TY - JOUR
T1 - Upper Airway Stimulation in Patients Who Have Undergone Unsuccessful Prior Palate Surgery
T2 - An Initial Evaluation
AU - Huntley, Colin
AU - Vasconcellos, Adam
AU - Doghramji, Karl
AU - Hofauer, Benedikt
AU - Heiser, Clemens
AU - Boon, Maurits
N1 - Publisher Copyright:
© American Academy of Otolaryngology–Head and Neck Surgery Foundation 2018.
PY - 2018/11/1
Y1 - 2018/11/1
N2 - Upper airway stimulation therapy (UAS) is a new option for treatment of obstructive sleep apnea (OSA) in patients unable to tolerate continuous positive airway pressure (CPAP). We set out to evaluate the effectiveness of UAS in patients who have undergone prior palate surgery. We designed a retrospective review and evaluated patients undergoing UAS at 2 academic centers. We recorded demographic and pre- and postoperative polysomnogram (PSG) data. We compared the cohort of patients who had undergone prior palate surgery, “prior surgery,” to the cohort who had not, “no prior surgery.” A total of 164 patients were included in the study: 23 in the prior surgery and 141 in the no prior surgery groups. The mean age was significantly higher in the no prior surgery group (P =.020). There were no other significant differences when comparing demographic, quality of life, or PSG variables between cohorts. UAS therapy is an option to treat OSA in patients having undergone unsuccessful prior palate surgery.
AB - Upper airway stimulation therapy (UAS) is a new option for treatment of obstructive sleep apnea (OSA) in patients unable to tolerate continuous positive airway pressure (CPAP). We set out to evaluate the effectiveness of UAS in patients who have undergone prior palate surgery. We designed a retrospective review and evaluated patients undergoing UAS at 2 academic centers. We recorded demographic and pre- and postoperative polysomnogram (PSG) data. We compared the cohort of patients who had undergone prior palate surgery, “prior surgery,” to the cohort who had not, “no prior surgery.” A total of 164 patients were included in the study: 23 in the prior surgery and 141 in the no prior surgery groups. The mean age was significantly higher in the no prior surgery group (P =.020). There were no other significant differences when comparing demographic, quality of life, or PSG variables between cohorts. UAS therapy is an option to treat OSA in patients having undergone unsuccessful prior palate surgery.
KW - hypoglossal nerve stimulation
KW - obstructive sleep apnea
KW - sleep apnea
KW - surgical treatment of sleep apnea
KW - upper airway stimulation
UR - http://www.scopus.com/inward/record.url?scp=85052558063&partnerID=8YFLogxK
U2 - 10.1177/0194599818792191
DO - 10.1177/0194599818792191
M3 - Review article
C2 - 30081738
AN - SCOPUS:85052558063
SN - 0194-5998
VL - 159
SP - 938
EP - 940
JO - Otolaryngology - Head and Neck Surgery (United States)
JF - Otolaryngology - Head and Neck Surgery (United States)
IS - 5
ER -