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Improving outcomes of hypoglossal nerve stimulation therapy: current practice, future directions, and research gaps. Proceedings of the 2019 International Sleep Surgery Society Research Forum.
Suurna, Maria V; Jacobowitz, Ofer; Chang, Jolie; Koutsourelakis, Ioannis; Smith, David; Alkan, Uri; D'Agostino, Mark; Boon, Maurits; Heiser, Clemens; Hoff, Paul; Huntley, Colin; Kent, David; Kominsky, Alan; Lewis, Richard; Maurer, Joachim T; Ravesloot, Madeline J; Soose, Ryan; Steffen, Armin; Weaver, Edward M; Williams, Amy M; Woodson, Tucker; Yaremchuk, Kathleen; Ishman, Stacey L.
Afiliação
  • Suurna MV; Division of Sleep Surgery, Department of Otolaryngology-Head and Neck Surgery, Weill Cornell Medicine/New York Presbyterian Hospital, New York, New York.
  • Jacobowitz O; ENT and Allergy Associates, New York, New York.
  • Chang J; Division of Sleep Surgery, Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, California.
  • Koutsourelakis I; Mideterraneo Hospital, Athens, Greece.
  • Smith D; Divisions of Pediatric Otolaryngology, Pulmonary Medicine, and the Sleep Center, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
  • Alkan U; Department of Otolaryngology-Head and Neck Surgery of University of Cincinnati College of Medicine, Cincinnati, Ohio.
  • D'Agostino M; 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.
  • Boon M; Southern New England Ear, Nose, Throat and Facial Plastic Surgery Group and Middlesex Hospital, Middletown, Connecticut.
  • Heiser C; Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
  • Hoff P; Department of Otorhinolaryngology, Head and Neck Surgery, Technische Universität München, Munich, Germany.
  • Huntley C; Department of Otolaryngology, University of Michigan, Ann Arbor, Michigan.
  • Kent D; Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
  • Kominsky A; Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, Tennessee.
  • Lewis R; Head and Neck Institute, Cleveland Clinic, Cleveland, Ohio.
  • Maurer JT; Perth Head and Neck Surgery, Hollywood Medical Centre, Nedlands, Australia.
  • Ravesloot MJ; Division of Sleep Medicine, Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
  • Soose R; Department of Ear, Nose and Throat, OLVG, Amsterdam, Netherlands.
  • Steffen A; Division of Sleep Surgery, Department of Otolaryngology, Pittsburgh School of Medicine, UPMC Mercy, University of Pittsburgh, Pittsburgh, Pennsylvania.
  • Weaver EM; Department of Otorhinolaryngology, University of Lübeck, Lübeck, Germany.
  • Williams AM; Department of Otolaryngology-Head and Neck Surgery, University of Washington, Surgery Service, Seattle Veterans Affairs Medical Center; Harborview Medical Center, Seattle, Washington.
  • Woodson T; Department of Otolaryngology-Head and Neck Surgery of Henry Ford Health System, Detroit, Michigan.
  • Yaremchuk K; Division of Sleep Medicine and Sleep Surgery, Department of Otolaryngology and Human Communication of Medical College of Wisconsin, Milwaukee, Wisconsin.
  • Ishman SL; Department of Otolaryngology-Head and Neck Surgery of Henry Ford Health System, Detroit, Michigan.
J Clin Sleep Med ; 17(12): 2477-2487, 2021 12 01.
Article em En | MEDLINE | ID: mdl-34279214
ABSTRACT
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. CITATION 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. J Clin Sleep Med. 2021;17(12)2477-2487.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Terapia por Estimulação Elétrica / Apneia Obstrutiva do Sono Tipo de estudo: Guideline / Qualitative_research Limite: Humans Idioma: En Ano de publicação: 2021 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Terapia por Estimulação Elétrica / Apneia Obstrutiva do Sono Tipo de estudo: Guideline / Qualitative_research Limite: Humans Idioma: En Ano de publicação: 2021 Tipo de documento: Article