Abstract
Upper airway stimulation is a novel approach to the treatment of obstructive sleep apnea. Using neurostimulation to actively dilate the pharynx during sleep, this modality is a departure from the ablative and repositioning surgeries offered in the past. This chapter outlines the evaluation, procedure, and outcomes of this new innovative therapy.
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Fujita S, Conway W, Zorick F, Roth T. Surgical correction of anatomic azbnormalities in obstructive sleep apnea syndrome: uvulopalatopharyngoplasty. Otolaryngol Head Neck Surg. 1981;89:923–34. https://doi.org/10.1177/019459988108900609.
Handler E, Hamans E, Goldberg AN, Mickelson S. Tongue suspension: an evidence-based review and comparison to hypopharyngeal surgery for OSA. Laryngoscope. 2014;124:329–36. https://doi.org/10.1002/lary.24187.
Miller SC, Nguyen SA, Ong AA, Gillespie MB. Transoral robotic base of tongue reduction for obstructive sleep apnea: a systematic review and meta-analysis. Laryngoscope. 2017;127:258–65. https://doi.org/10.1002/lary.26060.
Stuck BA, Ravesloot MJL, Eschenhagen T, de Vet HCW, Sommer JU. Uvulopalatopharyngoplasty with or without tonsillectomy in the treatment of adult obstructive sleep apnea—a systematic review. Sleep Med. 2018;50:152–65. https://doi.org/10.1016/j.sleep.2018.05.004.
Remmers JE, Issa FG, Suratt PM. Sleep and respiration. J Appl Physiol. 1990;68:1286–9. https://doi.org/10.1152/jappl.1990.68.3.1286.
Strollo PJ Jr, et al. Upper-airway stimulation for obstructive sleep apnea. N Engl J Med. 2014;370:139–49. https://doi.org/10.1056/NEJMoa1308659.
Woodson BT, et al. Three-year outcomes of cranial nerve stimulation for obstructive sleep apnea: the STAR trial. Otolaryngol Head Neck Surg. 2016;154:181–8. https://doi.org/10.1177/0194599815616618.
Woodson BT, et al. Upper airway stimulation for obstructive sleep apnea: 5-year outcomes. Otolaryngol Head Neck Surg. 2018;159:194–202. https://doi.org/10.1177/0194599818762383.
Friedman M, et al. Targeted hypoglossal nerve stimulation for the treatment of obstructive sleep apnea: six-month results. Laryngoscope. 2016;126:2618–23. https://doi.org/10.1002/lary.25909.
Huntley C, et al. Upper airway stimulation in patients with obstructive sleep apnea and an elevated body mass index: a multi-institutional review. Laryngoscope. 2018;128(10):2425–8. https://doi.org/10.1002/lary.27426.
Croft CB, Pringle M. Sleep nasendoscopy: a technique of assessment in snoring and obstructive sleep apnoea. Clin Otolaryngol Allied Sci. 1991;16:504–9.
Boon M, et al. Upper airway stimulation for obstructive sleep apnea: results from the ADHERE registry. Otolaryngol Head Neck Surg. 2018;159:379–85. https://doi.org/10.1177/0194599818764896.
Gottlieb DJ, et al. CPAP versus oxygen in obstructive sleep apnea. N Engl J Med. 2014;370:2276–85. https://doi.org/10.1056/NEJMoa1306766.
McEvoy RD, et al. CPAP for prevention of cardiovascular events in obstructive sleep apnea. N Engl J Med. 2016;375:919–31. https://doi.org/10.1056/NEJMoa1606599.
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Yu, J.L., Thaler, E.R. (2019). Upper Airway Stimulation. In: Salman, S.O. (eds) Modern Management of Obstructive Sleep Apnea. Springer, Cham. https://doi.org/10.1007/978-3-030-11443-5_7
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DOI: https://doi.org/10.1007/978-3-030-11443-5_7
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