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Upper Airway Stimulation in Patients with Obstructive Sleep Apnea: Long-Term Surgical Success, Respiratory Outcomes, and Patient Experience
Veugen, Christianne C. A. F. M.; Dieleman, Eveline; Hardeman, Johannes A.; Stokroos, Robert J.; Copper, Marcel P..
  • Veugen, Christianne C. A. F. M.; Sint Antonius Hospital. Department of Otorhinolaryngology, Head and Neck Surgery. Nieuwegein. NL
  • Dieleman, Eveline; Erasmus MC. Department of Otorhinolaryngology, Head and Neck Surgery. Rotterdam. NL
  • Hardeman, Johannes A.; St. Antonius Hospital. Department of Pulmonology. Nieuwegein. NL
  • Stokroos, Robert J.; UMC Utrecht. Department of Otorhinolaryngology, Head and Neck Surgery. Utrecht. NL
  • Copper, Marcel P.; Sint Antonius Hospital. Department of Otorhinolaryngology, Head and Neck Surgery. Nieuwegein. NL
Int. arch. otorhinolaryngol. (Impr.) ; 27(1): 43-49, Jan.-Mar. 2023. tab
Article in English | LILACS-Express | LILACS | ID: biblio-1421685
ABSTRACT
Abstract Introduction Upper airway stimulation (UAS) with electric activation of the hypo-glossal nerve has emerged as a promising treatment for patients with moderate-to-severe obstructive sleep apnea. Objective To retrospectively analyze objective and subjective outcome measures after long-term follow-up in obstructive sleep apnea patients receiving upper airway stimulation. Methods An observational retrospective single-center cohort study including a consecutive series of patients diagnosed with obstructive sleep apnea receiving upper airway stimulation. Results Twenty-five patients were included. The total median apnea-hypopnea index (AHI) significantly decreased from 37.4 to 8.7 events per hour at the 12-month follow-up (p < 0.001). The surgical success rate was 96%. Adverse events were reported by 28% of the patients. Conclusion Upper airway stimulation is an effective and safe treatment for obstructive sleep apnea in patients with continuous positive airway pressure (CPAP) failure or intolerance. However, it is possible that the existing in and exclusion criteria for UAS therapy in the Netherlands have positively influenced our results.


Full text: Available Index: LILACS (Americas) Type of study: Observational study Language: English Journal: Int. arch. otorhinolaryngol. (Impr.) Journal subject: Otolaryngology Year: 2023 Type: Article Affiliation country: Germany / Netherlands Institution/Affiliation country: Erasmus MC/NL / Sint Antonius Hospital/NL / St. Antonius Hospital/NL / UMC Utrecht/NL

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Full text: Available Index: LILACS (Americas) Type of study: Observational study Language: English Journal: Int. arch. otorhinolaryngol. (Impr.) Journal subject: Otolaryngology Year: 2023 Type: Article Affiliation country: Germany / Netherlands Institution/Affiliation country: Erasmus MC/NL / Sint Antonius Hospital/NL / St. Antonius Hospital/NL / UMC Utrecht/NL