Journal
ORL-JOURNAL FOR OTO-RHINO-LARYNGOLOGY HEAD AND NECK SURGERY
Volume 79, Issue 1-2, Pages 121-128Publisher
KARGER
DOI: 10.1159/000455728
Keywords
Selective upper airway stimulation; Hypoglossal nerve; Obstructive sleep apnea; Surgical treatment; Predictive success factors
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Funding
- Inspire Medical Systems (Maple Grove, MN, USA)
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Obstructive sleep apnea is one of the most common diseases in Western industrialized countries. A variety of conservative and surgical treatment options are available for its treatment. In recent years, selective upper airway stimulation (sUAS) has been shown to be effective and safe. Different biomarkers have been investigated as predictive clinical success factors in a number of clinical trials. Age does not matter in sUAS, as compared to its predictive role in other therapies. Weight seems to play a limited role, depending on drug-induced sleep endoscopy to rule out a complete concentric collapse with an increased body mass index. For surgical success and the related postoperative tongue motions, a nerve integrity monitoring methodology has been developed for predicting correct cuff placement. Postoperative sonography remains a promising method for the future assessment of predictive markers in sUAS. (C) 2017 S. Karger AG, Basel
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