title: [Implantable nerve stimulation for obstructive sleep apnea hypopnea syndrome].
abstract: Obstructive sleep apnea hypopnea syndrome (OSAHS) is a common disorder that has been identified as a contributor to cardiovascular disease making it a major public health problem. Continuous positive airway pressure is the standard treatment but compliance is suboptimal. Mandibular advancement devices and surgery have limited indications, inconstant efficiency and potential irreversible side effects. Stimulation of the hypoglossal nerve, that innervates the genioglossus, a protrusor muscle of the tongue, is now a new treatment option for moderate and severe cases of OSAHS. Two types of stimulation are currently available: stimulation synchronous with inspiration and continuous stimulation. The indication of each type of stimulation and long-term effects still need to be assessed but the implantable nerve stimulation is a promising treatment for patients without a therapy solution so far.
authors.affiliation: CHU de Bordeaux, pôle de neurosciences cliniques (PNC), place Amélie-Raba-Léon, 33076 Bordeaux, France.
authors.forename: Lidia
authors.initials: L
authors.lastname: Afonso Delgado
authors.affiliation: CHU de Bordeaux, clinique du sommeil, service d'explorations fonctionnelles du système nerveux, place Amélie-Raba-Léon, 33076 Bordeaux, France; USR CNRS 3413 SANPSY, CHU Pellegrin, université de Bordeaux, Bordeaux, France. Electronic address: jarthur.micoulaud@gmail.com.
authors.forename: Jean-Arthur
authors.initials: JA
authors.lastname: Micoulaud Franchi
authors.affiliation: CHU de Bordeaux, clinique du sommeil, service d'explorations fonctionnelles du système nerveux, place Amélie-Raba-Léon, 33076 Bordeaux, France.
authors.forename: Pierre-Jean
authors.initials: PJ
authors.lastname: Monteyrol
authors.affiliation: CHU de Bordeaux, clinique du sommeil, service d'explorations fonctionnelles du système nerveux, place Amélie-Raba-Léon, 33076 Bordeaux, France; USR CNRS 3413 SANPSY, CHU Pellegrin, université de Bordeaux, Bordeaux, France.
authors.forename: Pierre
authors.initials: P
authors.lastname: Philip
mesh_terms: D004599:Electric Stimulation Therapy / Q000379:methods; D006801:Humans; D007002:Hypoglossal Nerve; D058542:Implantable Neurostimulators; D020181:Sleep Apnea, Obstructive / Q000628:therapy*