POPULARITY
Hypoglossal Nerve Stimulation Treatment for Obstructive Sleep Apnea By Tracee S. Dahm, BSDH, MS Original article published on Today's RDH: https://www.todaysrdh.com/hypoglossal-nerve-stimulation-treatment-for-obstructive-sleep-apnea/ Need CE? Start earning CE credits today at https://rdh.tv/ce Get daily dental hygiene articles at https://www.todaysrdh.com Follow Today's RDH on Facebook: https://www.facebook.com/TodaysRDH/ Follow Kara RDH on Facebook: https://www.facebook.com/DentalHygieneKaraRDH/ Follow Kara RDH on Instagram: https://www.instagram.com/kara_rdh/
Emma is joined by Trent and Theresa Tidball to discuss Trent's journey with OSA. Together they discuss: * Trent's symptoms of daytime sleepiness as a teen and doing a sleep study but not following up. * Undergoing a UPPP, tonsillectomy, septoplasty, and turbinate reduction at the same time with an ENT without ever having a sleep study. * Getting a sleep test and diagnosis of obstructive sleep apnea. * Titrating study showing the need for ASV rather than CPAP or BiPAP. * MMA surgery to advance jaws hoping to improve Trent's airway. * Mental health impacts setting in for Trent and Theresa after trying all these treatment options without a positive outcome. * Theresa starting a blog to help process the emotions around coping with Trent's illness. * Trent having a DISE procedure showing his tongue was the main reason for his obstructive apneas * Trent undergoing Hypoglossal Nerve Stimulation surgery and starting to dream again. * Speculating that UPPP surgery had affected the function of Trent's tongue. * Deciding to do a revision MMA surgery with a new surgeon. Connect with Trent and Theresa: Instagram @sleepily_everafter sleepilyeverafterblog.com https://gofund.me/c899511d This episode is sponsored by: BetterHelp https://www.betterhelp.com/emma for 10% off your first month of online therapy Sleeplay - click here to order CPAPs and CPAP supplies and use code BEDTIME10 for 10% off. Follow the podcast on Instagram: @sleepapneastories Email Emma at sleepapneastories@gmail.com www.sleepapneastories.com Check out Gary Knight's Story Sharing on Project Sleep's Facebook Live, hosted by Emma - click here to watch! NEW! Support the Podcast! If you would like to support Emma and the 'Sleep Apnea Stories' podcast, you can now contribute monthly. https://podcasters.spotify.com/pod/show/emma-cooksey Click "Support this Podcast". Disclaimer: This podcast episode includes people with sleep apnea discussing their experiences of medical procedures and devices. This is for information purposes only and you should consult with your medical professionals before starting or stopping any medication or treatment. --- Support this podcast: https://podcasters.spotify.com/pod/show/emma-cooksey/support
Link to bioRxiv paper: http://biorxiv.org/cgi/content/short/2023.04.06.535917v1?rss=1 Authors: MISSEY, F., Ejneby, M. S., Ngom, I., Donahue, M. J., Trajlinek, J., ACERBO, E., Botzanowski, B., Cassara, A., Neufeld, E., Glowacki, E. D., Shangold, L., Hanes, W. M., Williamson, A. Abstract: Peripheral nerve stimulation is used in both clinical and fundamental research for therapy and exploration. At present, non-invasive peripheral nerve stimulation still lacks the penetration depth to reach deep nerve targets and the stimulation focality to offer selectivity. It is therefore rarely employed as the primary selected nerve stimulation method. We have previously demonstrated that a new stimulation technique, Temporal Interference (TI) stimulation, can overcome depth and focality issues. Here, we implement a novel form of TI, bilateral TI (bTI) stimulation, for bilateral hypoglossal nerve stimulation in rodents and humans. Pairs of electrodes are placed alongside both hypoglossal nerves to stimulate them synchronously and thus decrease the stimulation amplitude required to activate hypoglossal-nerve-controlled tongue movement. Comparing bTI stimulation with unilateral TI stimulation, we show that it can elicit the same behavioral and electrophysiological responses at a reduced stimulation amplitude. Traditional transcutaneous stimulation evokes no response with equivalent amplitudes of stimulation. During first-in-man studies, TI stimulation was found to be well-tolerated, and to clinically reduce apnea-hypopnea events in a subgroup of female patients with obstructive sleep apnea (OSA). These results suggest a high clinical potential for the use of TI in the treatment of OSA and other diseases as a safe, effective, and patient-friendly approach. Copy rights belong to original authors. Visit the link for more info Podcast created by Paper Player, LLC
Machine Medicine Interview Series hosted by Dr Jonathan O'Keeffe with Dr Saif Mashaqi. What is obstructive sleep apnea and how can it be treated using hypoglossal nerve stimulation vs CPAP? Transcript for interview highlight: https://machinemedicine.com/interview-series/hypoglossal-nerve-stimulation-for-obstructive-sleep-apnea Find out more topics: https://machinemedicine.com/interview-series/
