A case of hypoglossal nerve stimulator-resistant obstructive sleep apnea cured with the addition of a chin strap.
Apoorva T RamaswamyCarol LiMaria V SuurnaPublished in: The Laryngoscope (2017)
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.
Keyphrases
- obstructive sleep apnea
- sleep apnea
- positive airway pressure
- drug induced
- liver injury
- end stage renal disease
- chronic kidney disease
- physical activity
- ejection fraction
- newly diagnosed
- sleep quality
- prognostic factors
- bipolar disorder
- stem cells
- patient reported outcomes
- mesenchymal stem cells
- single molecule
- adverse drug
- cell therapy
- patient reported
- smoking cessation