Case Report: Lateral Chest Placement of IPG for Hypoglossal Nerve Stimulator Implantation

Hypoglossal nerve stimulation for the treatment of obstructive sleep apnea is an increasingly common procedure. The hypoglossal nerve is stimulated by an implanted pulse generator that is placed in a subcutaneous pocket in the upper chest over the pectoralis muscle. A pressure sensor is placed through a separate incision between two ribs to detect respiratory effort. This case reports an alternative implantation of the device and pressure sensor through a single shared incision lateral to the breast in a thin patient with a previous history of breast cancer, mastectomy, and subpectoral breast implant reconstruction. Laryngoscope , 131:E1010–E1012, 2021