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Hypoglossal nerve stimulation in three adults with down syndrome and severe obstructive sleep apnea
Author(s) -
Li Carol,
Boon Maurits,
Ishman Stacey L.,
Suurna Maria V.
Publication year - 2019
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.27723
Subject(s) - medicine , obstructive sleep apnea , polysomnography , anesthesia , hypoglossal nerve , apnea , uvulopalatopharyngoplasty , hypopnea , sleep apnea , tongue , pathology
We present three adults with Down syndrome and obstructive sleep apnea (OSA) treated with hypoglossal nerve stimulation. The average age of these three males was 37.3 years. All patients had severe OSA on polysomnography. Postimplantation titration sleep studies exhibited residual OSA according to average total apnea‐hypopnea index (AHI), but there were significant reductions (86%–100%) in the titrated AHI at the ideal device setting. Morbidity of the surgery was low, and there was excellent device adherence, with an average of 57.3 hours/week. All patients reported subjective improvements in symptoms, and one patient experienced improved blood sugar control. Laryngoscope , 129:E402–E406, 2019