Universität zu Köln

Steffen, Armin, Heiser, Clemens, Galetke, Wolfgang, Herkenrath, Simon-Dominik, Maurer, Joachim T., Gunther, Eck, Stuck, Boris A., Woehrle, Holger, Loehler, Jan and Randerath, Winfried (2022). Hypoglossal nerve stimulation for obstructive sleep apnea: updated position paper of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Eur. Arch. Oto-Rhino-Laryn., 279 (1). S. 61 - 67. NEW YORK: SPRINGER. ISSN 1434-4726

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Abstract

Since the first statement of the German Society of Oto-Rhino-Laryngology, hypoglossal nerve stimulation (HNS) is meanwhile an established treatment option for obstructive sleep apnea (OSA). There are three HNS systems available in Germany which differ in their technical details of the underlying comparable basic principle. For the unilateral HNS with respiratory sensing, several comparative studies, high-volume register analysis and long-term reports exist. The continuous HNS without respiratory sensing does not require a sleep endoscopy for indication. For the bilateral continuous HNS as the single partially implantable device, a feasibility study exists. For indication, the assessment of positive airway pressure failure by sleep medicine is crucial, and the decision for HNS should be made in discussion of other treatment options for at least moderate OSA. The implantation center holds primarily responsibility among the interdisciplinary sleep team and is primary contact for the patient in problems. This depicts why structural processes are required to secure outcome quality and minimize the complications. The aftercare of HNS patients can be provided interdisciplinary and by different medical institutions, whereat, minimal reporting standards to document outcome and usage are recommended.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Steffen, Armin UNSPECIFIED UNSPECIFIED UNSPECIFIED Heiser, Clemens UNSPECIFIED UNSPECIFIED UNSPECIFIED Galetke, Wolfgang UNSPECIFIED UNSPECIFIED UNSPECIFIED Herkenrath, Simon-Dominik UNSPECIFIED UNSPECIFIED UNSPECIFIED Maurer, Joachim T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Gunther, Eck UNSPECIFIED UNSPECIFIED UNSPECIFIED Stuck, Boris A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Woehrle, Holger UNSPECIFIED UNSPECIFIED UNSPECIFIED Loehler, Jan UNSPECIFIED UNSPECIFIED UNSPECIFIED Randerath, Winfried UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-600264
DOI:	10.1007/s00405-021-06902-6
Journal or Publication Title:	Eur. Arch. Oto-Rhino-Laryn.
Volume:	279
Number:	1
Page Range:	S. 61 - 67
Date:	2022
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1434-4726
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language UPPER-AIRWAY STIMULATION; OUTCOMES; ENDOSCOPY Multiple languages Otorhinolaryngology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/60026