title: Updates of operative techniques for upper airway stimulation.
abstract: Selective upper airway stimulation has been established as an additional treatment for obstructive sleep apnea (OSA). Essential for the treatment is the precise placement of the cuff electrode for select branches of the hypoglossal nerve, which innervate the protrusors and stiffeners of the tongue. A direct approach to the distal hypoglossal nerve has been established to achieve this goal. For surgeons, detailed knowledge of this anatomy is vital. Another decisive step is the placement of the sensing lead between the intercostal muscles. Also, the complexity of follow-up care postoperatively should be kept in mind. The aim of this article is to provide the latest knowledge on the neuroanatomy of the hypoglossal nerve and to give surgeons a step-by-step guide on the current operative technique. Laryngoscope, 126:S12-S16, 2016.
authors: Department of Otorhinolaryngology-Head and Neck Surgery, Technische Universitaet Muenchen, Munich, Germany.
authors: Clemens
authors: C
authors: Heiser
authors: Department of Otolaryngology-Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, U.S.A.
authors: Erica
authors: E
authors: Thaler
authors: Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, U.S.A.
authors: Maurits
authors: M
authors: Boon
authors: Department of Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, U.S.A.
authors: Ryan J
authors: RJ
authors: Soose
authors: Department of Otolaryngology, Medical College of Wisconsin, Milwaukee, Wisconsin, U.S.A.
authors: B Tucker
authors: BT
authors: Woodson
mesh_terms: D004599:Electric Stimulation Therapy / Q000379:methods*; D004566:Electrodes; D006801:Humans; D007002:Hypoglossal Nerve / Q000033:anatomy & histology / Q000601:surgery*; D011182:Postoperative Care; D020181:Sleep Apnea, Obstructive / Q000601:surgery / Q000628:therapy*; D013530:Surgical Wound Infection / Q000628:therapy; D058106:Wound Closure Techniques
keywords: Obstructive sleep apnea; hypoglossal nerve; sleep medicine; surgical treatment obstructive sleep apnea; upper airway stimulation