Top

Maxillofacial Plastic and Reconstructive Surgery

Published in:

Open Access 01-12-2017 | Review

Hypoglossal nerve stimulation for treatment of obstructive sleep apnea (OSA): a primer for oral and maxillofacial surgeons

Authors: Sung ok Hong, Yu-Feng Chen, Junho Jung, Yong-Dae Kwon, Stanley Yung Chuan Liu

Published in: Maxillofacial Plastic and Reconstructive Surgery | Issue 1/2017

Abstract

The prevalence of obstructive sleep apnea (OSA) is estimated to be 1–5% of the adult population world-wide, and in Korea, it is reported at 4.5% of men and 3.2% of women (Age 40 to 69 years old). Active treatment of OSA is associated with decrease in insulin resistance, cardiovascular disease, psychosocial problems, and mortality. Surgical treatment of OSA has evolved in the era of neuromodulation with the advent of hypoglossal nerve stimulation (HGNS). We share this review of HGNS with our maxillofacial surgical colleagues to expand the scope of surgical care for OSA.

Friedman M (2009) Sleep apnea and snoring, ed. E Inc China 452. p. 3

Kim J, In K, Kim J, You S, Kang K, Shim J et al (2004) Prevalence of sleep-disordered breathing in middle-aged Korean men and women. Am J Respir Crit Care Med 170(10):1108–1113CrossRefPubMed

Punjabi NM, Shahar E, Redline S, Gottlieb DJ, Givelber R, Resnick HE et al (2004) Sleep-disordered breathing, glucose intolerance, and insulin resistance: the Sleep Heart Health Study. Am J Epidemiol 160(6):521–530CrossRefPubMed

Punjabi NM, Caffo BS, Goodwin JL, Gottlieb DJ, Newman AB, O'Connor GT et al (2009) Sleep-disordered breathing and mortality: a prospective cohort study. PLoS Med 6(8):e1000132CrossRefPubMedPubMedCentral

Rodenstein D (2009) Sleep apnea: traffic and occupational accidents—individual risks, socioeconomic and legal implications. Respiration 78(3):241–248CrossRefPubMed

Gottlieb DJ, Yenokyan G, Newman AB, O'Connor GT, Punjabi NM, Quan SF et al (2010) Prospective study of obstructive sleep apnea and incident coronary heart disease and heart failure: the sleep heart health study. Circulation 122(4):352–360CrossRefPubMedPubMedCentral

Kushida CA, Nichols DA, Holmes TH, Quan SF, Walsh JK, Gottlieb DJ et al (2012) Effects of continuous positive airway pressure on neurocognitive function in obstructive sleep apnea patients: The Apnea Positive Pressure Long-term Efficacy Study (APPLES). Sleep 35(12):1593–1602CrossRefPubMedPubMedCentral

Rosen CL, Auckley D, Benca R, Foldvary-Schaefer N, Iber C, Kapur V et al (2012) A multisite randomized trial of portable sleep studies and positive airway pressure autotitration versus laboratory-based polysomnography for the diagnosis and treatment of obstructive sleep apnea: the HomePAP study. Sleep 35(6):757–767CrossRefPubMedPubMedCentral

Richard W, Venker J, den Herder C, Kox D, van den Berg B, Laman M et al (2007) Acceptance and long-term compliance of nCPAP in obstructive sleep apnea. Eur Arch Otorhinolaryngol 264(9):1081–1086CrossRefPubMed

10.

Heiser C, Hofauer B, Lozier L, Woodson BT, Stark T (2016) Nerve monitoring-guided selective hypoglossal nerve stimulation in obstructive sleep apnea patients. Laryngoscope 126(12):2852–2858CrossRefPubMed

11.

Zaghi S, Holty JE, Certal V, Abdullatif J, Guilleminault C, Powell NB et al (2016) Maxillomandibular advancement for treatment of obstructive sleep apnea: a meta-analysis. JAMA Otolaryngol Head Neck Surg 142(1):58–66CrossRefPubMed

12.

Strollo PJ Jr, Soose RJ, Maurer JT, de Vries N, Cornelius J, Froymovich O et al (2014) Upper-airway stimulation for obstructive sleep apnea. N Engl J Med 370(2):139–149CrossRefPubMed

13.

Fairbanks DW, Fairbanks DN (1993) Neurostimulation for obstructive sleep apnea: investigations. Ear Nose Throat J 72(1):52–54 57PubMed

14.

Miki H, Hida W, Shindoh C, Kikuchi Y, Chonan T, Taguchi O et al (1989) Effects of electrical stimulation of the genioglossus on upper airway resistance in anesthetized dogs. Am Rev Respir Dis 140(5):1279–1284CrossRefPubMed

15.

Yoo PB, Durand DM (2005) Effects of selective hypoglossal nerve stimulation on canine upper airway mechanics. J Appl Physiol 99(3):937–943CrossRefPubMed

16.

Oliven A, Odeh M, Schnall RP (1996) Improved upper airway patency elicited by electrical stimulation of the hypoglossus nerves. Respiration 63(4):213–216CrossRefPubMed

17.