Dr. Soroush Zaghi graduated from Harvard Medical School, completed residency in ENT (Otolaryngology- Head and Neck Surgery) at UCLA, and Sleep Surgery Fellowship at Stanford University.The focus of his sub-specialty training is on the comprehensive treatment of nasal obstruction, snoring, and obstructive sleep apnea.Learn the position of the tongue and find out how to breathe more effectively from Dr. Zaghi in this episode and the what help to seek for sleep apnea:The Breathe Institute is a concierge healthcare affiliate/practice that empowers people to reach their health and wellness goals through knowledge sharing and exposure to some of the most sought after physicians in America.We believe in focusing on preventative care. While traditional medical care is reactionary and in a state of disease-management, we take pride in being more proactive – knowing that it is easier and healthier to keep you well! Not only do we focus on disease prevention, but on your total health optimization.Our multidisciplinary center for precision diagnosis and comprehensive treatment of nasal obstruction, snoring, obstructive sleep apnea (OSA), and breathing disorders is at the forefront of airway management. You will be nurtured in a welcoming, and unhurried environment that brings ease to your busy schedule.Clinical interests: Airway and Breathing Disorders, Tongue-tie, Snoring, Obstructive Sleep Apnea, Nasal Obstruction, Upper Airway Resistance Syndrome, Deviated Septum, Tonsil Hypertrophy, TMJ Pain, Teeth-grinding, Mouth Breathing, Maxillary Expansion, Maxillary-Mandibular Advancement, Facial and Airway Reconstruction Surgery, Hypoglossal Nerve Stimulation, Septoplasty, Turbinate Reduction, Frenuloplasty, Sinus Surgery, and Aesthetic Jaw Surgery (Genioplasty)Read more at: thebreatheinstitute.com.--------DisclaimerAll content found on Master The Pause podcast, including: text, images, audio, or other formats were created for informational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or heard on this podcast.Donate to Master the PauseThis podcast is run in part from the generous donations from listeners like you. Thank you for supporting me & the podcast.Maryon MaassNamaste
In this episode we talk with Dr. Matthew Hensler about Hypoglossal Nerve Stimulation for treating Adult Obstructive Sleep Apnea (OSA), including how he learned the procedure, patient selection, procedure tips, and advice on building a successful program. --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs: https://earnc.me/Jw85Cq --- SHOW NOTES First, Dr. Hensler explains the initial workup for a snoring patient. In this history, he addresses the impact snoring has on the patient's quality of life and also assesses the environmental factors that may be responsible for the snoring, such as lack of sleep and alcohol consumption. Then, during the physical exam, he checks for anatomical reasons for snoring, such as large tonsils and a deviated septum. From the history and physical exam, he is able to classify patients into two categories: primary snorers (without sleep apnea) and snorers with sleep apnea. He recommends that all patients complaining of snoring obtain a sleep study. Dr. Hensler then explains his criteria for choosing good hypoglossal nerve stimulator candidates. He recommends choosing patients with an Apnea Hypopnea Index (AHI) score between 15-65, a BMI of less than 31, and patients who have less than 25% of apnea attributed to mixed and central apnea. Because the CPAP machine is still the gold standard treatment for treatment of OSA, he usually only recommends this surgery to patients who have failed CPAP treatment already. Next, Dr. Hensler explains the mechanics behind the hypoglossal nerve stimulator, which only treats obstructive sleep apnea. During the implantation surgery, the first incision is made in the right chest for placement of the processor. The processor is attached to a sensor lead that feeds into the rib cage space between the external and internal intercostal muscles. A second submandibular incision is made below the submandibular gland to place the stimulator lead. When the sensor lead in the rib cage senses the patient breathing, it relays a message to the stimulatory lead, which stimulates the protrusive branches of the hypoglossal nerve to fire and push the tongue outwards. The surgery can be performed in an outpatient setting andlasts less than 2 hours. Patients can start turning on the device before they sleep 3-5 weeks after implantation. Finally, Dr. Hensler obtains a 3 month follow up sleep study in order to monitor improvement in AHI scores. Post-operative complications like infection and pain are possible. Dr. Hensler prescribes his patients with a short duration of narcotics for submandibular pain and a 7-day course of antibiotics to prevent infection. Because of chest involvement during surgery, a pneumothorax is another post-operative complication. A chest X-ray should always be ordered after surgery to rule out this possibility. Finally, it is important to note that patients with a hypoglossal nerve stimulator are unable to undergo MRI scans involving their right chests because of the battery in the processor.
Keywords: sleep apnea; obstructive; treatment; hypoglossal nerve stimulation; hypoglossal nerve stimulator; upper airway stimulation; Inspire; insomnia; Down’s syndrome; trisomy 21; sleep surgery
Hypoglossal Nerve Stimulation for OSA Treatment
Welcome to the Sterile Technique Podcast! It's the podcast about Surgical Technology. Listen to learn more about surgery and improve yourself as a surgical tech. This episode discusses the cover article of the November 2018 issue of The Surgical Technologist, which is the official journal of the Association of Surgical Technologists (AST). The article is titled, "Hypoglossal Nerve Stimulation for Treatment of Obstructive Sleep Apnea". "Scrub in" at steriletpodcast.com and on Twitter @SterileTPodcast (twitter.com/SterileTPodcast). This podcast is a Dybas Media production (dybasmedia.com). Sound effects adapted from GarageBand and sindhu.tms at https://freesound.org/people/sindhu.tms/sounds/169065/ and licensed courtesy of https://creativecommons.org/licenses/by-nc/3.0/.
Interview with Christopher J. Hartnick, MD, author of Hypoglossal Nerve Stimulation in Adolescents With Down Syndrome and Obstructive Sleep Apnea