Intraoperative identification of mixed activation profiles during hypoglossal nerve stimulation | Zendy

Joshua J. Sturm | Zendy; Clara H. Lee | Zendy; Oleg Modik | Zendy; Maria V. Suurna | Zendy

AI Assistant Blog Pricing

Home ZAIA Blog

Open Access

Intraoperative identification of mixed activation profiles during hypoglossal nerve stimulation

Author(s) -

Joshua J. Sturm,

Clara H. Lee,

Oleg Modik,

Maria V. Suurna

Publication year - 2020

Publication title -

journal of clinical sleep medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.529

H-Index - 92

eISSN - 1550-9397

pISSN - 1550-9389

DOI - 10.5664/jcsm.8694

Subject(s) - hypoglossal nerve , genioglossus , medicine , stimulation , cuff , tongue , anesthesia , retractor , obstructive sleep apnea , electromyography , electroneuronography , surgery , physical medicine and rehabilitation , pathology

The effectiveness of hypoglossal nerve stimulation (HGNS) in the treatment of obstructive sleep apnea (OSA) depends on the selective stimulation of nerve fibers that innervate the tongue muscles that produce tongue protrusion (genioglossus) and stiffening (transverse/vertical) while avoiding fibers that innervate muscles that produce tongue retraction (styloglossus/hyoglossus). Postoperative treatment failures can be related to mixed activation of retractor and protrusor muscles, despite intraoperative efforts to identify and avoid nerve fibers that innervate the retractor muscles. This study describes a novel intraoperative protocol that more optimally identifies mixed activation by utilizing an expanded set of stimulation/recording parameters.

The content you want is available to Zendy users.

Already have an account? Click here to sign in.

Having issues? You can contact us here

Accelerating Research