Guilleminault C, Hill MW, Simmons FB, Dement WC (1978) Obstructive sleep apnea: electromyographic and fiberoptic studies. Exp Neurol 62(1):48–67CrossRefPubMed

18.

Schwartz AR, Eisele DW, Hari A, Testerman R, Erickson D, Smith PL (1996) Electrical stimulation of the lingual musculature in obstructive sleep apnea. J Appl Physiol 81(2):643–652PubMed

19.

Schwartz AR, Bennett ML, Smith PL, De Backer W, Hedner J, Boudewyns A et al (2001) Therapeutic electrical stimulation of the hypoglossal nerve in obstructive sleep apnea. Arch Otolaryngol Head Neck Surg 127(10):1216–1223CrossRefPubMed

20.

Kezirian EJ, Boudewyns A, Eisele DW, Schwartz AR, Smith PL, Van de Heyning PH et al (2010) Electrical stimulation of the hypoglossal nerve in the treatment of obstructive sleep apnea. Sleep Med Rev 14(5):299–305CrossRefPubMed

21.

Eastwood PR, Barnes M, Walsh JH, Maddison KJ, Hee G, Schwartz AR et al (2011) Treating obstructive sleep apnea with hypoglossal nerve stimulation. Sleep 34(11):1479–1486CrossRefPubMedPubMedCentral

22.

Kezirian EJ, Goding GS Jr, Malhotra A, O'Donoghue FJ, Zammit G, Wheatley JR et al (2014) Hypoglossal nerve stimulation improves obstructive sleep apnea: 12-month outcomes. J Sleep Res 23(1):77–83CrossRefPubMed

23.

Van de Heyning PH, Badr MS, Baskin JZ, Cramer Bornemann MA, De Backer WA, Dotan Y et al (2012) Implanted upper airway stimulation device for obstructive sleep apnea. Laryngoscope 122(7):1626–1633CrossRefPubMed

24.

Mwenge GB, Rombaux P, Dury M, Lengele B, Rodenstein D (2013) Targeted hypoglossal neurostimulation for obstructive sleep apnoea: a 1-year pilot study. Eur Respir J 41(2):360–367CrossRefPubMed

25.

Dedhia RC, Strollo PJ, Soose RJ (2015) Upper airway stimulation for obstructive sleep apnea: past, present, and future. Sleep 38(6):899–906PubMedPubMedCentral

26.

Strollo PJ Jr, Gillespie MB, Soose RJ, Maurer JT, de Vries N, Cornelius J et al (2015) Upper airway stimulation for obstructive sleep apnea: durability of the treatment effect at 18 months. Sleep 38(10):1593–1598CrossRefPubMedPubMedCentral

27.

Safiruddin F, Vanderveken OM, de Vries N, Maurer JT, Lee K, Ni Q et al (2015) Effect of upper-airway stimulation for obstructive sleep apnoea on airway dimensions. Eur Respir J 45(1):129–138CrossRefPubMed

28.

Goding GS Jr, Tesfayesus W, Kezirian EJ (2012) Hypoglossal nerve stimulation and airway changes under fluoroscopy. Otolaryngol Head Neck Surg 146(6):1017–1022CrossRefPubMed

29.

Woodson BT, Soose RJ, Gillespie MB, Strohl KP, Maurer JT, de Vries N et al (2016) Three-year outcomes of cranial nerve stimulation for obstructive sleep apnea: the STAR trial. Otolaryngol Head Neck Surg 154(1):181–188CrossRefPubMed

30.

WHO. Obesity and overweight June 2016 [cited 2016 June]; Available from: http://www.who.int/mediacentre/factsheets/fs311/en/

31.

Liu SY, Riley RW (2017) Continuing the original Stanford sleep surgery protocol from upper airway reconstruction to upper airway stimulation: our first successful case. J Oral Maxillofac Surg 75(7):1514–1518CrossRefPubMed

Title: Hypoglossal nerve stimulation for treatment of obstructive sleep apnea (OSA): a primer for oral and maxillofacial surgeons
Authors: Sung ok Hong
Yu-Feng Chen
Junho Jung
Yong-Dae Kwon
Stanley Yung Chuan Liu
Publication date: 01-12-2017
Publisher: Springer Berlin Heidelberg
Published in: Maxillofacial Plastic and Reconstructive Surgery / Issue 1/2017
Electronic ISSN: 2288-8586
DOI: https://doi.org/10.1186/s40902-017-0126-0

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Hypoglossal nerve stimulation for treatment of obstructive sleep apnea (OSA): a primer for oral and maxillofacial surgeons

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 1/2017

Coronoid impingement syndrome: literature review and clinical management

Schwannoma of the tongue: a case report with review of literature

Evaluation of mandibular lingula and foramen location using 3-dimensional mandible models reconstructed by cone-beam computed tomography

Three-dimensional surgical simulation for facial asymmetry: soft tissue-, skeleton-, and occlusion-based planning

Hyperpigmentation of the hard palate mucosa in a patient with chronic myeloid leukaemia taking imatinib

Correlation between pain and degenerative bony changes on cone-beam computed tomography images of temporomandibular joints