir J. 2015;45(1):129-138. https://doi.org/10.1183/09031936.00059414.
Heiser C, Edenharter G, Bas M, Wirth M, Hofauer B. Palatoglossus coupling in selective upper airway stimulation. Laryngoscope. 2017;127(10):E378-E383. https://doi.org/10.1002/lary.26487.
Fleury Curado T, Pham L, Otvos T, et al. Changes in tongue morphology predict responses in pharyngeal patency to selective hypoglossal nerve stimulation. J Clin Sleep Med. 2023;19:947-955. https://doi.org/10.5664/jcsm.10474.
Thaler E, Schwab R, Maurer J, et al. Results of the ADHERE upper airway stimulation registry and predictors of therapy efficacy. Laryngoscope. 2020;130(5):1333-1338. https://doi.org/10.1002/lary.28286.
Kezirian EJ, Heiser C, Steffen A, et al. Previous surgery and hypoglossal nerve stimulation for obstructive sleep apnea. Otolaryngol-Head Neck Surg (United States). 2019;161(5):897-903. https://doi.org/10.1177/0194599819856339.
Mahmoud AF, Thaler ER. Outcomes of hypoglossal nerve upper airway stimulation among patients with isolated retropalatal collapse. Otolaryngol-Head Neck Surg (United States). 2019;160(6):1124-1129. https://doi.org/10.1177/0194599819835186.
Steffen A, Abrams N, Suurna MV, Wollenberg B, Hasselbacher K. Upper-airway stimulation before, after, or without Uvulopalatopharyngoplasty: a two-year perspective. Laryngoscope. 2019;129(2):514-518. https://doi.org/10.1002/lary.27357.
Oka K, Akatsu T, Wakabayashi T, Inui K, Yoshino J. Clinical study using novel endoscopic system for measuring size of gastrointestinal lesion. World J Gastroenterol. 2014;20(14):4050-4058.
Hsu S-W, Chang JS, Lin F-C, Chiu N-T. Measuring distance from the incisors to the esophageal cancer by FDG PET/CT: endoscopy as the reference. BMC Gastroenterol. 2022;126(22):126. https://doi.org/10.1186/s12876-022-02206-z.