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Short-term results of upper airway stimulation in obstructive sleep apnoea patients: the Amsterdam experience

Published online by Cambridge University Press:  03 June 2020

P E Vonk Open the ORCID record for P E Vonk [Opens in a new window] ,
M J L Ravesloot ,
J P van Maanen  and
N de Vries
P E Vonk*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Onze Lieve Vrouwe Gasthuis (‘OLVG’), Amsterdam, the Netherlands Department of Otorhinolaryngology – Head and Neck Surgery, Amsterdam UMC, location AMC, the Netherlands
M J L Ravesloot
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Onze Lieve Vrouwe Gasthuis (‘OLVG’), Amsterdam, the Netherlands Department of Otorhinolaryngology, Medical Centre Jan van Goyen, Amsterdam, the Netherlands
J P van Maanen
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Onze Lieve Vrouwe Gasthuis (‘OLVG’), Amsterdam, the Netherlands
N de Vries
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Onze Lieve Vrouwe Gasthuis (‘OLVG’), Amsterdam, the Netherlands Department of Oral Kinesiology, Academic Centre for Dentistry Amsterdam, MOVE Research Institute Amsterdam, University of Amsterdam and Vrije Universiteit University Amsterdam, the Netherlands Faculty of Medicine and Health Sciences, Department of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital, Belgium
*
Author for correspondence: Dr Patty E Vonk, Department of Otorhinolaryngology – Head and Neck Surgery, OLVG, Jan Tooropstraat 164, 1061AE Amsterdam, the Netherlands E-mail: p.e.vonk@olvg.nl
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Abstract

Objectives

This paper aimed to: retrospectively analyse single-centre results in terms of surgical success, respiratory outcomes and adverse events after short-term follow up in obstructive sleep apnoea patients treated with upper airway stimulation; and evaluate the correlation between pre-operative drug-induced sleep endoscopy findings and surgical success.

Methods

A retrospective descriptive cohort study was conducted, including a consecutive series of obstructive sleep apnoea patients undergoing implantation of an upper airway stimulation system.

Results

Forty-four patients were included. The total median Apnoea–Hypopnea Index and oxygen desaturation index significantly decreased from 37.6 to 8.3 events per hour (p < 0.001) and from 37.1 to 15.9 events per hour (p < 0.001), respectively. The surgical success rate was 88.6 per cent, and did not significantly differ between patients with or without complete collapse at the retropalatal level (p = 0.784). The most common therapy-related adverse event reported was (temporary) stimulation-related discomfort.

Conclusion

Upper airway stimulation is an effective and safe treatment in obstructive sleep apnoea patients with continuous positive airway pressure intolerance or failure. There was no significant difference in surgical outcome between patients with tongue base collapse with or without complete anteroposterior collapse at the level of the palate.

Keywords

Sleep Apnea, ObstructiveHypoglossal Nerve
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 5 , May 2020 , pp. 447 - 452
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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Footnotes

Dr P E Vonk takes responsibility for the integrity of the content of the paper

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