A case of hypoglossal nerve stimulator-resistant obstructive sleep apnea cured with the addition of a chin strap

A population of appropriately selected patients does not respond, or does not achieve cure, with hypoglossal nerve stimulation (HGNS). We describe the case of nonresponder whose obstructive sleep apnea (OSA) resolved with the addition of chin strap. After initial placement and titration of HGNS impl...

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Bibliographic Details
Published inThe Laryngoscope Vol. 128; no. 7; p. 1727
Main Authors Ramaswamy, Apoorva T, Li, Carol, Suurna, Maria V
Format Journal Article
LanguageEnglish
Published United States 01.07.2018
Subjects
Adult
Chin
Combined Modality Therapy
Electric Stimulation Therapy
Endoscopy
Humans
Hypoglossal Nerve
Implantable Neurostimulators
Male
Pharyngeal Muscles - physiopathology
Polysomnography
Sleep Apnea, Obstructive - physiopathology
Sleep Apnea, Obstructive - therapy
obstructive sleep apnea
chin strap
sleep disorder
hypoglossal nerve stimulation
sleep surgery
neurostimulation
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Summary:A population of appropriately selected patients does not respond, or does not achieve cure, with hypoglossal nerve stimulation (HGNS). We describe the case of nonresponder whose obstructive sleep apnea (OSA) resolved with the addition of chin strap. After initial placement and titration of HGNS implant, follow-up sleep study demonstrated persistent moderate OSA. Drug-induced sleep endoscopy demonstrated supraglottic collapse with activate neurostimulation. With mouth closure and change of stimulation settings to unipolar from bipolar, the airway collapse and desaturations improved. The follow-up polysomnogram with (HGNS) therapy and chin strap demonstrated resolution of sleep apnea. Laryngoscope, 128:1727-1729, 2018.
ISSN:1531-4995
DOI:10.1002/lary.27010